1. Coverage that pays first-dollar benefits for specific services like hospital room and board is:

Basic medical expense coverage

Basic medical expense coverage pays first-dollar benefits for specified services.

2. After the insured meets the out-of-pocket maximum, a major medical plan generally:

Pays 100% of remaining covered charges

Once the out-of-pocket maximum is met the plan pays 100% of covered charges.

3. A flat dollar amount the member pays at the time of a doctor visit is a:

Copayment

A copayment is a flat amount paid at the time of service.

4. Using an in-network provider in a PPO typically results in:

Lower out-of-pocket cost for the member

In-network providers generally cost the member less.