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HEALTH INSURANCE FLORIDA 2-40 EXAM LATEST 2026-2027
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
Jamie has a reimbursement type medical expense policy with a
maximum benefit of $500,000. She is hospitalized and incurs
$25,000 in covered medical expenses. What will her policy
provide in coverage?
-$20,000
-$25,000
-$10,000
-$12,500 - ANSWER-$25,000 (Explanation:
A reimbursement type policy will provide coverage for expenses
incurred. In this case that would be the total $25,000.)
Which of the following will not be covered under "Miscellaneous
Expenses" of a hospital expense policy?
-Drugs
-Lab fees
-Daily room and board
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-Use of operating room - ANSWER-Daily room and board
There are three different approaches used by insurers in
providing basic surgical expense coverage and determining the
benefits payable. Which of the following is NOT one of these
approaches?
-Reasonable and customary approach
-Physician schedule approach
-Relative value scale approach
-Surgical schedule approach - ANSWER-Physician schedule
approach
Charlie has a hospital expense policy and a surgical expense
policy. The hospital pays $100 a day for room and board and a
maximum of $1,000 for miscellaneous hospital charges. The
surgical policy pays a maximum of $500 for any one operation. If
Charlie was hospitalized for 10 days and had charges of $200 per
day for room and board, $1,500 for miscellaneous expenses, and
$2,000 for surgical expenses. What will his policies pay of these
expenses?
-$3,500
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-$1,000
-$5,500
-$2,500 - ANSWER-$2,500
(Explanation:
Hospital will pay - $1,000 for room and board ($100 per day
for 10 days) and $1,000 (maximum allowed) for
miscellaneous expenses. Surgical will pay - $500 (maximum
allowed) for surgery)
Once the insured has paid a specified amount of his expenses,
under the stop-loss feature of a health insurance policy, how
much will the company then pay?
-75%
-20%
-80%
-100% - ANSWER-100%
How will the "miscellaneous expenses" benefit be expressed in a
basic health insurance policy?
-Reasonable, usual and customary rates
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-Multiple of daily room and board rate
-Approved charge per day rate
-Percentage of daily room and board rate - ANSWER-Multiple of
daily room and board rate
Roberta has a basic hospital expense policy with a $10,000 limit
for benefits, coordinated with a major medical policy with a $500
corridor deductible and 80/20 coinsurance provision. If she incurs
a loss of $20,000, how much will the insurer pay?
-$17,600
-$18,000
-$11,900
-$2,400 - ANSWER-$17,600
(Explanation:
Total expenses are $20,000. Basic medical will pay the first
$10,000 which leaves $10,000 remaining. Roberta will pay the
first $500 of this $10,000 with $9,500 remaining. Company will
now pay 80% of $9,500 or $7,600. Total company pays will be
$10,000 from the basic medical plus $7,600 from the major
medical = $17,600)
HEALTH INSURANCE FLORIDA 2-40 EXAM LATEST 2026-2027
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
Jamie has a reimbursement type medical expense policy with a
maximum benefit of $500,000. She is hospitalized and incurs
$25,000 in covered medical expenses. What will her policy
provide in coverage?
-$20,000
-$25,000
-$10,000
-$12,500 - ANSWER-$25,000 (Explanation:
A reimbursement type policy will provide coverage for expenses
incurred. In this case that would be the total $25,000.)
Which of the following will not be covered under "Miscellaneous
Expenses" of a hospital expense policy?
-Drugs
-Lab fees
-Daily room and board
,2|Page
-Use of operating room - ANSWER-Daily room and board
There are three different approaches used by insurers in
providing basic surgical expense coverage and determining the
benefits payable. Which of the following is NOT one of these
approaches?
-Reasonable and customary approach
-Physician schedule approach
-Relative value scale approach
-Surgical schedule approach - ANSWER-Physician schedule
approach
Charlie has a hospital expense policy and a surgical expense
policy. The hospital pays $100 a day for room and board and a
maximum of $1,000 for miscellaneous hospital charges. The
surgical policy pays a maximum of $500 for any one operation. If
Charlie was hospitalized for 10 days and had charges of $200 per
day for room and board, $1,500 for miscellaneous expenses, and
$2,000 for surgical expenses. What will his policies pay of these
expenses?
-$3,500
,3|Page
-$1,000
-$5,500
-$2,500 - ANSWER-$2,500
(Explanation:
Hospital will pay - $1,000 for room and board ($100 per day
for 10 days) and $1,000 (maximum allowed) for
miscellaneous expenses. Surgical will pay - $500 (maximum
allowed) for surgery)
Once the insured has paid a specified amount of his expenses,
under the stop-loss feature of a health insurance policy, how
much will the company then pay?
-75%
-20%
-80%
-100% - ANSWER-100%
How will the "miscellaneous expenses" benefit be expressed in a
basic health insurance policy?
-Reasonable, usual and customary rates
, 4|Page
-Multiple of daily room and board rate
-Approved charge per day rate
-Percentage of daily room and board rate - ANSWER-Multiple of
daily room and board rate
Roberta has a basic hospital expense policy with a $10,000 limit
for benefits, coordinated with a major medical policy with a $500
corridor deductible and 80/20 coinsurance provision. If she incurs
a loss of $20,000, how much will the insurer pay?
-$17,600
-$18,000
-$11,900
-$2,400 - ANSWER-$17,600
(Explanation:
Total expenses are $20,000. Basic medical will pay the first
$10,000 which leaves $10,000 remaining. Roberta will pay the
first $500 of this $10,000 with $9,500 remaining. Company will
now pay 80% of $9,500 or $7,600. Total company pays will be
$10,000 from the basic medical plus $7,600 from the major
medical = $17,600)
