Cost Sharing

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6 Terms

1
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Cost sharing is found in:

Major Medical Plans

All Insurance Life Policies

Basic Medical Plans

Government Plans Only

Major Medical Plans

2
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All of the following are paid as a flat amount except…

Deductible

Co-pays

Prescription Co-pays

Co-insurance

Co-insurance

3
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Types of deductibles can be stated as…

Monthly Deductible

Quarterly Deductible

Per Event

Annual Deductible

Annual Deductible

4
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Insured has 80/20 co-insurance clause. This means insured will pay…

20%

Nothing

80%

100% until Stop Loss

20%

5
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Stop loss means…

Insured does not have to pay any more for the rest of the year

Provider can not collect any more money

Affordable Care Act will cover the balance

Insurance company will not pay any more

Insured does not have to pay any more for the rest of the year

6
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Flat amount that insured must pay first…

Deductible

Max out of pocket

Co-insurance

Pro-rata

Deductible