Question 1

Which type of health insurance pays part or all of the surgeon's fee for an operation?

Accepted Answer

A)   Surgical expense
B)   Hospital expense
C)   Physician's expense
D)   Long-term care
E)   Medicare Part BF) B) and D)
G) C) and D)

Question 2

Preferred Provider Organizations combine the best elements of the fee-for-service and HMO systems.

Accepted Answer

A) True 
 B)False

Question 3

Which type of health insurance policy may not cover all of your health insurance needs or may deny benefits if you lose your job?

Accepted Answer

A)   Group health
B)   Individual health
C)   Medicare
D)   Medicaid
E)   Private disability incomeF) B) and C)
G) C) and D)

Question 4

Identify the main private sources of health care insurance.

Accepted Answer

Health insurance and health care is avai...

Question 5

Once a person is eligible, Medicaid provides more benefits than does Medicare.

Accepted Answer

A) True 
 B)False

Question 6

Title XIX of the Social Security Act provides for a program of medical assistance to certain low-income individuals and families.

Accepted Answer

A) True 
 B)False

Question 7

Which of the following is not a key provision of the Patient Protection and Affordable Care Act of 2010?

Accepted Answer

A)   Offers tax credits for small businesses to make employee coverage more affordable
B)   Eliminates co-payments for preventive services
C)   Encourages insurance companies to drop people from coverage when they get sick
D)   Restricts the annual limits to ensure access to needed care in all plans
E)   Increases funds for Community Health CentersF) C) and E)
G) B) and C)

Question 8

A hospital indemnity policy pays benefits only when you are hospitalized and only to the hospital where the care was provided.

Accepted Answer

A) True 
 B)False

Question 9

A stop-loss provision requires the policyholder to pay up to a certain amount, after which the insurance company pays 100 percent of all remaining covered expenses.

Accepted Answer

A) True 
 B)False

Question 10

In 2012, the highest percentage of health care dollars went toward which category?

Accepted Answer

A)   Physical/clinical services
B)   Hospital care
C)   Prescription drugs
D)   Home health
E)   Nursing home careF) C) and E)
G) D) and E)

Question 11

Nathanial Drummond has three different insurance policies. He has been injured in an accident and has incurred $30,000 in medical bills. There is a clause in all of his insurance contracts that ensures he receives no more than a total of $30,000 in payments from his insurance companies. What is this clause called?

Accepted Answer

A)   Coordination of benefits
B)   Deductible
C)   Coinsurance
D)   Stop-loss provision
E)   Waiver of premiumF) B) and D)
G) None of the above

Question 12

Medicaid differs from Medicare because eligibility for Medicaid depends on having very low income and assets.

Accepted Answer

A) True 
 B)False

Question 13

John Gleason is permanently disabled while on the job. Which of the following is the most likely source of disability income for John?

Accepted Answer

A)   His employer
B)   Social Security
C)   Worker's compensation
D)   An individual insurance policy
E)   His health insurance policyF) A) and B)
G) B) and E)

Question 14

Health insurance includes both medical expense insurance and disability income insurance.

Accepted Answer

A) True 
 B)False

Question 15

Medicare Supplement insurance is a government-sponsored program.

Accepted Answer

A) True 
 B)False

Question 16

Medicare covers routine checkups, dental care, most immunizations, cosmetic surgery, routine foot care, eyeglasses, and hearing aids.

Accepted Answer

A) True 
 B)False

Question 17

According to your textbook, supplemental hospital indemnity plans:

Accepted Answer

A)   are almost always excellent buys.
B)   should be purchased at an early age.
C)   do not justify the premium cost.
D)   should be purchased only by older people.
E)   are meant for couples with two or three children.F) B) and C)
G) C) and E)

Question 18

The Affordable Health Act of 2010 requires new health plans to allow young people to remain on their parents' insurance policy until what age?

Accepted Answer

A)   23
B)   24
C)   25
D)   26
E)   27F) B) and E)
G) None of the above

Question 19

Each year, Sophie Bennett must pay $500 for doctor's visits before her insurance company will make any payments for doctor's visits. What is this requirement called?

Accepted Answer

A)   Coordination of benefits
B)   Deductible
C)   Coinsurance
D)   Stop-loss provision
E)   Waiver of premiumF) A) and D)
G) B) and C)

Question 20

Medicare hospital insurance (Part A) is financed from a portion of the Social Security tax.

Accepted Answer

A) True 
 B)False

Exam 11: Health, Disability, and Long-Term Care Insurance

Which type of health insurance pays part or all of the surgeon's fee for an operation?

