Question 1

Which one of the following is not a provider of health insurance?

Accepted Answer

A)  Fraternal organizations
B)  Trade unions
C)  Government programs such as Medicare
D)  Health Insurance Industry Association
E)  Blue Cross and Blue ShieldF) B) and E)
G) C) and E)

Question 2

Physician expense insurance helps pay for physician's care that does not involve surgery.

Accepted Answer

A) True 
 B)False

Question 3

Which health insurance plan directly employs or contracts with selected medical care specialists to provide managed health care services in exchange for a fixed,prepaid monthly premium?

Accepted Answer

A)  Blue Cross
B)  Blue Shield
C)  Medicare
D)  Medicaid
E)  HMOF) All of the above
G) None of the above

Question 4

Dental expense insurance provides reimbursement for:

Accepted Answer

A)  oral examinations.
B)  fillings.
C)  extractions.
D)  inlays.
E)  All of theseF) B) and D)
G) All of the above

Question 5

Darren Chase has an insurance policy that will only pay for a maximum of 60 days of hospitalization during a year.Which provision in his insurance policy would specify this?

Accepted Answer

A)  Eligibility
B)  Assigned benefits
C)  Benefit limits
D)  Guaranteed renewable
E)  ExclusionsF) A) and B)
G) A) and C)

Question 6

To get Medicare medical insurance,you must sign up for it and pay a monthly premium.

Accepted Answer

A) True 
 B)False

Question 7

Up to how many days of care in a skilled nursing facility are covered by Medicare?

Accepted Answer

A)  30
B)  60
C)  85
D)  100
E)  120F) A) and D)
G) All of the above

Question 8

What are some things that you can do to reduce your personal health care costs?

Accepted Answer

The best way to avoid the high cost of i...

Question 9

Medicaid is financed by both state and federal funds.

Accepted Answer

A) True 
 B)False

Question 10

A good health insurance plan should:

Accepted Answer

A)  pay at least 90 percent for out-of-hospital expenses after the yearly deductible.
B)  provide at least 100 days' hospital room and board in full.
C)  provide at least a $1 million lifetime maximum for each family member.
D)  impose unreasonable exclusions.
E)  limit out-of-pocket expenses to no more than $10,000 a year.F) C) and E)
G) A) and D)

Question 11

John Gleason is permanently disabled while on the job.Which of the following is the most likely source of disability income for John?

Accepted Answer

A)  His employer
B)  Social Security
C)  Worker's compensation
D)  An individual insurance policy
E)  His health insurance policyF) A) and B)
G) A) and E)

Question 12

Generally,disability income policies with longer waiting periods:

Accepted Answer

A)  have higher premiums.
B)  have lower premiums.
C)  have about the same premium as those with shorter periods.
D)  are issued by smaller insurance companies.
E)  are issued by larger insurance companies.F) A) and C)
G) B) and D)

Question 13

A stop-loss provision requires the policyholder to pay up to a certain amount,after which the insurance company pays 100 percent of all remaining covered expenses.

Accepted Answer

A) True 
 B)False

Question 14

Julie Cumbie was playing softball and got hurt sliding into second base.She gets an x-ray at her doctor's office to make sure her ankle isn't broken.Which part of her basic health insurance coverage should help pay for this x-ray?

Accepted Answer

A)  Hospital expense
B)  Surgical expense
C)  Physician expense
D)  Major medical expense
E)  Medicare Part BF) A) and D)
G) B) and D)

Question 15

Which of the following is not listed in your book as offering group health insurance plans?

Accepted Answer

A)  Large government employers
B)  Health and fitness clubs
C)  Labor unions
D)  Professional associations
E)  Large private employersF) B) and C)
G) C) and D)

Question 16

Which of the following is not a way that you can reduce your personal health care costs?

