Health Insurance Plans

Question 1

Deductible

Answer 1

Money paid by patient before insure payments kick in

Question 2

Co-pay

Answer 2

Expenses are shared by the patient and insurance company

• office visits
• pharmaceuticals

Question 3

Health Maintenance organization

HMO

Answer 3

Type of insurance plan
Emphasis- PREVENTATIVE CARE
early treatment, health exams, vision care are covered expenses
-premium payed to the physician for membership, fee stays the same regardless of how many times

Question 4

Preferred provider Organization

PPO

Answer 4

Most popular

-many options of provider by large industries or companies

Question 5

Exclusive Provider Organization

EPO

Answer 5

Least popular

• cheaper
• charges fee to access network of providers claims to keep cost down

Question 6

Medicare

Answer 6

Hospital care for those who are over 65 and those who have a disability and have received social security a minimum of 2 years

Question 7

Medicaid

Answer 7

For those without jobs or welfare, or have a disability

Question 8

Workers compensation

Answer 8

For treatment of injuries acquired while on the job

Question 9

Managed care

Answer 9

Focus: to reduce rising health care costs

Question 10

Tricare/CHAMPUS

Answer 10

Care provided for veterans and immediate family