Question 1

Jenny wants health insurance that limits the amount that she must pay before the insurance starts paying benefits.She is concerned about a

Accepted Answer

A)  Deductible. 
B)  Coinsurance. 
C)  Vision care policy. 
D)  Hospital indemnity policy. 
E)  Dread disease policy. 
A)  Deductible. 
B)  Coinsurance. 
C)  Vision care policy. 
D)  Hospital indemnity policy. 
E)  Dread disease policy.

Question 2

Medicare (Part A)covers

Accepted Answer

A)  Dental care. 
B)  Routine checkups. 
C)  Most immunizations. 
D)  Inpatient hospital care. 
E)  All of these are covered. 
A)  Dental care. 
B)  Routine checkups. 
C)  Most immunizations. 
D)  Inpatient hospital care. 
E)  All of these are covered.

Question 3

Define two of the following provisions in a health insurance policy:
a.Eligibility.
b.Assigned benefits.
c.Copayment.
d.Benefit limits.
e.Exclusions and limitations.

Accepted Answer

Here are the definitions:
a.Eligibility:

Question 4

What is one difference between group health insurance and individual health insurance policies?

Accepted Answer

Group: usually employer-sponsored-the em

Question 5

The Health Insurance and the Patient Protection And Affordable Care Act of 2010

Accepted Answer

A)  Prohibits denying coverage to children with preexisting medical conditions. 
B)  Bans insurance companies from dropping people from coverage when they get sick. 
C)  Eliminates co-pays for preventive services. 
D)  Ensures access to an effective appeals process by the health insurance plan. 
E)  All of these are true. 
A)  Prohibits denying coverage to children with preexisting medical conditions. 
B)  Bans insurance companies from dropping people from coverage when they get sick. 
C)  Eliminates co-pays for preventive services. 
D)  Ensures access to an effective appeals process by the health insurance plan. 
E)  All of these are true.

Question 6

A health insurance policy with this provision lists coverage in terms of services,not dollar amounts.

Accepted Answer

A)  Assigned benefits 
B)  Benefit limits 
C)  Exclusions and limitations 
D)  Internal limits 
E)  Service benefits 
A)  Assigned benefits 
B)  Benefit limits 
C)  Exclusions and limitations 
D)  Internal limits 
E)  Service benefits

Question 7

Yvonne's employer offers a health plan that has a group of doctors and hospitals that agree to provide specified medical services to members at prearranged fees.This health plan offers some flexibility since members can either visit a physician from a list or go to their own doctors.What kind of plan does her employer offer?

Accepted Answer

A)  Health maintenance organization (HMO) 
B)  Private insurance company 
C)  Hospital and medical service plan 
D)  Medicare 
E)  Preferred provider organization (PPO) 
A)  Health maintenance organization (HMO) 
B)  Private insurance company 
C)  Hospital and medical service plan 
D)  Medicare 
E)  Preferred provider organization (PPO)

Question 8

Sandy went to the doctor three times,and each appointment cost $200.Her copayment was $25 per visit.How much was Sandy required to pay in total for her three visits?

Accepted Answer

A)  $25 
B)  $75 
C)  $175 
D)  $200 
E)  $525 
A)  $25 
B)  $75 
C)  $175 
D)  $200 
E)  $525

Question 9

This type of plan combines features of HMOs and PPOs.It uses a network of participating physicians and medical professionals who have contracted to provide services for certain fees.

Accepted Answer

A)  Home health care agency 
B)  Hospital and medical service plan 
C)  Medicare 
D)  Point-of-service plan 
E)  Private insurance company 
A)  Home health care agency 
B)  Hospital and medical service plan 
C)  Medicare 
D)  Point-of-service plan 
E)  Private insurance company

Question 10

A good disability income insurance plan will provide benefits if you cannot work at any job.

Accepted Answer

A) True 
 B)False

Question 11

Which of the following is most likely to use a health maintenance organization?

Accepted Answer

A)  A healthy young adult who travels around the world for his job. 
B)  A family with teenagers who need annual checkups for sports at school. 
C)  A neighbor who has seen the same specialists for the last 15 years. 
D)  A low-income elderly relative. 
E)  All of these would be likely to use a health maintenance organization. 
A)  A healthy young adult who travels around the world for his job. 
B)  A family with teenagers who need annual checkups for sports at school. 
C)  A neighbor who has seen the same specialists for the last 15 years. 
D)  A low-income elderly relative. 
E)  All of these would be likely to use a health maintenance organization.

Question 12

Everyone qualifies for COBRA.

Accepted Answer

A) True 
 B)False

Question 13

Long-term care insurance is used to pay for a stay in a nursing home but not for help at home.

Accepted Answer

A) True 
 B)False

Question 14

In which circumstances may the right to elect continued coverage under COBRA exist for a covered spouse or dependent?

Accepted Answer

A)  Divorce. 
B)  Legal separation. 
C)  Loss of dependent child status. 
D)  The covered employee's death. 
E)  All of these. 
A)  Divorce. 
B)  Legal separation. 
C)  Loss of dependent child status. 
D)  The covered employee's death. 
E)  All of these.

Question 15

Blue Cross and Blue Shield are two types of HMOs.

Accepted Answer

A) True 
 B)False

Question 16

The benefit limits provision identifies the minimum benefits that will be paid for days spent in the hospital.

