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Private Health Insurance Flashcards | StudBud
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Private Health Insurance
Private Health Insurance
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StudBud Administration
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A quiz to test reading comprehension and understanding of basic insurance concepts.
Flashcards
16 cards
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Questions
16
Answers
1
Essential health benefits require 10 broad categories of care and:
are determined by the insurance plan.
are determined by the federal government.
are determined by the employer.
are determined by the state.
2
In 2014, the ACA limited out-of-pocket spending to:
the ACA does not limit out-of-pocket exposure.
$1550 for an individual and $3100 for a family.
$10,000 for an individual and $20,000 for a family.
$6,350 for an individual and $12,700 for a family.
3
A "grandfathered " plan under the ACA is:
a plan for retired people.
a plan that was created before March 23, 2010.
a plan created after the passage of the law.
a plan that must comply with all of the ACA provisions.
4
A health insurance premium is:
what you pay each time you go to the doctor's office.
a fee you pay monthly in order to have health insurance.
a better health insurance plan.
a new ride at Disney World.
5
A co-payment is:
a percent of the doctor's fee paid when you visit.
a flat fee paid each time you visit the doctor.
your share of the health insurance premium.
a flat fee paid when you visit the doctor more than 3 times.
6
Community rating is best described as a law:
where each city or town organizes their own insurance plan.
where people pay what they can afford to pay for insurance.
where rich people subsidize poor people.
where healthy people subsidize sick people.
7
A "MLR" or "minimum loss ratio" is:
the percent of premium that you pay.
the percent of premium that is spent on health care.
the percent of premium that goes to the insurer's profit.
the percent of premium spent on administrative costs.
8
Moral Hazard is best defined as:
people using more health care because they have insurance.
people in your risk pool with risky behaviors.
people keeping a job in order to have health insurance.
people who do not hold Democratic values.
9
The ACA allows health insurers to charge higher premiums to:
sicker people.
older people.
women.
employers in certain occupations.
10
A self-insured plan is:
a plan where all the risk is on the insurance company.
a plan where all the risk is on the employer.
a plan where all the risk is on the employee.
a plan where all the risk is on the government.
11
The ACA followed Massachusetts lead in standardizing health plans using:
Cost such as: expensive, reasonable, cheap
metallic tiers: such as: Gold, Silver, Bronze
names such as: Good, Better, Best
numbers such as: Plan 1, Plan 2, Plan 3
12
Employers self insure for all but the following reason:
to offer similar benefits across states.
to limit exposure to state mandated benefits.
to limit health insurance profits.
to expose them to less risk.
13
Heath Insurance markets in states are categorized as:
young people, middle aged, elderly.
comprehensive coverage, limited coverage, no coverage.
sick people and healthy people.
large group, small group, and nongroup.
14
In his Atlantic article, Goldhill advocates for:
insurance coverage for everything you could possibly need.
catastrophic health care for all.
the system we have today.
comprehensive, government-run health insurance.
15
An HSA is:
a subsidy for low-income people made available by the ACA.
the network of providers you can see in your health plan.
a type of health plan with a limited provider network.
a tax-free account funded by the employer and/or employee.
16
A "death spiral":
describes a risk pool that gets sicker over time.
describes a plan that attracts healthier patients.
describes a plan with limited benefits.
is a figure-skating trick where the skater spins backwards.
