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HCA Exam 2 Questions with Complete Solutions| Rated A+

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Premium - The money paid to a health plan (usually monthly) for coverage by the insurer Deductible - Amount of out-of-pocket cost that must be paid by the member before any portion is paid by the healthplan Co-pay - fixed amount that a member has to pay out of pocket fot medical service or prescription Co-insurance - cost-sharing provision in a member's coverage that is based on percentage of covered charges paid by the plan Maximum out-of-pocket - the most amount of money a health plan member will ever need to pay out-of-pocket for covered services during a contract year Network - doctors, hospitals, and suppliers, your health insurer has contracted with to deliver health care services to their members. Gatekeeper - when used in relation to health insurance, describes person in charge of patient's treatment. Usually Primary Care Physicians.


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