Worldatwork Exam GR1 Topic 3 Question 52 Discussion

Actual exam question for Worldatwork's GR1 exam

Question #: 52
Topic #: 3

[All GR1 Questions]

Regarding medical plans, what is the out-of-pocket maximum?

AThe most that the member will be liable for in relation to co-insurance

BThe maximum the plan will pay if the member is covered by another insurance plan

CThe limit the member will be required to pay at each doctor visit

DThe lifetime limit for benefits to any one employee

Show Suggested Answer

Suggested Answer: D

by Gail at Feb 04, 2023, 11:17 PM

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7 days ago

I think the out-of-pocket maximum is the limit on how much the plan will pay, not the member. Option B is the right answer here.

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12 days ago

Out-of-pocket maximum is the maximum amount the member will have to pay out-of-pocket for covered medical expenses. Option A seems correct to me.

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16 days ago

I'm not sure, but I think it could also be the limit the member will be required to pay at each doctor visit.

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19 days ago

I agree with Kayleigh, it makes sense that it would be the maximum amount the member is responsible for paying.

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20 days ago

I think the out-of-pocket maximum is the most that the member will be liable for in relation to co-insurance.

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