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
