chapter 12 (health and disability insurance)
the federal law that allows you to continue health insurance coverage through your former employer's plan for 18 months after you stop work is
COBRA
disability insurance policies usually cover
a percentage of your income before you were diasbled
which of the following is usually not offered as part of a benefits package to employees?
auto insurance
additional types of insurance commonly offered through employers include
dental insurance and vision insurance
patients receive an ________ from the PPO that lists the total charges, the total amount owed to the provider, and the total amount biled to the patient
explanation of benefits
sources of disability income do not include
federal disability insurance
an account that allows employees to use pre-tax income to pay for medical expenses is a
flexible spending account
one disadvantage of a flexible spending account is
funds allocated to the account cannot be rolled over into the next year
medicare basic coverage (part A) covers
hospital expenses, including surgeries
a government program providing health care for those with low incomes or in need of public assistance
medicaid
______ is the government program that provides health insurance to individuals who are 65 years of age or older
medicare
federal program that provides health care to those over 65 who qualify for Social Security benefits
medicare
which of the following is not a true statement
medicare covers most of the expenses associated with long-term care
indemnity health care plans have
more flexibility and choices than managed care plans
which of the following statements regarding health insurance is not true?
there are many more options available for homeowner's insurance than for health insurance.
which of the following is an advantage of a PPO compared to an HMO?
there are more choices of specialized heath care providers
when considering an HMO or PPO, which of the following would you not consider regarding the cost of the plan?
number of doctors accepting new patients
private health insurance plans contain all of the following coverage except
nursing home insurance.
the part of medicare that provides coverage for prescription drugs is
part d
which of the following is true regarding medicare
part of the program is optional and has a charge
an arrangement in which the preferred provider organization (PPO) pays the provider a specific sum for each day a patient is hospitalized is called a
per diem rate arrangment
if a person is diabetic and is applying for a new health care insurance policy, he/she might be most concerned with what
preexisting conditions
which of the following statements about HMO is not true
the health care providers are compensated on the basis of each visit by a patient
the cost of health care has risen dramatically is recent years due to
-people living longer and requiring attention for longer periods of time -the high cost of technology in health care -the bureaucratic processes of reimbursement and claim handling
a prepaid health care plan using a limited number of health care providers
HMO
a managed plan that allows a greater choice of health care provides
PPO
disability insurance would probably cost the most for which of the following people?
a construction worker
which act established provisions that require US citizens to obtain health insurance
affordable care act
which of the following is not true as it relates to the cost of health care?
better claim handling and processing has helped reduce the cost of health care
the nation's largest health care insurer
blue cross
comparing auto insurance and health insurance,
both types of policies have deductibles
long-term care policies
commonly have an elimination period of between 60 and 90 days before the policies will begin to pay
health insurance policies may provide coverage for all of the following except
cosmetic surgery
before you decide to take out an individual disability policy, you should consider all of the following except
cost of gasoline commuting to and from work.
which of the following is not true regarding employer disability insurance?
disability benefits are provided for very long periods, usually up to 30 years.
covers health care expenses incurred by policyholders to limit their potential liabilities and ensure that they will receive the necessary medical care
health insurance
which one of the following benefits is most often available through an employer?
health insurance
a health care plan where individuals pay the provider and then see reimbursement for expenses
indemnity plan
regarding medicaid, which of the following is true
it is a federal program administered by each state
regarding the definition of disability
it varies from on disability policy to another
under a discount on charge arrangement, the provider receives
less than what it would normally charge for a particular service
which of the following statements about the medicare prescription drug improvement and modernization act of 2003 is not true
low-income seniors are subject to a $250 deductible
_____ insurance serves as a backup for expenses not covered by basic health insurance
major medical insurance
in purchasing disability insurance, you should consider all of the following except the
probationary period
indemnity health plans
require you to pay the doctor and then get reimbursed
which statement regarding COBRA is true
the act applies to private firms and agencies of state government but not to federal government agencies
since health insurance is expensive
the employer and employee typically share the cost of the health insurance.
all of the following will lower the premium of long-term care insurance except
waiting until you are retired to obtain the insurance
which of the following is not true regarding government regulations to allow individuals who change jobs to maintain health insurance coverage
when changing jobs, you are allowed to stop and start health care plans whenever you need to and still be guaranteed insurance coverage by a new provider
the definition of disability can be defined as all of the following except
you are unable to perform the duties of your job due to a work-related injury
which of the following statements is not true of disability insurance
you should have it even if you are retired and living on a pension
compared to indemnity plans, what is an advantage of managed health care plans?
you will have lower insurance premiums
regarding a flexible spending account, which of the following is not true
your employer will match your funds dollar-for-dollar
