7 MIN READ
Understanding the language of health plans can be a game changer when it comes to taking charge of your health. Take this 5-question quiz to find out how well you know these key terms.
Test your health insurance knowledge!
1. What is a health insurance network?
a) The total number of members who are covered by one health insurance plan
b) An online resource to help members find a doctor that is covered by a health plan
c) All of the providers (such as hospitals, physicians, nurses and specialists) that have a contract with a health plan
b) An online resource to help members find a doctor that is covered by a health plan
c) All of the providers (such as hospitals, physicians, nurses and specialists) that have a contract with a health plan
2. What is a deductible?
a) The most a member must pay for the in-network and out-of-network care they receive in a year (for example, $10,000)
b) The amount a member is responsible for before the plan starts to help cover expenses
c) The amount a member pays at a doctor’s appointment when they receive care (for example, $25)
b) The amount a member is responsible for before the plan starts to help cover expenses
c) The amount a member pays at a doctor’s appointment when they receive care (for example, $25)
3. What is a copay?
a) The monthly amount a contract holder pays for their dependents, such as a spouse, covered by a health plan (for example, $100)
b) The dollar amount a member pays for a covered service at the time of receiving care (for example, $30)
c) The cost a member pays for a service that is not covered by their health plan (for example, $200)
b) The dollar amount a member pays for a covered service at the time of receiving care (for example, $30)
c) The cost a member pays for a service that is not covered by their health plan (for example, $200)
4. What is coinsurance?
a) The percentage a member pays for a covered service after they have met their deductible (for example, 20%)
b) The amount a health plan pays for a covered service after the member has paid their deductible (for example, 80%)
c) All of the providers and health care partners who have a contract with a health plan
b) The amount a health plan pays for a covered service after the member has paid their deductible (for example, 80%)
c) All of the providers and health care partners who have a contract with a health plan
5. What is an out-of-pocket maximum?
a) The most a member would have to pay for covered services in a plan year (for example, $8,000)
b) The minimum amount a health plan must pay when a member receives a service(for example, $100)
c) The maximum amount a member can pay for a prescription drug covered by their health plan (for example, $100)
b) The minimum amount a health plan must pay when a member receives a service(for example, $100)
c) The maximum amount a member can pay for a prescription drug covered by their health plan (for example, $100)
Quiz Answers:
1. c, 2. b, 3. b, 4. a, 5. a
Whether you aced the quiz or still need some practice, knowing these terms is an essential step in understanding your health plan, making informed decisions about your care and utilizing it to get the kind of care you want and need.
We’re here to help answer any questions you may have about your health plan. You can submit your question to our customer service experts through your online account. And if you feel prepared to get the care you need today, you can explore our Find Care tool to find an in-network provider that’s right for you.
