U.S. Health Insurance Vocabulary - Statistics

Jump to: Answer Stats | Score Distribution | Your Scores

General Stats

This quiz has been taken 39 times
The average score is 12 of 25

Answer Stats

Hint	First Letter	Answer	% Correct
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	84%
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	81%
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	81%
Services to provide comfort and support for persons in the last stages of a terminal illness and their families.	H	{Hospice} services	75%
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	69%
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	66%
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	66%
Evaluation of an emergency medical condition and treatment to keep the condition from getting worse.	E	{Emergency} services	59%
A formal complaint you communicate to your health insurer or plan.	G	Grievance	59%
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	59%
The facilities, providers and suppliers your health insurer or plan has contracted with to provide health care services.	N	Network	56%
A request for your health insurer or plan to review a decision or a grievance again.	A	Appeal	53%
A provider who has a contract with your health insurer or plan to provide services to you at a discount.	P	{Preferred} provider	53%
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	50%
A physician, health care professional or health care facility licensed, certified or accredited as required by state law.	P	Provider	44%
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	41%
Billing from the provider for the difference between their charge and the amount allowed by your health plan.	B	{Balance} billing	41%
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	34%
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	31%
Health care services that your health insurance or plan does not pay for or cover.	E	{Excluded} services	31%
Services from licensed nurses in your own home or in a nursing home.	S	{Skilled nursing} care	25%
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	19%
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	16%
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	16%
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}	13%

Score Distribution

Percent of People with Each Score

Percentile by Number Answered

Your Score History

You have not taken this quiz

Countries of the World Quiz

US States Quiz

Santa's Reindeer

Easy General Knowledge #1

Figures from Greek Mythology

U.S. States that Border Canada

Super Bowl Winning QBs

Top 10 Most Populous U.S. States

Monarchies of the World