Why does it cost so much?
Acronyms
"Premium" Definitions
Risky Business
Calculations, Calculations, Calculations!!!
100

The specified amount of payment required periodically by an insurer to provide coverage under a plan for a defined period of time

Premium

100

FSA

Flexible Spending Account

100

A person who compiles and analyzes statistics to calculate risk and determine insurance rates and premiums

Actuary

100

The amount of money you agree to pay towards your losses before your insurance coverage will begin paying

Deductible

100

Jim was in a car accident that he caused.  He has a deductible of $500 and his Maximum Insurance Limit is $30,000. It will cost him $5,000 to get his car fixed.  How much will he pay out-of-pocket?

$500

200

What are 3 factors can determine your car insurance premiums?

Age, Gender, location, credit score, miles driven, age of car, type of car

200

HMO

Health Maintenance Organization

200

A formal request from the customer to an insurance company asking for a payment based on the terms of the insurance policy

Claim

200

An agreement where you make regular payments to a company and the company promises to pay you money if you suffer a specified injury, illness, loss, etc.

Insurance

200

Sharon has a copay of $20 and a deductible of $3,000.  She has a procedure that costs $4,200.  What will she pay out-of-pocket?

$3,020

300

What 2 factors can determine your life insurance premiums?

Age, gender, health, smoker, alcohol use

300

HSA

Health Savings Account

300

A fixed dollar amount that you agree to pay each time you receive medical treatment, such as a doctor's visit or prescription

Copay

300

Auto insurance that protects you against medical costs for the bodily injury of others and damages to the property of others if you are at fault in an accident

Liability Coverage

300

Jordy bought smart phone insurance for her new iphone.  It has a $50 deductible and the insurance will pay up to $500 for a new phone.  If she needs to get a new phone that costs $1,100, what will she pay out-of-pocket?

$650

400

Why does coinsurance cost a different amount than a copay when you go to the doctor?

Copay is a flat amount and coinsurance is a percentage of the cost of the treatment

400

PPO

Preferred Provider Organization

400

The maximum amount an insurance company will pay if you file a claim

Coverage Limit

400

Insurance paid to named beneficiaries when the insured person dies

Life Insurance

400

Your friend slipped an fell in your apartment and broke his hip. Your renter's insurance covers any medical expenses your friend will incur.  Aside from your premium every month, will you have any out-of-pocket payments?

No

500

How do insurance companies make a profit when they have to pay out all of the money for insurance claims?

By collecting premiums from many people to be able to pay out for the few people that turn in claims for emergencies. 

500

FDIC

Federal Deposit Insurance Corporation

500

A type of insurance paid to an individual if he/she is injured and is unable to work for a specified length of time

Disability Insurance

500

A federal and state assistance program that pays for health care services for people who cannot afford them

Medicaid

500

Your apartment building burned down and everything in it.  Your landlord had property insurance and is going to rebuild.  All of your property was destroyed and it is estimated to be worth approximately $25,000. How much will you pay out-of-pocket to replace your items?

All of it