CMAA - Insurance Exam Questions &
Answers (Grade A+)
Health insurance -
correct answer ✅a contract between a patient and an insurance
carrier
Insurance carrier -
correct answer ✅a company which provides insurance plans
- contract helps to protect the patient against financial loss when in
need of health services
- agreement is that if a patient needs health services, the carrier
will pay a portion of the costs
Premium -
correct answer ✅the fee patients pay to be enrolled in an
insurance plan
- ex. if premium is $150/month, then patient must pay that fee
every month to maintain enrollment
Policy -
correct answer ✅states the terms of the insurance contract, in
return for the premium
- under this, the patient receives benefits, or reimbursements for
specified services
, CMAA - Insurance Exam Questions &
Answers (Grade A+)
Reimbursements -
correct answer ✅benefits under a policy
Insured -
correct answer ✅the patient entering into the contract
Beneficiaries -
correct answer ✅those [family members] whose coverage is
extended to
- to include beneficiaries on an insurance plan, the insured must
pay higher premiums and deductibles
Out of Pocket Expenses -
correct answer ✅may include:
Deductibles
Coinsurance or co-payments
Exclusions
Answers (Grade A+)
Health insurance -
correct answer ✅a contract between a patient and an insurance
carrier
Insurance carrier -
correct answer ✅a company which provides insurance plans
- contract helps to protect the patient against financial loss when in
need of health services
- agreement is that if a patient needs health services, the carrier
will pay a portion of the costs
Premium -
correct answer ✅the fee patients pay to be enrolled in an
insurance plan
- ex. if premium is $150/month, then patient must pay that fee
every month to maintain enrollment
Policy -
correct answer ✅states the terms of the insurance contract, in
return for the premium
- under this, the patient receives benefits, or reimbursements for
specified services
, CMAA - Insurance Exam Questions &
Answers (Grade A+)
Reimbursements -
correct answer ✅benefits under a policy
Insured -
correct answer ✅the patient entering into the contract
Beneficiaries -
correct answer ✅those [family members] whose coverage is
extended to
- to include beneficiaries on an insurance plan, the insured must
pay higher premiums and deductibles
Out of Pocket Expenses -
correct answer ✅may include:
Deductibles
Coinsurance or co-payments
Exclusions
