AAM Phase 1 Test Introduction: Study with flashcards and multiple choice questions, each question has hints and explanations. Master the test and excel!

Multiple Choice

In an embedded deductible in an HDHP, which statement is true?

Embedded deductible means the family deductible includes an individual deductible inside it. In an HDHP with this setup, once a specific person in the family has paid enough to meet their own deductible, that person’s covered expenses are paid by the plan—even if the family as a whole hasn’t met the family deductible yet. The family deductible still applies for other family members, and amounts paid by individuals count toward the family total, but a member doesn’t have to wait for everyone to reach the family deductible to receive coverage. This is why the statement that an individual is covered once they meet their own deductible, even if the family deductible isn’t met, is true.

Embedded deductible means the family deductible includes an individual deductible inside it. In an HDHP with this setup, once a specific person in the family has paid enough to meet their own deductible, that person’s covered expenses are paid by the plan—even if the family as a whole hasn’t met the family deductible yet. The family deductible still applies for other family members, and amounts paid by individuals count toward the family total, but a member doesn’t have to wait for everyone to reach the family deductible to receive coverage. This is why the statement that an individual is covered once they meet their own deductible, even if the family deductible isn’t met, is true.