1. The out-of-pocket maximum in a health plan is:

The most the insured pays in a year before the plan pays 100 percent

The out-of-pocket maximum caps the insured's annual cost-sharing after which the plan pays 100 percent.

2. A point-of-service plan combines features of:

HMO and PPO designs

A POS plan blends HMO gatekeeping with PPO-style out-of-network options.

3. Basic hospital and surgical expense coverage typically provides:

First-dollar benefits up to stated limits with no large deductible

Basic hospital and surgical plans pay first-dollar benefits up to set limits without a large deductible.

4. Major medical insurance is characterized by:

Large benefit limits with deductibles and coinsurance

Major medical features high benefit limits with deductibles and coinsurance for broad coverage.