Test Your Insurance Knowledge

1.

If your office visit is $100 and your coinsurance is 20% (and you’ve met your deductible but not your out-of-pocket maximum), your payment would be:

$25 $40 $20 $100

2.

Which of the below is NOT a Qualifying Life Event?

Turning 25 Having a baby Getting married Change in spouse’s employment status

For the next three questions, match the plan description with the plan title.

3.

Health Maintenance Organization (HMO)

You pay the full cost of care before reaching your deductible (excluding covered preventive care), and you can use this plan in conjunction with an HSA.

You’ll pay more in premiums, but maybe less at time of service. You can choose from a network of providers who offer a fixed copay.

Only in-network services are covered and paid for with copays and coinsurance. You need a referral to see a specialist.

4.

Consumer Driven Health Plan/High Deductible Health Plan (CDHP/HDHP)

You pay the full cost of care before reaching your deductible (excluding covered preventive care), and you can use this plan in conjunction with an HSA.

You’ll pay more in premiums, but maybe less at time of service. You can choose from a network of providers who offer a fixed copay.

Only in-network services are covered and paid for with copays and coinsurance. You need a referral to see a specialist.

5.

Preferred Provider Organization (PPO)

You pay the full cost of care before reaching your deductible (excluding covered preventive care), and you can use this plan in conjunction with an HSA.

You’ll pay more in premiums, but maybe less at time of service. You can choose from a network of providers who offer a fixed copay.

Only in-network services are covered and paid for with copays and coinsurance. You need a referral to see a specialist.

6.

Which of these conditions is NOT good for a virtual visit?

Stomachache Cold & flu Sinus problems Sprained ankle