Benefits & accumulators
Understanding Health Plans Quiz
Test your knowledge about various health insurance plans and their benefits! This quiz covers key concepts related to health plans, from HMO to PPO, and helps you understand essential terms like coinsurance, copay, and deductible.
Key features:
- 13 engaging questions
- Multiple choice and fill-in-the-blank formats
- Test your understanding of health insurance terminology
A health plan where services are covered only if you go to doctors, specialists, or hospitals in the plan’s network
PPO (Preferred Provider Organization)
HMO (Health Maintenance Organization)
EPO (Exclusive Provider Organization)
INDEMNITY
It generally won't cover out-of-network care except in an emergency.
PPO (Preferred Provider Organization)
HMO (Health Maintenance Organization)
EPO (Exclusive Provider Organization)
INDEMNITY
Members have an option to utilize participating as well as non-participating providers for medical services.
PPO (Preferred Provider Organization)
HMO (Health Maintenance Organization)
EPO (Exclusive Provider Organization)
INDEMITY
The provider does not have to be contracted in order for the member to receive benefits.
PPO (Preferred Provider Organization)
HMO (Health Maintenance Organization)
EPO (Exclusive Provider Organization)
INDEMITY
When paired with a qualified (HDHP), allows you to pay for qualified medical expenses tax-free.
HRA (Health Reimbursement Arrangement)
HSA (Health Saving Account)
FFS (Fee for Service)
POS (Point of Service)
Benefits are paid at a pre-determined percentage of customary and reasonable rates.
HRA (Health Reimbursement Arrangement)
HSA (Health Saving Account)
FFS (Fee for Service)
POS (Point of Service)
A type of managed care health insurance plan that combines characteristics of the HMO, PPO, Part HMO & Part PPO.
HRA (Health Reimbursement Arrangement)
HSA (Health Saving Account)
FFS (Fee for Service)
POS (Point of Service)
An employer-funded account that helps employees pay for qualified medical expenses.
HRA (Health Reimbursement Arrangement)
HSA (Health Saving Account)
FFS (Fee for Service)
POS (Point of Service)
Anthem and the member both pay a percentage until Out of Pocket is met; an example of this is; 80/20 Anthem pays 80% of allowable charge and Member pays 20% of allowable charge until OOP is met.
A specified flat dollar amount rather than a percentage of the bill and they are usually paid at the time of service. An example of this is a $20.00 copay for a doctor’s office visit.
Set amount of money you pay at first for covered health care services, before your health plan begins paying.
Maximum dollar amount you’ll pay for covered services during the year. After that, your plan will pay for 100% of covered services. There may be some exception, based on the benefits.
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