Question 1

Medicare medical insurance helps pay for:

Accepted Answer

A) inpatient hospital care. 
B) doctors' services. 
C) home health care. 
D) hospice care. 
E) inpatient care in a skilled nursing facility.

Question 2

Most group health insurance plans in the United States are sponsored by:

Accepted Answer

A) victims of communicable diseases. 
B) individuals with families. 
C) single individuals with no dependents. 
D) elderly individuals. 
E) employers, who in turn offer the benefits to employees.

Question 3

Which health insurance policy pays benefits only when you are hospitalized,but pays these benefits in cash which you can use for medical,nonmedical,or supplementary expenses?

Accepted Answer

A) Hospital indemnity 
B) Interim or short-term 
C) Disability income 
D) Comprehensive major medical 
E) Major medical expense

Question 4

Marcia Fuller has an insurance policy that she and her three daughters,ages 6,10,and 12,are entitled to benefits under.Which provision in her insurance policy is defined by this list of covered members?

Accepted Answer

A) Eligibility 
B) Assigned benefits 
C) Benefit limits 
D) Guaranteed renewable 
E) Exclusions and limitations

Question 5

The hospital insurance portion of Medicare helps pay for:

Accepted Answer

A) inpatient hospital care. 
B) inpatient care in a skilled nursing facility. 
C) home health care. 
D) hospice care. 
E) All of these types of care

Question 6

Surgical expense insurance pays part or the full amount of the surgeon's fees for an operation.

Accepted Answer

A) True 
 B)False

Question 7

A recent industry survey estimated that _____ percent of employed Americans are enrolled in some form of managed care.

Accepted Answer

A) 85 
B) 75 
C) 50 
D) 40 
E) 25

Question 8

According to your textbook,the average benefit paid under supplemental hospital indemnity plans:

Accepted Answer

A) are almost always excellent buys. 
B) should be purchased at an early age. 
C) does not justify the premium cost. 
D) should be purchased only by older people. 
E) are meant for couples with two or three children.

Question 9

A coinsurance provision requires the policyholder to share the expenses beyond the deductible amount.

Accepted Answer

A) True 
 B)False

Question 10

A good health insurance plan should:

Accepted Answer

A) impose unreasonable exclusions. 
B) provide at least a $2 million lifetime maximum for each family member. 
C) pay 100 percent for out-of-hospital expenses. 
D) provide at least 120 days' hospital room and board in full. 
E) limit your out-of-pocket expenses to no more than $1,000 per year.

Question 11

Sophie Bennett is required to pay 20 percent of her medical costs after the deductible has been paid.What is this requirement called?

Accepted Answer

A) Coordination of benefits 
B) Deductible 
C) Coinsurance 
D) Stop-loss provision 
E) Waiver of premium

Question 12

Medigap insurance,intended to supplement Medicare,is sold and serviced by the federal government.

Accepted Answer

A) True 
 B)False

Question 13

Which one of the following is a source of government health insurance?

Accepted Answer

A) Blue Cross 
B) Blue Shield 
C) Medicare 
D) HMO 
E) PPO

Question 14

Good disability plans pay when you are unable to work at your regular job; poor disability plans pay only when you are unable to work at any job.

Accepted Answer

A) True 
 B)False

Question 15

A deductible provision requires the policyholder to pay a basic amount before the policy benefits begin.

Accepted Answer

A) True 
 B)False

Question 16

Which one of the following is a source of government health insurance that is administered by each state?

Accepted Answer

A) Blue Cross 
B) Blue Shield 
C) National Institutes of Health 
D) HMO 
E) Medicaid

Question 17

Physician expense insurance coverage excludes which of the following:

Accepted Answer

A) Visits to the doctor's office 
B) X-rays 
C) Surgery 
D) Lab tests 
E) General physician care

Question 18

Preferred provider organizations combine the best elements of the fee-for-service and HMO systems.

Accepted Answer

A) True 
 B)False

Question 19

The best way to avoid the high cost of illness is to stay well.

Accepted Answer

A) True 
 B)False

Question 20

Which of the following is an innovative way concerned groups are containing health care costs?

Accepted Answer

A) Incentives to encourage preventive care 
B) Encouragement of prepaid group practices 
C) Establishment of community health education programs 
D) Encouragement by doctors to pay cash for routine medical care 
E) All of these

Exam 11: Health, Disability, and Long-Term Care Insurance

Medicare medical insurance helps pay for:

Most group health insurance plans in the United States are sponsored by:

Which health insurance policy pays benefits only when you are hospitalized,but pays these benefits in cash which you can use for medical,nonmedical,or supplementary expenses?

Marcia Fuller has an insurance policy that she and her three daughters,ages 6,10,and 12,are entitled to benefits under.Which provision in her insurance policy is defined by this list of covered members?

The hospital insurance portion of Medicare helps pay for:

Surgical expense insurance pays part or the full amount of the surgeon's fees for an operation.

A recent industry survey estimated that _____ percent of employed Americans are enrolled in some form of managed care.

According to your textbook,the average benefit paid under supplemental hospital indemnity plans:

A coinsurance provision requires the policyholder to share the expenses beyond the deductible amount.

A good health insurance plan should:

Sophie Bennett is required to pay 20 percent of her medical costs after the deductible has been paid.What is this requirement called?

Medigap insurance,intended to supplement Medicare,is sold and serviced by the federal government.

Which one of the following is a source of government health insurance?

Good disability plans pay when you are unable to work at your regular job; poor disability plans pay only when you are unable to work at any job.

A deductible provision requires the policyholder to pay a basic amount before the policy benefits begin.

Which one of the following is a source of government health insurance that is administered by each state?

Physician expense insurance coverage excludes which of the following:

Preferred provider organizations combine the best elements of the fee-for-service and HMO systems.

The best way to avoid the high cost of illness is to stay well.

Which of the following is an innovative way concerned groups are containing health care costs?