AHIP - FINAL EXAM 2025 QUESTIONS WITH CORRECT ANSWERS VERIFIED A+

AHIP - FINAL EXAM 2025 QUESTIONS WITH CORRECT ANSWERS VERIFIED A+ Insurer vs Insured - correct answers-- insurer is a company that provides plan - insured are the people that buy into the plan Group health insurance - correct answers-Health coverage provided by employers to members of a group. Group health insurance - types of coverage - correct answers-You can choose among several or just one depending on your employer * dental, vision, medical benefits, managed care, fee-for-service insurance - dental: * basic/preventative services, restorative services, comprehensive or stand-alone, ACA (children, some adults) - vision: * basic exams and prescription glasses, ACA (children, some adults) ^ both are employer-sponsored voluntary group plans Premium tax-credit - correct answers-a subsidy that reduces the amount that consumers must pay * tax credit that will lower monthly premium based on income and household info * advanced premium tax-credit (aptc) self employed workers - correct answers-can deduct health insurance premiums from their federal taxable income - important tax savings contracts/health insurance policy - correct answers-between insurer and insured - consideration: specifically termed agreement w/ promise to do something in return for a valuable benefit (employer/insured premium payments to the insurer) Covered services - correct answers-insurance policy will clearly state their covered services and their exlusions - proactive, preventative, and reactive services cost-sharing - correct answers-a situation where insured individuals pay a portion of the healthcare costs, such as deductibles, coinsurance or co-payments