Chapter exam medical expense insurance

Deductibles are used in health policies to lower

overuse of medical services

All of the following statements about major medical benefits are true except

Benefits have no maximum limit

Which of the following policy features allows an insured to defer current house charges to the following year deductible instead of the current years deductible

Carryover provision

A prospective insured complete and signed an application for health insurance but intentionally conceals information about a pre-existing heart condition the company issued the policy two months later the insured suffered a heart attack and submit a claim while processing the claim the company discovers a pre-existing condition in the situation the company will

Continue coverage but exclude the heart condition

Which of the following best describes a hospital indemnity policy

Coverage that pays a stated amount per day of a covered hospitalization

S wants to open a tax exempt health savings account to qualify for this type of account federal law dictate the ass must be in rolled in a

High deductible health plan

For which of the following expenses as a basic hospital policy pay

Hospital room and board

Comprehensive major medical policy is usually combine

Major medical with basic hospital/surgical coverage

Which provision allows a portion of any use medical benefits to be restored following a particular amount of benefits has been used or after the policy has been in effect for a particular period of time

Restoration of used benefits

Which of the following statements best describes dental care indemnity coverage

Services are reimbursed after insurer receives the invoice

Which of the following statements best to find usual customer and reasonable UCR charges

The maximum amount considered eligible for reimbursement by insurance company under a healthy plant

In order to establish a health reimbursement arrangement HRA it must

be established by the employer

This type of a deductible provision states that should more than one family member be involved in a common accent or suffer the same illness only one individual deductible amount shall be applied

Common accident deductible

What type of policy will only provide coverage for specific types of illness cancer stroke etc.

Dreaded disease insurance

She was treated for an ailment two months prior to applying for health insurance policy this condition was noted on the application in the policy was issued shortly afterwards I will be insure likely consider this condition

Insurer will likely treat as a pre-existing condition which may not be covered for one year

Which of the following is not a limited benefit plan

Life insurance policies

Which of the following services is not included under hospitalization expense coverage

Surgical fees

A health reimbursement arrangement must be established

by the employer

Basic Medical Expense Insurance

has lower benefit limits than Major Medical insurance