Exam 9: Insuring Your Health

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HMOs require members to pick one primary care physician.

(True/False)
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Most people do not get protection against:

(Multiple Choice)
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The medicare co-insurance payment is usually:

(Multiple Choice)
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All Americans are required to have or buy health insurance in 2014 or pay a penalty.

(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. -Workers compensation would make payments to an injured worker [if he had been hurt on the job | only if he could prove negligence on the part of his employer].

(Short Answer)
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An elimination period is the number of days that must pass before disability policies pay proceeds.

(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. -After passage of the Affordable Health Care Act,many HMOs [allow | do not allow] out-of-network coverage.

(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. -[Medicare | Medicaid] makes health care payments available for anyone over age 65.

(Short Answer)
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Comprehensive major medical plans simply increases the policy limits of major medical insurance without changing the coverage.

(True/False)
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Millions of Americans are not covered by health insurance.

(True/False)
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Hospital expense coverage is adequate for long-term or catastrophic medical needs of most people.

(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. -If you are laid off,your group health insurance [can be continued at the employer's option | must be continued if you pay the premiums].

(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. -An individual receiving health care [could | could not] receive multiple payments from more than one insurance company for this care.

(Short Answer)
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Social security is primarily designed to provide health care coverage to persons who are aged _____ and those who are _____.

(Multiple Choice)
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Jackie pays $20 every time she visits her doctor.She is covered by a(n):

(Multiple Choice)
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Workers compensation may trigger coverage in a disability income policy.

(True/False)
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Nick has a comprehensive health care policy with a $250 per calendar year deductible and 80%-20% with a maximum $1,000 co-payment 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?

(Multiple Choice)
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Generally,insurance is more reasonably priced through group plans than as individual policies.

(True/False)
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Ben's health coverage charges a low ($15)deductible each time he visits the doctor or hospital.Other than the low per-service deductible,there is very little cost sharing.However,Ben must go to the health care providers listed by the provider of the health coverage.If he goes to a provider that is not on the list,there is very little coverage.Which of the following types of entity most likely provides Ben's health coverage?

(Multiple Choice)
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The majority of employers pay:

(Multiple Choice)
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