Exam 9: Insuring Your Health

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In insurance terminology,"participation" and "coinsurance" mean the same thing.

(True/False)
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A group HMO employs a group of doctors to provide healthcare services to members in a central facility.

(True/False)
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In order to qualify for disability insurance under social security,a person must be

(Multiple Choice)
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INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement.Select A for the first item,B for the second item,and C if neither item will correctly complete the statement. -Some surgical expense insurance pays a specific amount for a list of various types of surgery.

(True/False)
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Increasing the stop loss provision is likely to lower the premium on a comprehensive major medical policy.

(True/False)
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Terms of payment under your health insurance are governed by

(Multiple Choice)
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Which of the following best describes a "pre-existing condition"?

(Multiple Choice)
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The insurance designed to help with nursing home or in-home care due to chronic illness is called

(Multiple Choice)
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Higher income people are more likely than middle income families to need long-term care insurance.

(True/False)
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Hospital expense coverage is adequate for long-term or catastrophic medical needs of most people.

(True/False)
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Suppose Janet,a skilled neuro-surgeon,became unable to perform surgery because of severe arthritis.Which of the following is NOT true?

(Multiple Choice)
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Which of the following types of plans pay for some medical costs even when the insured decides to go out of the provider network (without a referral)for services?

(Multiple Choice)
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INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement.Select A for the first item,B for the second item,and C if neither item will correctly complete the statement. -Disability income benefits are taxable when the policy premiums were paid by the [employer | employee].

(Essay)
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An elimination period is the number of days that must pass before disability policies pay proceeds.

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Health insurance policies automatically cover all family members.

(True/False)
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INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement.Select A for the first item,B for the second item,and C if neither item will correctly complete the statement. -Group health insurance premiums are usually lower than individual health insurance premiums.

(True/False)
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The majority of employers pay

(Multiple Choice)
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OASDHI,sometimes called social security,actually refers to the following:

(Multiple Choice)
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INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement.Select A for the first item,B for the second item,and C if neither item will correctly complete the statement. -Typically group health insurance plans provide substantially less comprehensive coverage than the average individually underwritten policy.

(True/False)
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INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement.Select A for the first item,B for the second item,and C if neither item will correctly complete the statement. -Having your "reasonable and customary" surgical expenses paid is an example of [service | scheduled] benefits.

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