Accepted Answer

A)  Ask your physician and pharmacist if a less expensive generic drug is available.
B)  Save time and do not review billing statements from medical providers.
C)  Practice preventative care and stay well.
D)  Consider participating in a flexible spending account if your employer offers it.
E)  Ask your doctor if you can follow up by phone instead of visiting the office.F) A) and C)
G) A) and E)

Question 17

What does health insurance include,and what is its importance in personal financial planning?

Accepted Answer

Health insurance includes both medical e...

Question 18

Which type of health insurance covers diagnosing and treating glaucoma,eyeglasses,and eye surgery?

Accepted Answer

A)  Surgical expense
B)  Vision care
C)  Physician's expense
D)  Medicare Part B
E)  Major medicalF) B) and E)
G) C) and E)

Question 19

Which one of the following provisions requires that the policyholder pay a basic amount before the policy benefits begin?

Accepted Answer

A)  Coinsurance
B)  Stop loss
C)  Deductible
D)  Self-insurance
E)  IncontestableF) C) and D)
G) A) and E)

Question 20

Which type of insurance is usually bought in combination with hospital and surgical insurance?

Accepted Answer

A)  Disability income
B)  Comprehensive major medical
C)  Umbrella
D)  Hospital indemnity
E)  Physician's expenseF) A) and E)
G) A) and D)

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

Which one of the following provisions requires that the policyholder pay a basic amount before the policy benefits begin?

Correct AnswerverifiedShow Answer

A stop-loss provision requires the policyholder to pay up to a certain amount,after which the insurance company pays 100 percent of all remaining covered expenses.

Correct AnswerverifiedShow Answer

To get Medicare medical insurance,you must sign up for it and pay a monthly premium.

Correct AnswerverifiedShow Answer

Which of the following is not a way that you can reduce your personal health care costs?

Correct AnswerverifiedShow Answer

A good health insurance plan should:

Correct AnswerverifiedShow Answer

Julie Cumbie was playing softball and got hurt sliding into second base.She gets an x-ray at her doctor's office to make sure her ankle isn't broken.Which part of her basic health insurance coverage should help pay for this x-ray?

Correct AnswerverifiedShow Answer

Darren Chase has an insurance policy that will only pay for a maximum of 60 days of hospitalization during a year.Which provision in his insurance policy would specify this?

Correct AnswerverifiedShow Answer

Which of the following is not listed in your book as offering group health insurance plans?

Correct AnswerverifiedShow Answer

Which health insurance plan directly employs or contracts with selected medical care specialists to provide managed health care services in exchange for a fixed,prepaid monthly premium?

Correct AnswerverifiedShow Answer

Up to how many days of care in a skilled nursing facility are covered by Medicare?

Correct AnswerverifiedShow Answer

What does health insurance include,and what is its importance in personal financial planning?

Correct AnswerverifiedHealth insurance includes both medical e...View AnswerShow Answer

Physician expense insurance helps pay for physician's care that does not involve surgery.

Correct AnswerverifiedShow Answer

What are some things that you can do to reduce your personal health care costs?

Correct AnswerverifiedThe best way to avoid the high cost of i...View AnswerShow Answer

Dental expense insurance provides reimbursement for:

Correct AnswerverifiedShow Answer

John Gleason is permanently disabled while on the job.Which of the following is the most likely source of disability income for John?

Correct AnswerverifiedShow Answer

Which type of health insurance covers diagnosing and treating glaucoma,eyeglasses,and eye surgery?

Correct AnswerverifiedShow Answer

Which one of the following is not a provider of health insurance?

Correct AnswerverifiedShow Answer

Medicaid is financed by both state and federal funds.

Correct AnswerverifiedShow Answer

Which type of insurance is usually bought in combination with hospital and surgical insurance?

Correct AnswerverifiedShow Answer

Generally,disability income policies with longer waiting periods:

Correct AnswerverifiedShow Answer

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Health insurance includes both medical e...
View Answer

Correct Answer
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Correct Answer
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The best way to avoid the high cost of i...
View Answer

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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