Types of Health Insurance
Medical insurance that pays for medical costs for people 65 years or older?
Medicare
Does an employer need to provide Employer Sponsored insurance if they have less than 50 employees?
No-employers must provide health insurance if they employ 50 or more full-time employees
What is an insurance deductible?
The amount you pay before your insurance starts to cover medical costs
You make $1731 a month and have no dependents. Do you qualify for Medicaid?
Yes! The maximum you could make is $1732.
Insurance Premium
Medical insurance that pays for medical costs for people with low income and/or people who have a disability?
Medicaid
Can employers offer health insurance to part-time employees?
Yes! But it is not legally required.
What is an insurance premium?
The amount you pay for your insurance every month
You have an income of $1000 a month and one child, do you qualify for Medicaid?
Yes!
After seeing the doctor, the front desk says you will pay $30 at each doctor's visit. What part of the insurance policy does this fall under?
The co-pay.
Medical insurance provider that employers provide to employees?
Employer-Sponsored Insurance
Can some people with disabilities receive Medicare before the age of 65?
Yes-ALS and Renal Failure
What is an insurance copay?
A fixed amount that you pay for covered health care services.
You and your partner are happily expecting a baby later this year. Between the two of you, you make $3000 a month. Do you qualify for Medicaid?
Yes!
If the front desk says that you owe a 10% of the covered services, what part of the insurance policy does this fall under?
Co-insurance
Medical insurance for people who do not have insurance through their employer and do not qualify for public programs?
Individual Market Insurance
How many hours must an employee work to be considered full-time and receive Employer-Sponsored Insurance?
30 hours or more per week.
What is an insurance network?
A group of doctors, hospitals, and other healthcare providers that your insurer has agreements with to offer services at a discounted rate.
No- the maximum you can make is $2999 to qualify for Medicaid.
Deductible
What special disabilities are covered by Medicare for young people?
ALS and Renal Failure
What is eligibility for Medicaid dependent on?
Size of family and monthly income
What is a co-insurance?
A percentage of the cost of a covered service that you pay after reaching your deductible
You and your partner have 4 children you are responsible for, are expecting another child later this year, and are caretaking for your mother-in-law. Between the two of you, you make $5,000. Does your family qualify for Medicaid?
You call your doctor's office to make an appointment. They ask you if your insurance has changed recently. What are they verifying?
To see if they are in your insurance network.