Healthcare Insurance Quick Quiz

Yes or No

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Insurance basics for OT

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Shana Finks

United States

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Healthcare Insurance Quick Quiz


Healthcare Insurance Quick QuizOnline version Insurance basics for OT by Shana Finks 1 Referral is authorization from a primary care provider to see a specialist. Yes No 2 Copayment is a fixed dollar amount paid at the time of a healthcare visit or service. Yes No 3 Out-of-Network Provider usually results in higher patient costs. Yes No 4 Referral is not required to see a specialist in most plans. Yes No 5 In-Network Provider is a healthcare provider contracted with the insurance company for discounted rates. Yes No 6 Affordable Care Act (ACA) was signed into law in 2010. Yes No 7 Deductible is paid after you meet the deductible. Yes No 8 Prior Authorization is approval required from the insurance company before certain services are covered. Yes No 9 Medicare Part B covers outpatient OT. Yes No 10 POS blends features of HMO and PPO. Yes No 11 Marketplace Plan is not related to ACA. Yes No 12 Coinsurance is the percentage of healthcare costs the patient pays after meeting the deductible. Yes No 13 Out-of-Pocket Maximum is the most you pay over the lifetime of the plan. Yes No 14 In-Network Providers are not contracted with the insurance company. Yes No 15 HMOs never require referrals. Yes No 16 PPO plans usually have higher premiums than HMOs. Yes No 17 Copayment is a percentage of costs after deductible. Yes No 18 A claim is a request submitted to an insurance company for payment for healthcare services. Yes No 19 Medicaid is jointly funded by federal and state governments. Yes No 20 Medicaid is funded only by the federal government. Yes No 21 Coinsurance is a fixed dollar amount per visit. Yes No 22 Prior Authorization is optional for most services. Yes No 23 Out-of-Network Providers usually cost less for the patient. Yes No 24 Premium is paid only when you use services. Yes No 25 Explanation of Benefits (EOB) is a statement explaining how a claim was processed, not a bill. Yes No 26 EOB is a bill from the insurer. Yes No 27 Deductible is the amount the insured must pay before the insurance company begins paying covered services. Yes No 28 HMO plans usually require referrals. Yes No 29 Medical Necessity refers to services required to diagnose or treat a medical condition according to accepted standards of care. Yes No 30 Out-of-Pocket Maximum is the maximum amount a patient pays during a plan year before insurance pays 100% of covered services. Yes No 31 Premium is the monthly payment to keep insurance active. Yes No 32 PPO plans have higher monthly premiums than HMOs. Yes No 33 Medicare Part B covers hospital stays. Yes No

Healthcare Insurance Quick Quiz

Yes or No

About this activity

Created by

Download the paper version to play

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Healthcare Insurance Quick QuizOnline version

by Shana Finks

Referral is authorization from a primary care provider to see a specialist.

Copayment is a fixed dollar amount paid at the time of a healthcare visit or service.

Out-of-Network Provider usually results in higher patient costs.

Referral is not required to see a specialist in most plans.

In-Network Provider is a healthcare provider contracted with the insurance company for discounted rates.

Affordable Care Act (ACA) was signed into law in 2010.

Deductible is paid after you meet the deductible.

Prior Authorization is approval required from the insurance company before certain services are covered.

Medicare Part B covers outpatient OT.

POS blends features of HMO and PPO.

Marketplace Plan is not related to ACA.

Coinsurance is the percentage of healthcare costs the patient pays after meeting the deductible.

Out-of-Pocket Maximum is the most you pay over the lifetime of the plan.

In-Network Providers are not contracted with the insurance company.

HMOs never require referrals.

PPO plans usually have higher premiums than HMOs.

Copayment is a percentage of costs after deductible.

A claim is a request submitted to an insurance company for payment for healthcare services.

Medicaid is jointly funded by federal and state governments.

Medicaid is funded only by the federal government.

Coinsurance is a fixed dollar amount per visit.

Prior Authorization is optional for most services.

Out-of-Network Providers usually cost less for the patient.

Premium is paid only when you use services.

Explanation of Benefits (EOB) is a statement explaining how a claim was processed, not a bill.

EOB is a bill from the insurer.

Deductible is the amount the insured must pay before the insurance company begins paying covered services.

HMO plans usually require referrals.

Medical Necessity refers to services required to diagnose or treat a medical condition according to accepted standards of care.

Out-of-Pocket Maximum is the maximum amount a patient pays during a plan year before insurance pays 100% of covered services.

Premium is the monthly payment to keep insurance active.

PPO plans have higher monthly premiums than HMOs.

Medicare Part B covers hospital stays.