All subscribers must pay a premium each month in order to maintain their health insurance coverage.
The right response is that you must pay each month whether or not you use the services. Monthly insurance premium payments are required.
One form of "cost-sharing" element that is frequently present in a health insurance coverage is a deductible.
The right response is $2,000. Due to the deductible, you must pay the first $1,000 of the discounted (or authorized) payment in addition to four copays of $250 per day, or an additional $1000. You will have to pay a total of $2,000 out of your own money, or $1,000 + $1,000.
Your annual out-of-pocket expenses for covered treatments obtained in network must be capped for health plans offered through the Marketplace and the majority of employer-sponsored plans.
The list of prescription medications your health plan will cover is the right response. The term "drug formulary" refers to the list of medications that your health plan will cover as well as the cost-sharing that you are responsible for.
The hospitals and doctors who have contracts with your health plan to provide services for a set rate or fee schedule is the right response. When you receive care from one of their network of providers, the majority of health plans offer the highest level of coverage.
