Exam 9: Insuring Your Health

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Insurers are required to cover people with pre-existing medical conditions without limiting or setting unrealistically high insurance rates.

(True/False)
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The "O" in COBRA stands for which of the following words?

(Multiple Choice)
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Medicare is a government-sponsored health care plan composed of Part A and Part B.Part B coverage includes

(Multiple Choice)
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HSAs are funded solely by employers,while HRAs are funded solely by employees.

(True/False)
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Nick has a comprehensive health care policy with a $250 per-calendar-year deductible,an 80% co-insurance provision,and a $1,000 copayment cap per calendar year.In January,Nick had a $600 claim for which the insurance company paid $280.Nick experiences another unrelated claim in October resulting in total bills of $5,000.How much will Nick have to pay for the second claim?

(Multiple Choice)
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Bob and Barbara Castle are each 39 years old and have sought your advice with regard to their financial affairs.Bob is a school administrator making $75,000 per year and Barbara is not employed outside of the home.The Castles' net worth is approximately $190,000.They have three kids,ages 6,10,and 14.You have determined that the Castles currently have adequate life,health,auto,and homeowner's insurance.Which of the following forms of insurance is likely to fulfill their highest-priority remaining risk-management need?

(Multiple Choice)
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For most people,a managed care plan is a cheaper option compared to an indemnity plan.

(True/False)
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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].

(Short Answer)
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Choosing insurance plans with deductibles and waiting periods is a form of risk assumption.

(True/False)
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Disability income insurance will provide income to a disabled or ill person

(Multiple Choice)
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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. -[Medicare | Workers' compensation] pays for medical expenses that are the result of on-the-job injuries and job-related illnesses.

(Short Answer)
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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. -Physician's expense insurance [would | would not] pay for the cost of a routine office call.

(Short Answer)
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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. -The ["own occupation" | "any occupation"] definition of disability is more restrictive.

(Short Answer)
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You have a better chance of choosing your own doctor with a PPO than with an HMO.

(True/False)
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Activities of daily living (ADLs)are important in determining ____ for long-term care insurance.

(Multiple Choice)
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When trying to determine your disability income needs,you should consider available sick leave,income needs,and

(Multiple Choice)
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As an HMO member,you may have co-payments but no deductibles.

(True/False)
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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. -One difference between health maintenance organizations (HMOs)and individual practice associations (IPAs)is that [HMOs cost much less | IPAs do not provide services from a central location].

(Short Answer)
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The United States spends about ___ the average of other rich economies on health care.

(Multiple Choice)
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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.

(Short Answer)
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