Match the definition in the left column with its correct term in the right column. Options will only be used once.
-A cost-sharing requirement in which the insured assumes a portion of the costs of covered expenses

Question

​Match the definition in the left column with its correct term in the right column. Options will only be used once.
-​A cost-sharing requirement in which the insured assumes a portion of the costs of covered expenses

Quizplus · Accepted Answer

Coinsurance is the cost-sharing requirement in which the insured assumes a portion of the costs of covered expenses. The other options are:
A) Capitation: a payment arrangement in which a group or provider is paid a fixed amount per capita to cover a set of services.
C) Copayment: a fixed dollar amount that the insured must pay for each covered service or medication.
D) Deductible: the amount the insured must pay out of pocket before the insurance company begins paying for covered expenses.
E) Group contract: a contract between an insurance company and a group of individuals, such as employees of a company.
F) HMO: health maintenance organization, a type of managed-care system that provides comprehensive care to members for a set fee.
G) Managed-care system: a healthcare delivery system that manages costs and utilization by controlling access to care.
H) PPO: preferred provider organization, a type of managed-care system that allows members to choose from a network of providers at varying levels of cost-sharing.
I) Prospective payment system: a payment system in which providers are paid a fixed rate for a particular service or episode of care, regardless of the actual cost or resources used.
J) Reimbursement: the process of paying for healthcare services rendered.

​Match the Definition in the Left Column with Its Correct

Match the Definition in the Left Column with Its Correct