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16.Question 16Which of the following correctly matches a cost sharing/OOP spending tool to an example of it?1 pointDeductible- A person has to pay $25 for each doctor visit and insurance will cover the rest. Out-of-pocket maximum (OOP)- After a person’s out-of-pocket spending reaches $3,000 in a calendar year, the insurer will pay all the remaining costs in full. Copayment- A person must pay 30% of medical expenses and insurance will pay the other 70%.Coinsurance- A person pays for the first $500 of health spending and then insurance covers any cost after that.

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16.Question 16Which of the following correctly matches a cost sharing/OOP spending tool to an example of it?1 pointDeductible- A person has to pay 25foreachdoctorvisitandinsurancewillcovertherest.Outofpocketmaximum(OOP)Afterapersonsoutofpocketspendingreaches25 for each doctor visit and insurance will cover the rest. Out-of-pocket maximum (OOP)- After a person’s out-of-pocket spending reaches 3,000 in a calendar year, the insurer will pay all the remaining costs in full. Copayment- A person must pay 30% of medical expenses and insurance will pay the other 70%.Coinsurance- A person pays for the first $500 of health spending and then insurance covers any cost after that.

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Solution

The correct matches for the cost sharing/Out of Pocket (OOP) spending tools to their examples are:

  1. Deductible - A person pays for the first $500 of health spending and then insurance covers any cost after that.
  2. Out-of-pocket maximum (OOP) - After a person’s out-of-pocket spending reaches $3,000 in a calendar year, the insurer will pay all the remaining costs in full.
  3. Copayment - A person has to pay $25 for each doctor visit and insurance will cover the rest.
  4. Coinsurance - A person must pay 30% of medical expenses and insurance will pay the other 70%.

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Multiple Choice QuestionA provision under which the insured pays a flat dollar amount each time a covered medical service is received is called:Multiple choice question.coinsuranceflat rate paymentcopaymentdeductible

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