Which of the following describes a high-deductible health plan?

Study for the Medical Expense Insurance Exam. Prepare with flashcards and multiple-choice questions; each has hints and explanations. Ace your exam!

Multiple Choice

Which of the following describes a high-deductible health plan?

Explanation:
A high-deductible health plan is defined by paying more out-of-pocket before coverage kicks in, while keeping monthly premiums lower. This setup means you shoulder a larger deductible before the insurer pays for most services, often paired with the ability to save pre-tax in an HSA. After meeting the deductible, you may pay coinsurance until you reach the annual out-of-pocket maximum, at which point the plan pays 100% of covered expenses. The best description here is high deductible with low monthly premium. The other descriptions don’t fit because a HDHP isn’t characterized by a low deductible with high premium, nor by having no deductible or no coinsurance, and it does include an annual out-of-pocket cap rather than an unlimited deductible for every service.

A high-deductible health plan is defined by paying more out-of-pocket before coverage kicks in, while keeping monthly premiums lower. This setup means you shoulder a larger deductible before the insurer pays for most services, often paired with the ability to save pre-tax in an HSA. After meeting the deductible, you may pay coinsurance until you reach the annual out-of-pocket maximum, at which point the plan pays 100% of covered expenses. The best description here is high deductible with low monthly premium. The other descriptions don’t fit because a HDHP isn’t characterized by a low deductible with high premium, nor by having no deductible or no coinsurance, and it does include an annual out-of-pocket cap rather than an unlimited deductible for every service.

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