choose the statement that is true about health insurance. everfi

Breiz Heurope

3 min read

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10-03-2025

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Choosing the Right Statement: Understanding Health Insurance (Everfi)

Health insurance can be confusing, but understanding the basics is crucial. This article will help you identify the correct statement about health insurance from an Everfi module or similar educational resource. We'll explore common misconceptions and clarify key aspects to help you make informed decisions.

Understanding Key Terms Before We Begin

Before we dive into the true statement, let's refresh some important terms:

• Premium: The regular payment you make to have health insurance coverage.
• Deductible: The amount of money you pay out-of-pocket for healthcare services before your insurance company starts paying.
• Copay: A fixed amount you pay for a covered healthcare service (like a doctor's visit).
• Coinsurance: Your share of the costs of a covered healthcare service, calculated as a percentage (e.g., 20%).
• Out-of-Pocket Maximum: The most you will pay out-of-pocket during a policy year. Once you reach this limit, your insurance company pays 100% of covered services.

Commonly Seen Statements (and Why They Might Be Incorrect)

Many Everfi modules test your understanding with multiple-choice questions. Let's look at some example statements and determine their accuracy:

• "Health insurance always covers 100% of medical costs." This is false. Health insurance plans typically share costs with you through deductibles, copays, and coinsurance. The percentage of costs covered varies greatly depending on your plan.

• "Higher premiums always mean better coverage." This is false. While higher premiums often mean more comprehensive coverage (lower deductibles, lower copays), it's not always the case. You need to carefully compare plans based on your individual needs and budget. A lower-premium plan might be a better choice for someone with a lower risk of major health issues.

• "You only need health insurance if you are sick or injured." This is false. Health insurance is designed to protect you against unexpected and potentially catastrophic medical expenses. Even if you're healthy, unforeseen accidents or illnesses can lead to substantial medical bills. Preventive care (check-ups, vaccinations) is also often covered, promoting long-term health.

• "All health insurance plans cover the same services." This is false. Plans vary considerably in what they cover. Some might cover certain specialists or procedures while others don't. Carefully review the Summary of Benefits and Coverage (SBC) for each plan to compare coverage details.

The Likely True Statement (Based on Common Everfi Modules)

Considering the common misconceptions, the true statement about health insurance in an Everfi module is likely to emphasize the importance of understanding the details of your plan. It might focus on one of the following:

• "Understanding your health insurance plan's deductible, copay, and coinsurance is essential for managing healthcare costs." This is true. These cost-sharing mechanisms directly impact how much you pay out-of-pocket. Knowing them helps you make informed decisions about healthcare and budgeting.

• "Choosing a health insurance plan depends on individual needs and budget." This is also true. A plan that's perfect for one person might not be suitable for another. Your health status, risk tolerance, and financial situation all play a role in selecting the best plan.

How to Choose the Correct Answer on Your Everfi Module

1. Read the question carefully. Understand exactly what the question is asking.
2. Review the key terms. Make sure you understand the definitions of premium, deductible, copay, coinsurance, and out-of-pocket maximum.
3. Consider the options systematically. Eliminate the obviously false statements first.
4. Use the process of elimination. If you're uncertain, carefully consider why the other options are incorrect.
5. If available, use your module's resources. Many educational modules provide helpful definitions and explanations.

By carefully considering these points, you'll be well-equipped to choose the correct statement on your Everfi module and understand your health insurance options better. Remember to always consult the official plan documents for the most accurate information.