Exam 9: Insuring Your Health

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The ACA eliminates lifetime limits on total health care insurance payments by insurers.

(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. -Medicare and Medicaid cover [more | less] than half of the total cost of long-term care.

(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. -In recent years,HMOs have become [more | less] flexible regarding out-of-network coverage.

(Short Answer)
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Typically group health insurance plans provide substantially less comprehensive coverage than the average individually underwritten policy.

(True/False)
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Given a $250 annual deductible,an 80% co-insurance provision,and a $5,000 copayment cap,how much of a $27,500 medical bill will be paid by the insured?

(Multiple Choice)
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Gabe is 58 years old and has been dependent on a cane for a couple of years.Gabe fears that he may need long-term care services some day in the future.His net worth is $400,000 and he receives $50,000 per year in a pension.He considers himself to be in excellent health and has never had a serious health scare like a heart attack,stroke,or cancer.He eats lots of bran and exercises regularly.Which of the following policies would you recommend to Gabe?

(Multiple Choice)
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Living a healthy lifestyle is an example of loss prevention and control.

(True/False)
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Which of the following statements is true about a guaranteed renewable long-term care policy?

(Multiple Choice)
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An Individual Practice Association differs from an HMO in that

(Multiple Choice)
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Comprehensive major medical simply increases the policy limits of major medical insurance without changing the coverage.

(True/False)
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Hospital insurance will pay daily room and board charges up to a specified number of days and reimbursement for ancillary charges up to a specified dollar amount.

(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. -Having your "reasonable and customary" surgical expenses paid is an example of [fee-for-service | scheduled] benefits.

(Short Answer)
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Which of the following is characteristic of social security disability income coverage?

(Multiple Choice)
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Suppose Janet,a skilled neurosurgeon,became unable to perform surgery because of severe arthritis.Which of the following is true?

(Multiple Choice)
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The definition of "disability" is standardized in disability income policies.

(True/False)
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Medicare and Medicaid are hospital and physicians coverage,respectively.

(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. -Medicare would pay [the entire | part of the] hospital bill for a covered person.

(Short Answer)
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Disability income policies usually have ____ that is a time delay from the date of the issuance of the policy until benefit privileges are activated.

(Multiple Choice)
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All of the following except a ____ are highly recommended for a long-term disability income policy.

(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. -The Medicare coinsurance payment is usually [10% | 20%].

(Short Answer)
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