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Health Insurance – Q’s And A’s
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Health Insurance – Q’s And A’s
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Health Insurance – Q’s And A’sWhich of the following acronyms does not represent a managed care plan?
A. HMO
B. PPO
C. POS
D. SOR Correct Ans - D. SOR
Jim and Stephanie just got married and are thinking about changing their
health care insurance plans to be more affordable. Currently, both Jim and
Stephanie are insured through their own employers. Jim's employer pays
42% of his $378 monthly premium. His insurance plan will also pay for
23% of the $345 premium for additional beneficiaries. Stephanie's
employer pays 35% of her $298 monthly premium but offers to pay an
extra 10% of her premium for each beneficiary Stephanie adds to her plan.
Her employer would then pay 30% of the $349 premium for each
additional beneficiary.
Which would be the most economical way for the couple to purchase health
insurance?
A. They should both add each other to their plans.
B. Stephanie should add Jim to her health care plan.
C. Jim should add Stephanie to his health care plan.
D. They should each purchase a plan from their own employer. Correct
Ans - B. Stephanie should add Jim to her health care plan.
The health benefits Tom receives from his employer cover 43% of the total
monthly premium of $345.00. How much does Tom have to pay each
month?
A. $148.35
B. $196.65
C. $302.00
D. $288.00 Correct Ans - B. $196.65
What is the difference between a co-payment and co-insurance?
A. Co-payment refers to two spouses paying for the same coverage, and co-
insurance refers to two spouses receiving the same benefits.
B. A co-payment is a flat fee for each service, and co-insurance is based on a
percentage of the costs incurred.
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