Exam 9: Health and Disability Insurance

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The United States has the fifth highest per capita medical expenditures of any country in the world.

(True/False)
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The benefit limits provision identifies the minimum benefits that will be paid for days spent in the hospital.

(True/False)
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Most people receive health insurance under a group plan from

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With a guaranteed renewable provision in a health insurance policy, the insurer is permitted to raise premiums for all members of a group.

(True/False)
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Cameron, age 25, sustained a debilitating hand injury and was unable to perform his job as a viola player in the local orchestra for 45 days. His employer has a disability income insurance policy that pays 70% of take-home pay with an elimination period of 60 days and coverage to age 65. Given this information, which of the following is true for Cameron?

(Multiple Choice)
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The copayment provision deals with the amount that someone will pay for a bill such as 20% coinsurance.

(True/False)
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Health insurance is a form of protection that eases the financial burden people may experience as a result of someone's death.

(True/False)
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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?

(Multiple Choice)
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A good disability income insurance plan will pay you if you cannot work at any job.

(True/False)
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A health insurance policy that pays you back for actual expenses is called an indemnity policy.

(True/False)
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An employer self-funded health plan requires a low level of financial assets.

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How much does a private income insurance program pay for loss of normal income from a disability?

(Multiple Choice)
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Coordination of benefits (COB) provision applies to

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This health insurance provision lets your insurer make direct payments to your doctor or hospital.

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Surgical expense insurance pays all or part of the surgeon's fees for an operation in a doctor's office.

(True/False)
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A deductible is a set amount you must pay toward medical expenses before the insurance company pays benefits.

(True/False)
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A provision in a health insurance policy that sets specific levels of repayment for certain services is called

(Multiple Choice)
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All of the following are sources of disability income except

(Multiple Choice)
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A disability policy with a longer elimination period typically charges lower premiums than a policy with a short elimination period.

(True/False)
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The type of health insurance coverage that takes up where basic health insurance coverage leaves off is

(Multiple Choice)
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