Health Insurance Pt 2
Which statement describes states' administration of Medicaid? - ANSMedicaid services vary
from state to state.
If assets exceed the allowable limits for Medicaid, an applicant must reduce them to become
eligible for Medicaid assistance, a practice that is known as: - ANSspending down
When a person applies for Medicaid, the limits and the types of income and assets counted vary
depending on: - ANSwhether the applicant has a spouse who needs support
Adam is a Medicare beneficiary and enrolled in his state's Medicaid program. When he submits
a claim for covered services to both, how will Medicare and Medicaid pay the claim? -
ANSMedicare will be the primary insurer, and Medicaid will be the secondary insurer.
Long-term care insurance policies commonly define benefits as: - ANSflat daily amounts
Which is NOT an optional benefit commonly available with long-term care insurance policies? -
ANSsubstance abuse coverage
Which level of long-term care can be provided in assisted living facilities, adult day-care centers,
respite centers, or a person's home? - ANScustodial care
Which statement is correct about the need for long-term care insurance? - ANSThe costs of
long-term care services are often more than one person or couple can afford.
Who establishes the standards of eligibility for employee participation in an employer's group
health plan? - ANSemployer
By providing a schedule of benefits that does not allow individual selection of coverage and
benefits, a group health plan: - ANSavoids adverse selection
A company's group health plan specifies that if the insured is eligible for benefits under another
policy, the plan will be the primary plan. Which provision does this? - ANScoordination of
benefits
Which statement is correct about the waiting period in a group health insurance plan? - ANSAll
potential participants must have the same waiting period.
ABC Company ends its group health plan with one insurer and buys another plan from another
insurer. What happens to the deductibles and coinsurance payments that ABC's employees
made under the previous plan? - ANSThe new insurer applies a portion of them to the new plan.
Which statement describes states' administration of Medicaid? - ANSMedicaid services vary
from state to state.
If assets exceed the allowable limits for Medicaid, an applicant must reduce them to become
eligible for Medicaid assistance, a practice that is known as: - ANSspending down
When a person applies for Medicaid, the limits and the types of income and assets counted vary
depending on: - ANSwhether the applicant has a spouse who needs support
Adam is a Medicare beneficiary and enrolled in his state's Medicaid program. When he submits
a claim for covered services to both, how will Medicare and Medicaid pay the claim? -
ANSMedicare will be the primary insurer, and Medicaid will be the secondary insurer.
Long-term care insurance policies commonly define benefits as: - ANSflat daily amounts
Which is NOT an optional benefit commonly available with long-term care insurance policies? -
ANSsubstance abuse coverage
Which level of long-term care can be provided in assisted living facilities, adult day-care centers,
respite centers, or a person's home? - ANScustodial care
Which statement is correct about the need for long-term care insurance? - ANSThe costs of
long-term care services are often more than one person or couple can afford.
Who establishes the standards of eligibility for employee participation in an employer's group
health plan? - ANSemployer
By providing a schedule of benefits that does not allow individual selection of coverage and
benefits, a group health plan: - ANSavoids adverse selection
A company's group health plan specifies that if the insured is eligible for benefits under another
policy, the plan will be the primary plan. Which provision does this? - ANScoordination of
benefits
Which statement is correct about the waiting period in a group health insurance plan? - ANSAll
potential participants must have the same waiting period.
ABC Company ends its group health plan with one insurer and buys another plan from another
insurer. What happens to the deductibles and coinsurance payments that ABC's employees
made under the previous plan? - ANSThe new insurer applies a portion of them to the new plan.
