Question 1

Preferred Provider Organizations combine the best elements of the fee-for-service and HMO systems.

Accepted Answer

A) True 
 B)False

Question 2

Which type of health insurance pays part or all of the surgeon's fee for an operation?

Accepted Answer

A)  surgical expense
B)  hospital expense
C)  physician's expense
D)  long-term care
E)  Medicare Part BF) B) and C)
G) C) and D)

Question 3

Which of the following should you ask about when considering a long-term care insurance policy?

Accepted Answer

A)  daily benefit
B)  benefit period
C)  policy limit
D)  elimination period
E)  all of the other answersF) D) and E)
G) C) and D)

Question 4

Medicare medical insurance is:

Accepted Answer

A)  mandatory.
B)  financed by corporations.
C)  voluntary,and you must sign up for coverage.
D)  state supported and partially funded by the National Institutes of Health.
E)  paid for by state governments.F) None of the above
G) A) and D)

Question 5

Most insurers limit disability benefits from all sources of insurance to no more than ____________ percent of your take-home pay.

Accepted Answer

A)  30-40
B)  40-50
C)  50-60
D)  60-70
E)  70-80F) A) and E)
G) None of the above

Question 6

Which type of insurance protects against the large expenses of a serious injury or a long illness?

Accepted Answer

A)  disability income
B)  major medical expense
C)  hospital indemnity
D)  physician's expense
E)  surgical expenseF) All of the above
G) A) and B)

Question 7

A good health insurance plan should impose no unreasonable exclusions.

Accepted Answer

A) True 
 B)False

Question 8

Once a person is eligible,Medicaid provides more benefits than does Medicare.

Accepted Answer

A) True 
 B)False

Question 9

Some employers provide disability income protection for their employees through group insurance plans.

Accepted Answer

A) True 
 B)False

Question 10

Which type of health insurance is simply a bad buy?

Accepted Answer

A)  individual health
B)  group health
C)  dread disease
D)  dental
E)  visionF) C) and E)
G) C) and D)

Question 11

Which health care institution directly employs or contracts with selected medical care specialists to provide managed health care services in exchange for a fixed,prepaid monthly premium?

Accepted Answer

A)  Blue Cross
B)  Blue Shield
C)  Medicare
D)  Medicaid
E)  HMOF) B) and D)
G) A) and B)

Question 12

Group health insurance does which one of the following?

Accepted Answer

A)  provides coverage for you but not your immediate family
B)  covers all of your health insurance needs
C)  provides more health coverage than private plans
D)  typically covers all of an individual's medical costs
E)  generally requires proof of insurabilityF) B) and C)
G) A) and E)

Question 13

Physician expense insurance coverage excludes visits to the doctor's office,x-rays,and lab tests.

Accepted Answer

A) True 
 B)False

Question 14

Two sources of government health insurance are Medicare and Medicaid.

Accepted Answer

A) True 
 B)False

Question 15

A stop-loss provision requires the policyholder to pay up to a certain amount,after which the insurance company pays 100 percent of all remaining covered expenses.

Accepted Answer

A) True 
 B)False

Question 16

Sophie Bennett has personally paid a total of $5,000 in medical costs this year.At this point,there is a clause in her insurance contract that requires her insurance company to pay 100% of her medical costs for the remainder of the year.What clause is this likely to be?

Accepted Answer

A)  coordination of benefits
B)  hospital indemnity clause
C)  coinsurance
D)  stop-loss provision
E)  major medical expense provisionF) B) and C)
G) B) and D)

Question 17

Skilled nursing care beyond 100 days per benefit period is approved and covered by Medicare.

Accepted Answer

A) True 
 B)False

Question 18

The premium for noncancelable and guaranteed renewable coverage is higher,but the coverage is well worth the extra cost.

Accepted Answer

A) True 
 B)False

Question 19

Basic health insurance coverage includes hospital expense insurance,surgical expense insurance,and physician expense insurance.

Accepted Answer

A) True 
 B)False

Question 20

One reason for the high cost of health care is the use of sophisticated and expensive technologies.

Accepted Answer

A) True 
 B)False

Exam 11: Health, Disability, and Long-Term Care Insurance

Medicare medical insurance is:

Correct AnswerverifiedShow Answer

The premium for noncancelable and guaranteed renewable coverage is higher,but the coverage is well worth the extra cost.

Correct AnswerverifiedShow Answer

Sophie Bennett has personally paid a total of $5,000 in medical costs this year.At this point,there is a clause in her insurance contract that requires her insurance company to pay 100% of her medical costs for the remainder of the year.What clause is this likely to be?

Correct AnswerverifiedShow Answer

Which of the following should you ask about when considering a long-term care insurance policy?

Correct AnswerverifiedShow Answer

Once a person is eligible,Medicaid provides more benefits than does Medicare.

Correct AnswerverifiedShow Answer

A stop-loss provision requires the policyholder to pay up to a certain amount,after which the insurance company pays 100 percent of all remaining covered expenses.

Correct AnswerverifiedShow Answer

Which type of health insurance pays part or all of the surgeon's fee for an operation?

Correct AnswerverifiedShow Answer

Group health insurance does which one of the following?

Correct AnswerverifiedShow Answer

Preferred Provider Organizations combine the best elements of the fee-for-service and HMO systems.

Correct AnswerverifiedShow Answer

Which health care institution directly employs or contracts with selected medical care specialists to provide managed health care services in exchange for a fixed,prepaid monthly premium?

Correct AnswerverifiedShow Answer

Which type of health insurance is simply a bad buy?

Correct AnswerverifiedShow Answer

Which type of insurance protects against the large expenses of a serious injury or a long illness?

Correct AnswerverifiedShow Answer

One reason for the high cost of health care is the use of sophisticated and expensive technologies.

Correct AnswerverifiedShow Answer

Skilled nursing care beyond 100 days per benefit period is approved and covered by Medicare.

Correct AnswerverifiedShow Answer

A good health insurance plan should impose no unreasonable exclusions.

Correct AnswerverifiedShow Answer

Most insurers limit disability benefits from all sources of insurance to no more than ____________ percent of your take-home pay.

Correct AnswerverifiedShow Answer

Some employers provide disability income protection for their employees through group insurance plans.

Correct AnswerverifiedShow Answer

Two sources of government health insurance are Medicare and Medicaid.

Correct AnswerverifiedShow Answer

Basic health insurance coverage includes hospital expense insurance,surgical expense insurance,and physician expense insurance.

Correct AnswerverifiedShow Answer

Physician expense insurance coverage excludes visits to the doctor's office,x-rays,and lab tests.

Correct AnswerverifiedShow Answer

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