Question 1

Which of the following about individual health insurance policies is NOT correct?

Accepted Answer

A)  They can cover individuals. 
B)  They are used by the self-employed. 
C)  They can provide family coverage. 
D)  All insurance companies that offer this type of policy are required to charge the same rates. 
E)  They can be purchased directly from the company of your choice.

Question 2

Peter has a health insurance policy that includes a deductible of $1,000, a coinsurance of 20%, and a stop-loss of $4,000. If his total bill is $20,000, how much will he pay?

Accepted Answer

A)  $1,000 
B)  $3,800 
C)  $4,000 
D)  $4,800 
E)  $19,000

Question 3

Medicaid covers

Accepted Answer

A)  Lab services. 
B)  Skilled nursing and home health services. 
C)  Prescription drugs. 
D)  Eyeglasses. 
E)  All of these.

Question 4

Under the Patient Protection and Affordable Care Act of 2010, which of the following is NOT correct?

Accepted Answer

A)  Requires new health care plans to allow adult children to remain on their parents' insurance policy until age 26. 
B)  Most insurers must provide preventive care screenings without charging deductibles or co-pays. 
C)  Employers must offer continuing coverage through COBRA for up to 24 months after you leave your job. 
D)  Prohibits denying coverage to children with preexisting medical conditions. 
E)  Expands the Medicaid program for the nation's poorest individuals.

Question 5

Nancy is studying the health insurance plan options offered by her employer. She wants a policy that will have the insurance pay a percentage of her medical expenses after she meets her deductible. She should review the

Accepted Answer

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

Question 6

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 consumers have access to an effective appeals process to appeal decisions by the health insurance plan. 
E)  All of these are true.

Question 7

Blue Cross and Blue Shield are

Accepted Answer

A)  Health maintenance organizations (HMO). 
B)  Private insurance companies. 
C)  Statewide organizations. 
D)  Types of Medicare. 
E)  Preferred provider organizations (PPO).

Question 8

Two-thirds of all health insurers use prescription data to deny coverage to some individuals (and families) and to charge higher premiums to others.

Accepted Answer

A) True 
 B)False

Question 9

As health care costs continue to grow, it is projected that the Medicare program will be bankrupt by the year 2035 if no changes are made.

Accepted Answer

A) True 
 B)False

Question 10

Everyone qualifies for COBRA.

Accepted Answer

A) True 
 B)False

Question 11

Which of the following activities is NOT a step being taken to reduce health care costs?

Accepted Answer

A)  Community health education programs motivate people to take better care of themselves. 
B)  Physicians encourage patients to pay cash for routine medical care and lab tests. 
C)  Programs to carefully review health care fees are available. 
D)  Involvement in community health planning can help achieve a better balance between health needs and health care resources. 
E)  All of these activities can reduce health care costs.

Question 12

Which of the following is NOT a type of health insurance available to individuals or employees?

Accepted Answer

A)  Dental expense insurance 
B)  Hospital indemnity policy 
C)  Dread disease policy 
D)  Minor medical indemnity insurance 
E)  Vision care insurance

Question 13

A health insurance plan should include all of the following "must-haves" except

Accepted Answer

A)  Offer basic coverage for hospital and doctor bills. 
B)  Impose no unreasonable exclusions. 
C)  Limit out-of-pocket expenses to no more than $3,000 to $5,000 per year. 
D)  Provide at least 120 days' hospital room and board in full. 
E)  Provide a lifetime maximum level of coverage of up to $50,000.

Question 14

A Medicare Advantage Plan (Part C) combines your Part A (Hospital) and Part B (Medical) coverages into one plan.

Accepted Answer

A) True 
 B)False

Question 15

Cynthia was charged $300 for a specialist office visit. Her indemnity policy will pay $125. What amount will she have to pay?

Accepted Answer

A)  $425 
B)  $300 
C)  $175 
D)  $125 
E)  None of the above

Question 16

Which of the following is incorrect?

Accepted Answer

A)  Disability income insurance provides regular cash income when you're unable to work because of a disability. 
B)  Disabilities can include pregnancy, a non-work-related accident, or an illness. 
C)  The exact definition of disability varies from insurer to insurer. 
D)  A bad disability policy pays you if you cannot work at your regular job. 
E)  Disability can cause even greater financial problems than death.

Question 17

A Medigap policy fills the gap between medicare payments and medical costs not covered by

Accepted Answer

A)  Home health care agencies. 
B)  Hospital and medical service plans. 
C)  Medicare. 
D)  Medicaid. 
E)  Private insurance companies.

Question 18

The Health Insurance Portability and Accountability Act of 1996 set new federal standards to ensure that workers would not lose their health insurance if they changed jobs.

Accepted Answer

A) True 
 B)False

Question 19

Managed care health plans include HMOs, PPOs, and POSs.

Accepted Answer

A) True 
 B)False

Question 20

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

Exam 9: Health and Disability Insurance

Which of the following about individual health insurance policies is NOT correct?

Peter has a health insurance policy that includes a deductible of $1,000, a coinsurance of 20%, and a stop-loss of $4,000. If his total bill is $20,000, how much will he pay?

Medicaid covers

Under the Patient Protection and Affordable Care Act of 2010, which of the following is NOT correct?

Nancy is studying the health insurance plan options offered by her employer. She wants a policy that will have the insurance pay a percentage of her medical expenses after she meets her deductible. She should review the

The Patient Protection And Affordable Care Act of 2010

Blue Cross and Blue Shield are

Two-thirds of all health insurers use prescription data to deny coverage to some individuals (and families) and to charge higher premiums to others.

As health care costs continue to grow, it is projected that the Medicare program will be bankrupt by the year 2035 if no changes are made.

Everyone qualifies for COBRA.

Which of the following activities is NOT a step being taken to reduce health care costs?

Which of the following is NOT a type of health insurance available to individuals or employees?

A health insurance plan should include all of the following "must-haves" except

A Medicare Advantage Plan (Part C) combines your Part A (Hospital) and Part B (Medical) coverages into one plan.

Cynthia was charged $300 for a specialist office visit. Her indemnity policy will pay $125. What amount will she have to pay?

Which of the following is incorrect?

A Medigap policy fills the gap between medicare payments and medical costs not covered by

The Health Insurance Portability and Accountability Act of 1996 set new federal standards to ensure that workers would not lose their health insurance if they changed jobs.

Managed care health plans include HMOs, PPOs, and POSs.

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?