Question 1

Physician expense insurance is expensive, therefore, it should be avoided.

Accepted Answer

A) True 
 B)False

Question 2

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

Accepted Answer

A) True 
 B)False

Question 3

Which type of insurance is probably the most neglected form of available insurance protection?

Accepted Answer

A)   Life
B)   Liability
C)   Disability
D)   Car
E)   Home and propertyF) A) and B)
G) None of the above

Question 4

Disability income insurance benefits provide regular cash income lost by employees as the result of an accident or illness.

Accepted Answer

A) True 
 B)False

Question 5

Karen Blumenthall was seriously injured in a car accident and is paralyzed from the waist down. Luckily, she has an insurance policy that will pay for someone to come in and help with her day-to-day activities such as bathing, dressing, and household chores. What type of insurance policy is this likely to be?

Accepted Answer

A)   Comprehensive major medical
B)   Hospital indemnity
C)   Long-term care
D)   Cancer
E)   Disability incomeF) C) and E)
G) A) and D)

Question 6

Physician expense insurance coverage excludes which of the following:

Accepted Answer

A)   Visits to the doctor's office
B)   X-rays
C)   Surgery
D)   Lab tests
E)   General physician careF) A) and D)
G) A) and B)

Question 7

Dean Thomas has an insurance policy that cannot be cancelled unless he fails to pay his premium. What provision in his insurance policy would specify this?

Accepted Answer

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

Question 8

Medicaid is administered by each state within certain broad federal requirements and guidelines.

Accepted Answer

A) True 
 B)False

Question 9

Which of the following groups have undertaken innovative activities to contain the costs of health care?

Accepted Answer

A)   Employers
B)   Labor unions
C)   Health insurers
D)   Consumers
E)   All of the parties listedF) D) and E)
G) C) and D)

Question 10

What should you do when an HMO denies treatment or coverage?

Accepted Answer

A)   Ask for a letter detailing the clinical reasons for the denial.
B)   Refer to the plan document or contact your HMO's member services department to gather information on the appeals process.
C)   Make copies of any correspondence, including payments, and any reimbursements.
D)   Enlist the help of your doctor, employer, and state insurance department to lobby your case before the HMO.
E)   You should do everything included in the other answers.F) B) and D)
G) A) and E)

Question 11

Health insurance is available from:

Accepted Answer

A)   private insurance companies.
B)   Blue Cross and Blue Shield.
C)   HMOs.
D)   PPOs.
E)   All of these.F) A) and B)
G) C) and E)

Question 12

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) B) and D)
G) B) and E)

Question 13

Medicare covers the cost of care received outside the United States, Canada, and Mexico.

Accepted Answer

A) True 
 B)False

Question 14

With disability income insurance, benefits usually begin:

Accepted Answer

A)   on the first day of disability.
B)   between 30 and 90 days after the disability occurs.
C)   on the 10th day of disability.
D)   one year after the start of the disability.
E)   on the 15th day of disability.F) A) and E)
G) None of the above

Question 15

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) C) and D)
G) A) and E)

Question 16

Individual health insurance covers either one person or a family.

Accepted Answer

A) True 
 B)False

Question 17

Which one of the following is a correct statement about the nation's health care system?

Accepted Answer

A)   Most Americans are very satisfied with the nation's health care system.
B)   Most Americans are somewhat satisfied.
C)   Americans pay less for health care than those living in European industrialized countries.
D)   Many Americans are unhappy with our health care system.
E)   All Americans enjoy the best health care available anywhere in the world.F) A) and C)
G) D) and E)

Question 18

Who sells and services Medigap insurance?

Accepted Answer

A)   Federal government
B)   State government
C)   Both federal and state governments
D)   Private insurance companies
E)   Both the government and private insurance companiesF) A) and D)
G) D) and E)

Question 19

Look for a disability income policy that waives premiums while you are disabled.

Accepted Answer

A) True 
 B)False

Question 20

Generally, disability income policies with longer waiting periods:

Accepted Answer

A)   have higher premiums.
B)   have lower premiums.
C)   have about the same premium as those with shorter periods.
D)   are issued by smaller insurance companies.
E)   are issued by larger insurance companies.F) A) and D)
G) C) and D)

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

Physician expense insurance coverage excludes which of the following:

Correct Answer
verified

Individual health insurance covers either one person or a family.

Correct Answer
verified

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

Correct Answer
verified

Medicare covers the cost of care received outside the United States, Canada, and Mexico.

Correct Answer
verified

What should you do when an HMO denies treatment or coverage?

Correct Answer
verified

Who sells and services Medigap insurance?

Correct Answer
verified

Generally, disability income policies with longer waiting periods:

Correct Answer
verified

Group health insurance does which one of the following?

Correct Answer
verified

Disability income insurance benefits provide regular cash income lost by employees as the result of an accident or illness.

Correct Answer
verified

Which type of insurance is probably the most neglected form of available insurance protection?

Correct Answer
verified

Dean Thomas has an insurance policy that cannot be cancelled unless he fails to pay his premium. What provision in his insurance policy would specify this?

Correct Answer
verified

Which one of the following is a correct statement about the nation's health care system?

Correct Answer
verified

With disability income insurance, benefits usually begin:

Correct Answer
verified

Which of the following groups have undertaken innovative activities to contain the costs of health care?

Correct Answer
verified

Look for a disability income policy that waives premiums while you are disabled.

Correct Answer
verified

Correct Answer
verified

Medicaid is administered by each state within certain broad federal requirements and guidelines.

Correct Answer
verified

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

Correct Answer
verified

Physician expense insurance is expensive, therefore, it should be avoided.

Correct Answer
verified

Health insurance is available from:

Correct Answer
verified

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

Physician expense insurance coverage excludes which of the following:

Correct AnswerverifiedShow Answer

Individual health insurance covers either one person or a family.

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Medicare covers the cost of care received outside the United States, Canada, and Mexico.

Correct AnswerverifiedShow Answer

What should you do when an HMO denies treatment or coverage?

Correct AnswerverifiedShow Answer

Who sells and services Medigap insurance?

Correct AnswerverifiedShow Answer

Generally, disability income policies with longer waiting periods:

Correct AnswerverifiedShow Answer

Group health insurance does which one of the following?

Correct AnswerverifiedShow Answer

Disability income insurance benefits provide regular cash income lost by employees as the result of an accident or illness.

Correct AnswerverifiedShow Answer

Which type of insurance is probably the most neglected form of available insurance protection?

Correct AnswerverifiedShow Answer

Dean Thomas has an insurance policy that cannot be cancelled unless he fails to pay his premium. What provision in his insurance policy would specify this?

Correct AnswerverifiedShow Answer

Which one of the following is a correct statement about the nation's health care system?

Correct AnswerverifiedShow Answer

With disability income insurance, benefits usually begin:

Correct AnswerverifiedShow Answer

Which of the following groups have undertaken innovative activities to contain the costs of health care?

Correct AnswerverifiedShow Answer

Look for a disability income policy that waives premiums while you are disabled.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Medicaid is administered by each state within certain broad federal requirements and guidelines.

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Physician expense insurance is expensive, therefore, it should be avoided.

Correct AnswerverifiedShow Answer

Health insurance is available from:

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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