Certified Application Counselor Practice Test 2026 - Free Practice Questions and Study Guide

The term "underinsured" is best defined by the situation where a person has insurance that does not provide sufficient coverage in relation to their medical needs or financial situation, often characterized by high out-of-pocket costs. This level of coverage may leave individuals vulnerable to significant financial burdens when they need care, as they may not be able to afford the deductibles, copayments, or coinsurance associated with their health services.

Underinsurance can occur even when an individual has a health insurance policy; it reflects the inadequacy of the insurance in covering essential health services due to these out-of-pocket expenses. Thus, this definition captures the idea that having insurance does not necessarily mean one is fully protected against high medical costs.

Other definitions, such as those that describe someone without insurance, someone with temporary coverage, or someone with comprehensive coverage, do not align with the concept of being underinsured, as they represent different circumstances of insurance status rather than a gap in coverage adequacy.