Exam 9: Insuring Your Health

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. -Traditional indemnity policies reimburse the insured based on the [amount charged | usual,customary,and reasonable charges] for the medical services received.

Which of the following statements is true about the means (income)testing for Medicare?

A deductible clause in major medical insurance plans is most often on a per year basis.

____ are required by many insurance plans to reduce the number of unnecessary surgeries.

Workers' compensation is a state program that provides benefits for

Disability occurs only when someone is completely incapable of returning to work.

Most employees select ____ for their health insurance needs.

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. -A coordination of benefits provision in a health care policy would [aid | prohibit] collecting multiple payments for health care.

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.

Your bill for consultation with a specialist would ordinarily be paid by physician's expense insurance.

A characteristic of dental insurance is

The "O" in COBRA stands for which of the following words?

Nick has a comprehensive health care policy with a $250 per calendar year deductible and 80%-20% with a maximum $1,000 copayment cap per calendar year.In January,Nick had a $600 claim which the insurance company paid $280.Nick experiences another unrelated claim in October resulting in total bills of $5,000.How much will Nick have to pay for the second claim?

Comprehensive major medical simply increases the policy limits of major medical insurance without changing the coverage.

Terms of payment under your health insurance are governed by

Mental illness is normally not covered in health insurance policies.

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. -Scheduled surgical benefits tend to be [very close to | way below] what most surgeons will charge.

When trying to determine your disability income needs,you should consider available sick leave,income needs,and

If you lose your job,COBRA permits you to continue your group health insurance coverage permanently as long as you pay the premium within 36 months of the termination of employment.

Hospital insurance will pay daily room and board charges up to a specified number of days and reimbursement for ancillary charges up to a specified dollar amount.