Medi-Cal
Terminology
General Health Insurance
For Fun
100

True or False: The name Medi-Cal comes from the blending of the words "Medical" and "California"

True!

100

What does a "premium" mean?

The monthly amount you pay to keep your insurance active, whether you go to thedoctor or not.

ELI5: This is your club membership fee. You pay it every single month just to keep your insurance active, whether you go to the doctor or not.

100

True or False: Health insurance is not really a commitment you need to make. You can always decide not to pay if you don't have the money that month.

False: Health insurance is a legal contract
100

Which fast food location has the most restaurants in the US?

Subway

200

Until what age is a foster youth eligible for Medi-Cal?

Until age 26

200

True or False: A deductible is the same as a copay.

False! Although both are technically your responsibility  to pay, a deductible is what you pay for services throughout the year to be eligible for insurance to cover your medical costs. A co-pay is what you pay for seeing the doctor or prescriptions, every time, no matter if you have reached your deductible  or not.

200

Health insurance is for catastrophic situations (emergency room, hospitalization) and also for medical care to protect you in the future from illness and diseases. This type of medical care is called ______

Preventative care

200

What year did Instagram come out?

In 2010

300

What are 3 things that Medi-Cal can cover for members?

  • Outpatient (ambulatory) services
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health and substance use disorder services
  • Prescription drugs
  • Programs such as physical and occupational therapy (known as Rehabilitative & Habilitative Services) and device
  • Laboratory services
  • Preventive and wellness services & chronic disease management
300

True or false: If you don't go to the doctor or need any medical services, you can skip paying your premium for that month.

False: You must pay your premium every single month to be insured, even if you don't need medical services that month.

300

True or False: Your health insurance will always cover your medication as long as a doctor covered by your health insurance prescribes it.

False: There may be a co-pay for your prescriptions, regardless if a doctor covered by your insurance prescribes it.

300

How many major islands make up Hawaii?

8 islands

400

What is one group that is eligible for Medi-Cal?

  • Adults (19-64)
  • Children & Youth
  • Pregnant Individuals
  • Seniors and Persons with Disabilities 
400

What term is similar to "splitting the bill at dinner"?

Co-insurance. Your share of the costs of a healthcare service, usually figured as a percentage (e.g., you pay 20% of the bill, and the insurance pays 80%)

400
What does "HMO" stand for?

Health Maintenance Organization

400

What is the human body's largest organ?

The skin

500

What is the household income eligibility for an individual applying for Medi-Cal?

Eligible if household income is at or below 138% of the Federal Poverty Level (about $22,025 annually for an individual)

500

True or false: A higher premium usually means lower co-pays.

True, In health insurance, a higher premium generally corresponds to lower co-pays, coinsurance, and deductibles.

500

What is one of the main differences between HMO and PPO insurance? (as mentioned in the Powerpoint)

With an HMO plan, you need a referral from your primary care physician to see a specialist. With a PPO plan, you do not need a referral to see a specialist. (Example: If you are having heart issues and have an HMO plan, you must see your regular doctor first and they will give you a referral to see a cardiologist (specialist in hearts). If you have a PPO plan, you can make an appointment directly with a cardiologist)

500

What services did Netflix offer when it first came out in 2007?

DVD rental at a "Red Box"

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