Exam 6: Health: Theory in Life Insurance

One of the largest health care systems is operated by the Department of Defense. Which of the following programs offers HMO-style care through a primary care manager?

Which TRICARE program offers a network of civilian hospitals or clinics that have agreed to charge an approved rate?

Which of the following is not a means of including an accidental death and dismemberment benefit?

Which of the following is not a managed care plan?

Why would a provider agree to be part of a preferred provider organization?

What kind of policy would pay expenses incurred for in-hospital medical treatment as well as some of the expenses that are incurred on an outpatient basis?

What type of insurance benefit should Laura look for if she wants to make sure both in-hospital and outpatient expenses are covered?

Andrew has a PPO through Acme. The list of preferred providers does not include his primary care physician. If Andrew continues to see this doctor, what will happen?

Which of the following is not an advantage of self-insurance?

If a provider is paid a specific monthly fee for each subscriber to the plan, this is known as:

As another option to managed care, point-of-service plans provide:

What type of benefit pays monthly or weekly for disabilities due to accident or sickness?

Which worker's compensation benefit is usually paid in addition to other included benefits?

For military individuals who want to use civilian doctors, which would be the best option?

When an individual is recuperating at home and receiving income based on a disability from illness or injury, what type of policy might they have?

What is an exclusive provider organization?

Dental insurance is usually sold

Which of the following would not be included in rehabilitation benefits?

What is the purpose of long term care insurance?

When employees select health benefits from a variety of coverage options, this is called what?