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