Exam 9: Insuring Your Health

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Blue Cross / Blue Shield plans are really hybrid HMOs that allow members to go outside of network.

(True/False)
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The major emphasis of dental insurance is to cover only extractions and x-rays.

(True/False)
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Medicare is a government-sponsored health care plan composed of Part A and Part B.Part A covers

(Multiple Choice)
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One drawback of long-term care insurance is its

(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. -One complaint about HMOs in the past,as compared to traditional indemnity plans,is that [the cost was expensive | the care was not available for major illnesses | members couldn't always choose their physicians].

(Short Answer)
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The definition of "disability" is standardized in disability income policies.

(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. -And about [one in five | one in seven] people between the ages of 35 and 65 will become disabled for five years or more.

(Short Answer)
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Medicare Advantage supplemental benefits include all of the following except

(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. -When there is a co-insurance or participation clause in a health insurance policy,the amount the insurance will pay is computed [before | after] the deductible is paid.

(Short Answer)
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Supplementary Medical Insurance is a voluntary participatory program,commonly known as Medicare Part B.

(True/False)
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Surgical expenses now generally are reimbursed on the basis of

(Multiple Choice)
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The majority of employers pay

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Activities of daily living (ADLs)are important in determining ____ for long-term care insurance.

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You would have a better chance to choose your own doctor with a PPO rather than an HMO.

(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 longer the elimination or waiting period in your disability income policy,the [higher | lower] the premiums.

(Short Answer)
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Medicare Advantage policies require payment from the policyholder in the form of a

(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. -If an employee could afford additional health insurance coverage in addition to group coverage,most should purchase [dental | disability income] insurance.

(Short Answer)
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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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Internal limits are constraints placed on insurance agents stipulating the level of risk for which they can write a policy.

(True/False)
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Eating healthy and exercising is an acceptable substitute for comprehensive health care coverage.

(True/False)
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