Correct Answer
verified

Medicare covers routine checkups, dental care, most immunizations, cosmetic surgery, routine foot care, eyeglasses, and hearing aids.

Correct Answer
verified

John Gleason is permanently disabled while on the job. Which of the following is the most likely source of disability income for John?

Correct Answer
verified

Which of the following is not a key provision of the Patient Protection and Affordable Care Act of 2010?

Correct Answer
verified

In 2012, the highest percentage of health care dollars went toward which category?

Correct Answer
verified

Each year, Sophie Bennett must pay $500 for doctor's visits before her insurance company will make any payments for doctor's visits. What is this requirement called?

Correct Answer
verified

A stop-loss provision requires the policyholder to pay up to a certain amount, after which the insurance company pays 100 percent of all remaining covered expenses.

Correct Answer
verified

Preferred Provider Organizations combine the best elements of the fee-for-service and HMO systems.

Correct Answer
verified

Medicaid differs from Medicare because eligibility for Medicaid depends on having very low income and assets.

Correct Answer
verified

A hospital indemnity policy pays benefits only when you are hospitalized and only to the hospital where the care was provided.

Correct Answer
verified

Medicare Supplement insurance is a government-sponsored program.

Correct Answer
verified

Once a person is eligible, Medicaid provides more benefits than does Medicare.

Correct Answer
verified

Health insurance includes both medical expense insurance and disability income insurance.

Correct Answer
verified

According to your textbook, supplemental hospital indemnity plans:

Correct Answer
verified

The Affordable Health Act of 2010 requires new health plans to allow young people to remain on their parents' insurance policy until what age?

Correct Answer
verified

Which type of health insurance policy may not cover all of your health insurance needs or may deny benefits if you lose your job?

Correct Answer
verified

Identify the main private sources of health care insurance.

Correct Answer
verified
Health insurance and health care is avai...
View Answer

Title XIX of the Social Security Act provides for a program of medical assistance to certain low-income individuals and families.

Correct Answer
verified

Medicare hospital insurance (Part A) is financed from a portion of the Social Security tax.

Correct Answer
verified

Correct Answer
verified

Exam 11: Health, Disability, and Long-Term Care Insurance

Which type of health insurance pays part or all of the surgeon's fee for an operation?

Correct AnswerverifiedShow Answer

Medicare covers routine checkups, dental care, most immunizations, cosmetic surgery, routine foot care, eyeglasses, and hearing aids.

Correct AnswerverifiedShow Answer

John Gleason is permanently disabled while on the job. Which of the following is the most likely source of disability income for John?

Correct AnswerverifiedShow Answer

Which of the following is not a key provision of the Patient Protection and Affordable Care Act of 2010?

Correct AnswerverifiedShow Answer

In 2012, the highest percentage of health care dollars went toward which category?

Correct AnswerverifiedShow Answer

Each year, Sophie Bennett must pay $500 for doctor's visits before her insurance company will make any payments for doctor's visits. What is this requirement called?

Correct AnswerverifiedShow Answer

A stop-loss provision requires the policyholder to pay up to a certain amount, after which the insurance company pays 100 percent of all remaining covered expenses.

Correct AnswerverifiedShow Answer

Preferred Provider Organizations combine the best elements of the fee-for-service and HMO systems.

Correct AnswerverifiedShow Answer

Medicaid differs from Medicare because eligibility for Medicaid depends on having very low income and assets.

Correct AnswerverifiedShow Answer

A hospital indemnity policy pays benefits only when you are hospitalized and only to the hospital where the care was provided.

Correct AnswerverifiedShow Answer

Medicare Supplement insurance is a government-sponsored program.

Correct AnswerverifiedShow Answer

Once a person is eligible, Medicaid provides more benefits than does Medicare.

Correct AnswerverifiedShow Answer

Health insurance includes both medical expense insurance and disability income insurance.

Correct AnswerverifiedShow Answer

According to your textbook, supplemental hospital indemnity plans:

Correct AnswerverifiedShow Answer

The Affordable Health Act of 2010 requires new health plans to allow young people to remain on their parents' insurance policy until what age?

Correct AnswerverifiedShow Answer

Which type of health insurance policy may not cover all of your health insurance needs or may deny benefits if you lose your job?

Correct AnswerverifiedShow Answer

Identify the main private sources of health care insurance.

Correct AnswerverifiedHealth insurance and health care is avai...View AnswerShow Answer

Title XIX of the Social Security Act provides for a program of medical assistance to certain low-income individuals and families.

Correct AnswerverifiedShow Answer

Medicare hospital insurance (Part A) is financed from a portion of the Social Security tax.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
Health insurance and health care is avai...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified