PSI practice health and accident Insurance exam Q&

PSI practice health and accident Insurance exam Q&A which oft he following is a characteristic of preferred provider org (PPO) A: prearranged costs for services rendered B: providers receive a flat montlyh amount for each user C: ability to receive care at the same cost from any provider D: emergency treatment is restricted to pre-select hospitals - CORRECT ANSWER-A: prearranged costs for services rendered how do most disability policies handle the case of a recurrent disability at least 90 days after the first claim: A: it is handled as a continuation of existing claim B: it is excluded from coverage because the benefits have already been paid out C: it must be handled as a new claim for a new period of disability, requiring a new elimination period D: it must be handles as a new claim for a new period of disability, without requiring a new elimination period. - CORRECT ANSWER-D: it must be handles as a new claim for a new period of disability, without requiring a new elimination period. how are issues of amigity usually resolved because insurance contracts are contracts of adhesion: A: in favor of the insured because the insurance company drafts language in the contract B: in favor of the insured bec insurance companies often do not adhere to the more specific contract principles C: in favor of the insurer because most issues arise from misrepresentation on the part of the insured D: in favor of the insurer bec the insured frequently does not adhere to the requirements of the contract - CORRECT ANSWER-C: in favor of the insurer because most issues arise from misrepresentation on the part of the insured what is the difference between copayment and coinsurance: A: a copayment is a set percentage, while coin insurance is a set dollar amount B: a copayment is a set dollar amount, while coininsurance is a percentage C: a copayment is an amount of money that must be paid up front anually before benefits begin D: coin insurance is an amount of money that must be paid up front anually before benefits begin - CORRECT ANSWER-B: a copayment is a set dollar amount, while coininsurance is a percentage which policy provision permits the policyowner to take a specified number of days to examine the contract, and all the cancellation and a full refund if the policyowner rejects the terms or costs: A: exclusions B: free look C: grace period D: insuring clause - CORRECT ANSWER-B: free