QUESTIONS| 100% CORRECT
Who is the insured under a credit disability policy? Correct Answer: Debtor
What does Medicare Supplement insurance cover? Correct Answer: Part of the cost of certain
hospital and medical services
Which statement is correct in regard to a disability income policy with a 60-day elimination
period? Correct Answer: The insured will be eligible to receive benefits beginning on the 61st
day of disability.
An insured currently has group coverage issued by different health insurance companies. How
will payment for medical expenses typically be handled when both group policies provide
coverage? Correct Answer: Payment will be made in accordance with the policies' coordination
of benefits provisions.
A mandatory second surgical opinion provision typically would encourage all of the following
EXCEPT: Correct Answer: Higher total health plan costs for an employer
Which is required for Medicare coverage of skilled nursing facility care? Correct Answer: The
facility must be approved by Medicare.
Which type of health insurance should be purchased by a person who wants coverage for
hospital bills in the event of accidental injury? Correct Answer: Medical expense
Concurrent review is a form of utilization review that is performed Correct Answer: During the
course of the patient's treatment
Medicaid is funded by state governments and by: Correct Answer: The federal government
For groups with high prior claims experience, an insurer would be likely to: Correct Answer:
Expect high future claims experience
The main intent of the cosmetic surgery exclusion is to bar coverage for: Correct Answer:
Elective surgery
A health maintenance organization (HMO) usually provides all of the following inpatient
hospital services EXCEPT: Correct Answer: Payment for convenience items
When a group health insurance contract covers employees in more than one state, the criteria for
determining in which state the contract may be delivered includes any of the following EXCEPT:
Correct Answer: Where the insurance company is incorporated