Exam 9: Insuring Your Health

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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. -Medicare Advantage supplemental benefits include [lab tests | wellness programs].

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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. -[Medicare | Medicaid] makes health care payments available for anyone over age 65.

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Social security provides health care coverage to persons age ____ and those who are ____. A) 55 and over; collecting disability under Social Security B) 60 and over; collecting disability under Social Security C) 65 and over; collecting disability under Social Security D) 60 and over; low income E) 60 and over; low income

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Hospital expense coverage is adequate for long-term or catastrophic medical needs of most people.

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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. -The average age of the American population is [decreasing | increasing].

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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. -After passage of the Affordable Care Act,many HMOs [allow | do not allow] out-of-network coverage.

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The medicare coinsurance payment is usually

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The medicare coinsurance payment is usually 20%.

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

(True/False)
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Generally,insurance is more reasonably priced through group plans than as individual policies.

(True/False)
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Disability income insurance provides benefits that are designed to

(Multiple Choice)
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Which of the following best describes a custodial care facility?

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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. -The ["own occupation" | "any occupation"] definition of disability is more restrictive.

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Typically group health insurance plans provide substantially less comprehensive coverage than the average individually underwritten policy.

(True/False)
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An elimination period in disability income insurance is most closely analogous to which of the following cost sharing provisions in health insurance?

(Multiple Choice)
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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. -An individual receiving health care [could | could not] receive multiple payments from more than one insurance company for this care.

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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. -Your health insurance will usually pay [the same | less] for mental health problems compared to physical problems.

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Disability income benefits under social security will be paid as long as you cannot perform the duties of the job you were holding when the disability began.

(True/False)
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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. -The amount of health insurance reimbursement actually paid may be reduced by [internal limits | co-payment caps].

(Short Answer)
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Payments under workers compensation are more readily available than are social security disability benefits.

(True/False)
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