Exam 9: Insuring Your Health

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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 Advantage policies require payment from the policyholder in the form of [deductibles and coinsurance | copayments].

(Short Answer)
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In recent years,which of the following groups paid the largest percentage of national health care expenditures?

(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. -Unhealthy lifestyles can contribute to more than [40 | 60] percent of all diagnosed illnesses.

(Short Answer)
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Hospital expense coverage is adequate for long-term or catastrophic medical needs of most people.

(True/False)
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Medicare Advantage plans are administered by the government and supplementary to original Medicare.

(True/False)
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____ are required by many insurance plans to reduce the number of unnecessary surgeries.

(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. -When purchasing a long-term care policy,the [guaranteed renewability | optional renewability] provision is recommended.

(Short Answer)
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An elimination period in disability income insurance is most closely analogous to which of the following cost-sharing provisions in health insurance?

(Multiple Choice)
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Which of the following best describes a custodial care facility?

(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. -You would be more likely to receive [70 | 90] percent of your pre-disability income from a disability income policy.

(Short Answer)
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Blue Cross provides hospital coverage and Blue Shield provides prescription pharmacy coverage.

(True/False)
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A preferred provider organization has characteristics of both an IPA and 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. -One complaint about HMOs in the past,as compared to traditional indemnity plans,is that [the cost was expensive | members couldn't always choose their physicians].

(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. -Workers' compensation insurance makes payments to an injured worker [if he has been hurt on the job | only if he can prove negligence on the part of his employer].

(Short Answer)
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Most people do not need protection against

(Multiple Choice)
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Many health insurance policies offer only reduced benefits for treatment of mental disorders.

(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. -Disability income benefits are taxable when the policy premiums were paid by the [employer | employee].

(Short Answer)
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Long-term care insurance can cover both nursing home and home health care.

(True/False)
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Some surgical expense insurance pays a specific amount for each type of surgery listed on a schedule of benefits.

(True/False)
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A "coordination of benefits" provision in a health insurance policy may possibly provide which of the following benefits?

(Multiple Choice)
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