Exam 9: Insuring Your Health

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Your bill for consultation with a specialist would ordinarily be paid by physicians expense insurance.

(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. -Premiums for workers compensation are paid by the [employees | employers].

(Short Answer)
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Health insurance policies automatically cover all family members.

(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. -Long-term care [does | does not] have a deductible.

(Short Answer)
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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. -A coordination of benefits provision in a health care policy would [aid | prohibit] collecting more than 100 percent of covered charges by collecting benefits in multiple payments for health care.

(Short Answer)
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The insurance designed to help with nursing home or in-home care due to chronic illness is called:

(Multiple Choice)
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Health Maintenance Organizations (HMOs)provide prepaid health care to participants.

(True/False)
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Activities of daily living (ADLs)are important in determining _____ for long-term care 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. -"Long-Term Care" is a term used to describe [nursing home | extended hospital].

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

(Short Answer)
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Joe has a disability income policy that pays a monthly benefit of $1,200.Joe has been disabled for 30 days,but he only received a check in the amount of $600 from his disability insurance.What is probably the reason that he only received $600?

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

(Short Answer)
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Increasing the deductible is likely to lower the premium on a comprehensive major medical policy.

(True/False)
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Insurers are required to cover people with pre-existing medical conditions without limiting or setting unrealistically high insurance rates.

(True/False)
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Disability income benefits under social security are automatically adjusted periodically for cost of living increases.

(True/False)
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In order to qualify for disability insurance under social security,a person must be:

(Multiple Choice)
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Major medical plans are characterized by deductibles,internal limits,and:

(Multiple Choice)
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Hospitalization insurance pays daily room and board charges up to a specified number of days and reimburses for ancillary charges up to a specified dollar amount.

(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. -Physicians expense insurance [would | would not] pay for the cost of a routine office call.

(Short Answer)
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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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