Health and Accident Exam New Jersey QUESTIONS WITH ANSWERS

Health and Accident Exam New |\ |\ |\ |\ |\




Jersey QUESTIONS WITH ANSWERS |\ |\ |\




HIPPA - When can a group policy be denied? - CORRECT
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ANSWERS ✔✔Rules have been violated
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Health savings account owner, what can they not do? - CORRECT
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ANSWERS ✔✔Amount contributed by the employer
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Coordination of benefits - What does it allow? - CORRECT
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ANSWERS ✔✔Allows the secondary payor to reduce their benefits
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payment so no more than 100% of the claim is paid
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Group Health plans may deny someone due to there? - CORRECT
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ANSWERS ✔✔Members part time employment status
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COBRA - CORRECT ANSWERS ✔✔Consolidated Omnibus budget
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Reconciliation Act |\




When determining a pre existing condition applies Ron cannot have
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more than ____ day gap? - CORRECT ANSWERS ✔✔63
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,Credit accident and health plans are designed to? - CORRECT
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ANSWERS ✔✔Help pay off loans during periods of disability
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A group disability income plan that plays tax-free benefits to
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covered employees is considered? - CORRECT ANSWERS ✔✔Fully
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Contributory


An insurer has the right to cover payment made to the insured from
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the negligent party. Those rights are called? - CORRECT ANSWERS
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✔✔Subrogation
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Under COBRA a terminated employee benefits must? - CORRECT
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ANSWERS ✔✔Be the same and premium cannot exceed 102%
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Sole proprietors are permitted tax deductions for health costs paid
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from their earnings, in the amount of? - CORRECT ANSWERS
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✔✔100


Medicaid is intended for who? - CORRECT ANSWERS ✔✔Poor
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People

, Small employers who are sponsored by an insurer to provide group
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benefits to its employers are called? - CORRECT ANSWERS
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✔✔MEWA (Multiple employement welfare association) |\ |\ |\ |\




WHat type of injury would not be covered under a health insurance
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policy? - CORRECT ANSWERS ✔✔Work related
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How much does medicare part B pay for a physician fee? -
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CORRECT ANSWERS ✔✔80% |\ |\




Part A hospital expense coverage provided under medicare is
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automatically made available to each of the following except? - |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



CORRECT ANSWERS ✔✔70 year old not eligible for social security
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The role of federal government was expanded when medicaid was
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established by allowing the state to? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\ |\



✔✔Receive funds to expand public assistance programs |\ |\ |\ |\ |\ |\




How does one become eligible for part D: Prescription drug
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coverage - CORRECT ANSWERS ✔✔Must have medicare coverage
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Which of these will typically authorize treatment from a specialist? -
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CORRECT ANSWERS ✔✔Gatekeeper
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