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insurance quiz

insurance health medical quiz

QuestionAnswer
co- insurance % of the total bill the person has to pay
co-payment Flat fee (does not change) paid every time you visit the docter
Premium amount you pay every month to have a policy (split w/ employer)
Deductible amount you pay every year before the insurance will pay
DRG'S Diagnostic related groups- insurance will pay an amount based on patients diagnosis (problem)
HSA Health savings account pretax money withheld to be used for medical expense
Out of pocket Maximum amount you have to pay ( co-pay and co- insurance) before insurance will pay
Medicare Gov't provided plan based on age (65) or disability
Type A medicare hospitalization
Type B medicare Routine doctor
Type D medicare medications(drugs)
Medigap covers the amount that medicare does not pay
Medicaid state program, based on income. # of people in the family each state set rules for qualifying
CHIP Children's health program covers children when parents earn too much to qualify for medicaid
Workers Compensation covers lost wages and medical bills for employees hurt on the job
Tricare active duty and retired military and family members
private insurance only insurance not paid by government
HMO's Health Maintenance organization make you see one of their doctors or they will NOT PAY
PPO's Preferred Provider Organization - Pick docter outside of network but will not pay as much (premium is more expensive)
hospitals treat emergencies, illness, procudures, treatment. acute care
general hospitials treat wide population wide area of disease
speciality hospitials treat a specific patient population or specific disease or illness
Government hospitials funded by gov. millitary hospitials veteran hospitail psychatirc facilities
University hospitals hopitials attached to university used more for research
Non profit hospitals hospitials that dont make profit
for profit hospitals hospitials that take profit
Created by: nitipatel
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