Accepted Answer

A) True 
 B)False

Question 17

Fran is interested in purchasing health insurance that limits the total out-of-pocket amount that she will have to pay.She should consider a

Accepted Answer

A)  Deductible. 
B)  Coinsurance. 
C)  Stop-loss provision. 
D)  Hospital indemnity policy. 
E)  Dread disease policy. 
A)  Deductible. 
B)  Coinsurance. 
C)  Stop-loss provision. 
D)  Hospital indemnity policy. 
E)  Dread disease policy.

Question 18

A flexible spending account is funded by an employer.

Accepted Answer

A) True 
 B)False

Question 19

Medicare and Medicaid sound similar.Compare the two.Be certain to address eligibility and coverage of the two plans.

Accepted Answer

Both are governmental programs.
a.Eligib

Question 20

Explain two of the following:
a.Private insurance company.
b.Hospital and medical service plan.
c.HMO.
d.PPO.
e.Employer self-funded health plan.

Accepted Answer

Explanations follow:
a.Private insurance

Jenny wants health insurance that limits the amount that she must pay before the insurance starts paying benefits.She is concerned about a

Medicare (Part A)covers

Define two of the following provisions in a health insurance policy: a.Eligibility. b.Assigned benefits. c.Copayment. d.Benefit limits. e.Exclusions and limitations.

What is one difference between group health insurance and individual health insurance policies?

The Health Insurance and the Patient Protection And Affordable Care Act of 2010

A health insurance policy with this provision lists coverage in terms of services,not dollar amounts.

Sandy went to the doctor three times,and each appointment cost $200.Her copayment was $25 per visit.How much was Sandy required to pay in total for her three visits?

This type of plan combines features of HMOs and PPOs.It uses a network of participating physicians and medical professionals who have contracted to provide services for certain fees.

A good disability income insurance plan will provide benefits if you cannot work at any job.

Which of the following is most likely to use a health maintenance organization?

Everyone qualifies for COBRA.

Long-term care insurance is used to pay for a stay in a nursing home but not for help at home.

In which circumstances may the right to elect continued coverage under COBRA exist for a covered spouse or dependent?

Blue Cross and Blue Shield are two types of HMOs.

The benefit limits provision identifies the minimum benefits that will be paid for days spent in the hospital.

Fran is interested in purchasing health insurance that limits the total out-of-pocket amount that she will have to pay.She should consider a

A flexible spending account is funded by an employer.

Medicare and Medicaid sound similar.Compare the two.Be certain to address eligibility and coverage of the two plans.

Explain two of the following: a.Private insurance company. b.Hospital and medical service plan. c.HMO. d.PPO. e.Employer self-funded health plan.

Personal Financial Planning in Action

Money Management Skills

Taxes in Your Financial Plan

Financial Services: Savings Plans and Payment Account

Consumer Credit: Advantages, Dis-Advantages, Sources, and Costs

Consumer Purchasing Strategies and Wise Buying of Motor Vehicles

Selecting and Financing Housing

Home and Automobile Insurance

Financial Planning With Life Insurance

Investing Basics and Evaluating Bonds

Investing in Stocks

Investing in Mutual Funds

Starting Early: Retirement and Estate Planning

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Exam 9: Health and Disability Income Insurance

Jenny wants health insurance that limits the amount that she must pay before the insurance starts paying benefits.She is concerned about a

Medicare (Part A)covers

Define two of the following provisions in a health insurance policy: a.Eligibility. b.Assigned benefits. c.Copayment. d.Benefit limits. e.Exclusions and limitations.

What is one difference between group health insurance and individual health insurance policies?

The Health Insurance and the Patient Protection And Affordable Care Act of 2010

A health insurance policy with this provision lists coverage in terms of services,not dollar amounts.

Sandy went to the doctor three times,and each appointment cost $200.Her copayment was $25 per visit.How much was Sandy required to pay in total for her three visits?

This type of plan combines features of HMOs and PPOs.It uses a network of participating physicians and medical professionals who have contracted to provide services for certain fees.

A good disability income insurance plan will provide benefits if you cannot work at any job.

Which of the following is most likely to use a health maintenance organization?

Everyone qualifies for COBRA.

Long-term care insurance is used to pay for a stay in a nursing home but not for help at home.

In which circumstances may the right to elect continued coverage under COBRA exist for a covered spouse or dependent?

Blue Cross and Blue Shield are two types of HMOs.

The benefit limits provision identifies the minimum benefits that will be paid for days spent in the hospital.

Fran is interested in purchasing health insurance that limits the total out-of-pocket amount that she will have to pay.She should consider a

A flexible spending account is funded by an employer.

Medicare and Medicaid sound similar.Compare the two.Be certain to address eligibility and coverage of the two plans.

Explain two of the following: a.Private insurance company. b.Hospital and medical service plan. c.HMO. d.PPO. e.Employer self-funded health plan.

Personal Financial Planning in Action

Money Management Skills

Taxes in Your Financial Plan

Financial Services: Savings Plans and Payment Account

Consumer Credit: Advantages, Dis-Advantages, Sources, and Costs

Consumer Purchasing Strategies and Wise Buying of Motor Vehicles

Selecting and Financing Housing

Home and Automobile Insurance

Financial Planning With Life Insurance

Investing Basics and Evaluating Bonds

Investing in Stocks

Investing in Mutual Funds

Starting Early: Retirement and Estate Planning

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