Usual, Customary & Reasonable Charges in Insurance

Instructions:

Choose an answer and hit 'next'. You will receive your score and answers at the end.

question 1 of 3

Which of the following describes a usual charge?

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1. Is the following description an example of usual, customary or reasonable charges? Dentists in the town of Pinetree charge between $125 and $150 to clean a child's teeth.

2. Which of the following factors would NOT influence a policyholder's policy and coverage?

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About This Quiz & Worksheet

The following questions will make sure you fully understand different charges related to health care expenses. You must identify charges that are usual, customary or reasonable.

Quiz & Worksheet Goals

In this quiz/worksheet combo, you'll measure your knowledge of:

  • Examples of usual charges
  • Factors that influence a policyholder's coverage
  • Methods used to calculate out-of-pocket expenses for a policyholder

Skills Practiced

  • Problem solving - use acquired knowledge to solve for the portion of a healthcare expense that it is the policyholder's responsibility to pay
  • Defining key concepts - ensure that you can accurately define main phrases, such as co-payments
  • Information recall - access the knowledge you've gained regarding what usual charges are

Additional Learning

You can find out more about this healthcare topic by reading the lesson titled Usual, Customary & Reasonable Charges in Insurance. Explore topics like:

  • Reasonable charges
  • In vs. out of network providers
  • Filing insurance claims
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