Exam 9: Insuring Your Health

INSTRUCTIONS: 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. Surgical expense insurance will pay for cosmetic surgery [ if so desired by the insured  | if deemed medically necessary ].

Which of the following statements about disability income insurance is true?

Blue Cross/Blue Shield payments for health care services are made directly to the subscriber rather than to the hospital or physician.

An exclusive provider organization (EPO) is a:

INSTRUCTIONS: 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. Most commonly, the deductible in a health insurance policy is on a [ calendar-year | per-incident ] basis.

A preferred provider organization (PPO) has characteristics of both an individual practice association (IPA) and an indemnity plan.

INSTRUCTIONS: 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. Your health insurance will usually pay [ the same | less ] for mental health problems compared to physical problems.

In addition to financing medical expenses, lost income, and replacement services, a good health insurance plan incorporates:

A coordination of benefits provision in a health insurance policy _____ by collecting benefits from more than one policy.

Which of the following is a public assistance program that provides health insurance benefits only to those who are unable to pay for health care?

Ben (age 40) pays a low ($15) co-payment each time he visits a doctor or hospital. Other than the low per-service deductible, there is very little cost sharing. However, Ben has a relatively low deductible, has no exclusions, and does not have to file insurance claims. Which of the following most likely provides Ben's health coverage?

INSTRUCTIONS: 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. [ Men | Women ] are more likely to need long-term care.

Medicare's supplementary medical insurance (SMI) provides health care protection beyond the basic hospital coverage for:

INSTRUCTIONS: 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. All Medicare recipients are eligible for [ Part C | Part D ].

Which of the following statements regarding the Patient Protection and Affordable Care Act (ACA) is true?

Living a healthy lifestyle is an example of loss prevention and control.

Which of the following statements regarding long-term-care insurance is true?

An elimination period is the number of days that must pass after you meet the eligibility requirements before your policy pays the benefits.

Which of the following statements regarding medical insurance costs in the United States is true?

INSTRUCTIONS: 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 [ flexible spending account (FSA) | health savings account (HSA) ] is a tax-free savings account-funded by employees, employers, or both-to spend on routine medical costs.