Health Insurance
Scenario
Rehab / Hab
More Health Insurance
Basic Insurance
100

a form of insurance that provides coverage for the services rendered by eye care professionals

What is Vision

100
Jane spends a great deal of time each day at her computer. Her eyes are starting to bother her and she needs to have them examined. What type of insurance would help pay for a visit to the eye doctor?
What is Vision
100

A service to help a person to keep, to learn, or improve skills or functioning for daily living?

Habilitative

100
a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee's right to sue his or her employer for the tort of negligence.
What is Worker's compensation
100
The price of insurance protection for a specified risk for a specified period of time.
What is Premium
200
designed to provide coverage for individuals who need temporary health insurance coverage for a short period of time, usually from 30 days to six months.
What is Major Medical
200
While in high school, Joan Taylor worked part-time in a clothing store. Now, at 24, she is assistant manager of that store. She feels she has enough coverage to meet ordinary medical and hospital costs, but she desires protection against the extremely high expense of a long or serious illness. What part of comprehensive insurance would cover Joan?
What is Major Medical
200

Service to help a person to get back to daily living that have been a lost or impaired due to being sick, hurt, or disabled?

Rehabilitative

200
Pays an insured a percentage of their monthly earnings if they become disabled.
What is Disability
200
A demand made by the insured, or the insured's beneficiary, for payment of the benefits as provided by the policy.
What is Claim
300
represents a set dollar limit that you or your employer pay to a health maintenance organization, regardless of how much you use (or don’t use) the services offered by the health maintenance provider.
What is HMO
300
The Jones family wanted to contain their health costs by paying a fixed monthly fee and have a staffed medical clinic at their disposal. What kind of a managed care plan should they join?
What is HMO
300

Disorder that is complex developmental condition that involves peresistent challenges in social interaction, speech and nonverbal communication and restricted or repetitive behaviors?

Autism spectrum

300
an insurance designed to pay a portion of the costs associated with dental care.
What is Dental
300
Amount of loss that the insured pays before the insurance kicks in.
What is Deductible
400
insurance coverage providing protection in the event of physical damage
What is Comprehensive insurance
400
Daryl Lopez, a tackle on the varsity football team, injured his back in a scrimmage. He was hospitalized for two weeks and spent most of his time in traction. What section of comprehensive insurance would have paid for most or all of his $550 a day care while in the hospital?
What is Hospital
400
provides coverage for fire, lightning and internal explosion.
What is Dwelling protection
400
Insurance policies that cover specified services for a specified period of time.
What is Long-Term Care
400
The written contract effecting insurance, or the certificate thereof, by whatever name called, and including all clause, riders, endorsements, and papers attached thereto and made a part thereof.
What is Policy
500
care is paid for as it is received instead of in advance in the form of a scheduled fee.
What is PPO
500
Jamie Kindell had her tonsils removed. Which part of comprehensive insurance would cover most of the fees for this operation?
What is Surgical
500
provides protection against most risks to property, such as fire, theft and some weather damage.
What is Property Insurance
500
is a health insurance program for low-income individuals who can’t otherwise afford Medicare or other commercial health insurance plans.
What is Medicaid
500
A predetermined, flat fee an individual pays for health-care services, in addition to what insurance covers. For example, some HMOs require a $10 copayment for each office visit, regardless of the type or level of services provided during the visit.
What is Co-Payments
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