Health insurance terms
The amount of money a consumer pays for a health insurance plan; the consumer/or employer usually makes this payment biweekly, monthly, quarterly, or yearly
premium
Federal program that covers people who are 65 or older, people under 65 with certain disabilities, and people with end stage renal disease
Medicare
What preventive measures does health insurance help with?
flu shots, vaccinations, cancer screenings
When was the ACA enacted?
2010
1. Most likely to be taking pics of things and to be the tallest
2. Most likely to be wearing headphones and listening to music
1.john reedy
2. Amir
The share of costs for covered services that the consumers must pay out of pocket
cost sharing
Joint federal and state program that covers people with limited income and resources
Medicaid
Most common way that people get health insurance
through employers
Three primary goals of ACA
Improve patient care, improve population health and reduce the cost of health care
1. most likely to be playing gin rummy and eating crackers
2. Most Likely to be playing gin rummy with Tina and be korean
1. tina
2. Victor
The amount a consumer must pay for covered health care services received before their plan begins to pay
deductible
HMO
health maintenance plan
How long is a health insurance term
1 year
Four categories of marketplace plans
Bronze silver gold platinum
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2. Most likely to be walking a small Dog
1. Q
2. Arabella
A fixed amount that a consumer pays for a covered health care services received before after they’ve paid their deductible
copayment
PPO
preferred provider organization
Definition of health insurance
legal entitlement to payment or reimbursement for health care related costs or risks, generally under a contract with a health insurance company
Name four essential health benefits of US health insurance plans
Ambulatory, patient services, emergency services, hospitalization, laboratory services, mental health and substance use disorder, services pediatric services pregnancy, newborn care, prescription drugs, preventive, and wellness services rehabilitative and rehabilitative services
1. most likely to be wearing a hat and always opening doors/
2. Most likely to be listening to russian music
1.Robert
2. Maria
The percentage of the costs of a covered health care service that a consumer pays for
coinsurance
POS
Point of service plans
How does having health insurance help you to be healthy?
helps with vaccinations and screenings
How to enroll in the affordable care act
Visit the healthcare.gov website or call the marketplace call center to enroll over the phone
1. most likely to be in charge and making up the schedules
2. Most likely to be outside or taking a smoke brea
1. kelly
2. Harrison