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Harry Morgan gets a bad case of the flu and ends up in the hospital for three days.Which part of his basic health insurance coverage should help pay for this stay?


A) Hospital expense
B) Surgical expense
C) Physician expense
D) Major medical expense
E) Medicare Part B

F) A) and B)
G) A) and C)

Correct Answer

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Long-term care insurance was virtually unknown 50 years ago,but it is now growing faster than any other form of insurance.

A) True
B) False

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To get Medicare medical insurance,you must sign up for it and pay a monthly premium.

A) True
B) False

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More people have hospital insurance than any other kind of health insurance.

A) True
B) False

Correct Answer

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Benjamin Northcutt has an insurance policy that does not cover cosmetic surgery like the nose job he would like to have.Which provision in his insurance policy would specify this?


A) Eligibility
B) Assigned benefits
C) Benefit limits
D) Guaranteed renewable
E) Exclusions and limitations

F) A) and D)
G) A) and E)

Correct Answer

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Jamal Walker developed a serious infection and spent 6 months in his hospital's intensive care unit.What part of his health insurance policy would be the most useful for helping to pay for this?


A) Hospital expense
B) Surgical expense
C) Physician expense
D) Major medical expense
E) Medicare Part B

F) C) and D)
G) All of the above

Correct Answer

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Medicare does not cover the medical expenses of private-duty nursing care.

A) True
B) False

Correct Answer

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A good health insurance plan should:


A) pay at least 90 percent for out-of-hospital expenses after a yearly deductible.
B) provide at least 100 days' hospital room and board in full.
C) provide at least a $1 million lifetime maximum for each family member.
D) impose unreasonable exclusions.
E) limit out-of-pocket expenses to no more than $10,000 a year.

F) All of the above
G) D) and E)

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Most group health insurance plans in the United States are sponsored by:


A) victims of communicable diseases.
B) individuals with families.
C) single individuals with no dependents.
D) elderly individuals.
E) employers.

F) B) and E)
G) A) and E)

Correct Answer

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A coinsurance provision requires the policyholder to share the expenses beyond the deductible amount.

A) True
B) False

Correct Answer

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Medicaid is financed by both state and federal funds.

A) True
B) False

Correct Answer

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Which of the following statements is not correct about Medicaid?


A) The Social Security Act created Medicaid in 1965.
B) Medicaid is a program of medical assistance to certain low-income individuals and families.
C) Medicaid is administered by each state within certain federal guidelines.
D) Medicaid is financed by both state and federal funds.
E) Medicaid is provided to wealthy individuals.

F) A) and D)
G) None of the above

Correct Answer

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Which type of health insurance covers diagnosing and treating glaucoma,eyeglasses,and eye surgery?


A) Surgical expense
B) Vision care
C) Physician's expense
D) Medicare Part B
E) Major medical

F) B) and E)
G) A) and E)

Correct Answer

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John Gleason is permanently disabled while on the job.Which of the following is the most likely source of disability income for John?


A) His employer
B) Social Security
C) Worker's compensation
D) An individual insurance policy
E) His health insurance policy

F) None of the above
G) All of the above

Correct Answer

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The waiting period in disability income insurance is called the ________ period.


A) exclusion
B) no benefit
C) coverage
D) trade-off
E) elimination

F) C) and E)
G) B) and C)

Correct Answer

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Individual health insurance covers either one person or a family.

A) True
B) False

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A sign that your group health coverage needs supplementing would be:


A) it covers a minor portion of your dental bills.
B) it covers a major portion of your hospital charges.
C) it covers a major portion of your doctor bills.
D) it covers over 50% of the going rate for surgical procedures.
E) it covers a minor portion of your hospital,doctor,and surgical charges.

F) B) and E)
G) B) and C)

Correct Answer

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The premium for noncancelable and guaranteed renewable coverage for a disability income policy is higher,but the coverages are well worth the extra cost.

A) True
B) False

Correct Answer

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Title XIX of the Social Security Act provides for a program of medical assistance to certain low-income individuals and families,known as Medicaid.

A) True
B) False

Correct Answer

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Every year,12% of the adult U.S.population suffers a long-term disability.

A) True
B) False

Correct Answer

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