Statistics for U.S. Health Insurance Vocabulary

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General Stats

This quiz has been taken 11 times
The average score is 15 of 25

Answer Stats

Hint	First Letter	Answer	% Correct
Services to provide comfort and support for persons in the last stages of a terminal illness and their families.	H	{Hospice} services	100%
A fixed amount you pay for a covered health care service, usually when you receive the service. The amount can vary by the type of covered health care service.	C	Co-payment	89%
The amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay.	D	Deductible	89%
The amount that must be paid for your health insurance or plan. You and/or your employer usually pay it monthly, quarterly or yearly.	P	Premium	89%
A physician who focuses on a specific area of medicine or a group of patients to diagnose, manage, prevent or treat certain types of symptoms and conditions; or a non-physician provider who has more training in a specific area of health care.	S	Specialist	89%
Care for an illness, injury or condition serious enough that a reasonable person would seek care right away, but not so severe as to require emergency care.	U	{Urgent} care	89%
A formal complaint you communicate to your health insurer or plan.	G	Grievance	78%
The maximum you pay during a policy period (usually a year) before your health insurance or plan begins to pay 100% of the allowed amount. This limit never includes your premium, balance-billed charges or health care your health insurance or plan doesn't cover.	O	{Out-of-pocket} limit	78%
Health care services that help a person keep, get back or improve skills and functioning for daily living that have been lost or impaired because a person was sick, hurt or disabled.	R	{Rehabilitation} services	78%
A request for your health insurer or plan to review a decision or a grievance again.	A	Appeal	67%
Evaluation of an emergency medical condition and treatment to keep the condition from getting worse.	E	{Emergency} services	67%
The facilities, providers and suppliers your health insurer or plan has contracted with to provide health care services.	N	Network	67%
The maximum amount on which payment is based for covered health care services. If your provider charges more, you may have to pay the difference.	A	{Allowed} amount	56%
Your share of the costs of a covered health care service, calculated as a percent of the allowed amount for the service.	C	Co-insurance	56%
Health care services that your health insurance or plan does not pay for or cover.	E	{Excluded} services	56%
A provider who has a contract with your health insurer or plan to provide services to you at a discount.	P	{Preferred} provider	56%
A physician, health care professional or health care facility licensed, certified or accredited as required by state law.	P	Provider	56%
Billing from the provider for the difference between their charge and the amount allowed by your health plan.	B	{Balance} billing	44%
Equipment and supplies (e.g., crutches, blood glucose testing strips, oxygen) ordered by a health care provider for a patient’s everyday or extended use.	D	{Durable medical} equipment	44%
A physician, nurse practitioner, clinical nurse specialist or physician assistant, as allowed under state law, who provides, coordinates or helps a patient access a range of health care services.	P	{Primary care} provider	44%
Health care services or supplies needed to prevent, diagnose or treat an illness, injury, condition, disease or its symptoms and that meet accepted standards of medicine.	M	Medically necessary	33%
A provider who has contracted with your health insurer or plan, but whose discount may not be as deep as other preferred providers.	P	{Participating} provider	33%
A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary. This decision does not guarantee payment.	P	Preauthorization	22%
Services from licensed nurses in your own home or in a nursing home.	S	{Skilled nursing} care	22%
The amount paid for a medical service in a geographic area based on what providers in the area usually charge for the same or similar medical service. Sometimes used to determine the allowed amount.	U	{Usual}, {customary} and {reasonable}	22%