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?

In an embedded deductible setup, each person on the plan has their own deductible. Once an individual meets their own deductible, that person’s eligible services are covered by the plan (often with coinsurance or copays) even if the family deductible hasn’t been met yet. That’s why the correct statement is that when an individual meets their deductible, they are covered even if the family deductible is not met. The family deductible still exists, and coverage for other family members depends on the family total, but an individual can trigger coverage for their own care sooner. The other options describe scenarios that don’t apply to embedded deductibles: you don’t have to wait for the family deductible to be met for an individual’s care to be covered, and there is still a family deductible.

In an embedded deductible setup, each person on the plan has their own deductible. Once an individual meets their own deductible, that person’s eligible services are covered by the plan (often with coinsurance or copays) even if the family deductible hasn’t been met yet. That’s why the correct statement is that when an individual meets their deductible, they are covered even if the family deductible is not met. The family deductible still exists, and coverage for other family members depends on the family total, but an individual can trigger coverage for their own care sooner. The other options describe scenarios that don’t apply to embedded deductibles: you don’t have to wait for the family deductible to be met for an individual’s care to be covered, and there is still a family deductible.