Kentucky Health Insurance Exams (Latest 2024/ 2025
Updates STUDY PACKAGE WITH COMPLETE
SOLUTIONS) Questions and Verified Answers| 100 %
Correct| Grade A
The primary eligibility requirement for Medicaid Benefits is based upon?
A. Whether the claimant is insurable on the private market
B. Age
C. Number of Dependents
D. Need - ANSWERD. Need
Medicaid is provided to those in need.
If a mother delivers her baby through a C-section, the minimum hospital stay is
A. 24 hours
B. 48 hours
C. 96 hours
D. 120 hours - ANSWERC. 96 hours for C-section, 48 hours for vaginal.
How is Medicare primarily funded?
A. Federal Tax Money
B. Insureds
C. Nonprofit organizations
D. State Tax - ANSWERA. Federal Tax Money
A is supported by Social Security Payroll, Part B is supported by premiums from
Beneficiaries. Some funds come from general tax.
Can an individual who belongs to a POS plan use an out-of-network physician?
A. Yes, and they may use an preferred physician, even if not part of the HMO
b. No
C. Yes, but they must use the POS physician first
D. Yes, but the must use the HMO physician first. - ANSWERA. Yes, the may use a
preferred physician, even if not part of the HMO.
Contracts that are prepared by one party and submitted to the other party on a take-
it-or leave it basis are classified as
A. Binding
B Contacts of Adhesion
C. Unilateral Contracts
D. Aleatory Contracts - ANSWERB. Contracts of Adhesion. Going to adhere to
something that the company says.
Which type of care re-establishes functional use to natural teeth?
A. Functionality
B. Repair
C. Restorative
, D. Fillings - ANSWERC. Restorative . It restores the teeth.
All of the policies of credit life or credit health insurance must be delivered or issues
for delivery in Kentucky only by
A. unlicensed person
B. The Commissioner
C. A separate, third party insurance
D. An insurer authorized to do insurance business, and such policies must be issued
only through holders of licenses issued by the Commissioner. - ANSWERD. An insurer
authorized to do insurance business, and such policies must be issued only through
holders of licenses issued by the Commissioner.
Which of the following will vary the length of the grace period in health insurance?
A. length of time insured
B. The term of policy
C. The mode of the premium payment
D. The length of any elimination period - ANSWERC. The mode of the premium
payment
7 days on a weekly premium, 10 days on a monthly, 31 days on anything more.
How soon following the occurrence of a covered loss must an insured submit written
proof of such loss to the insurance company?
A. as soon as possible
B. Within 20 days
C. Within 60 days
D. Within 90 days or as soon as reasonably possible, but not to exceed 1 year. -
ANSWERD. Within 90 days or as soon as reasonably possible, but not to exceed 1
year.
Under a health insurance policy, benefits, other than deaths benefits, that have not
otherwise been assigned, will be paid to
A. Beneficiary
B. The spouse
C. The Insured
D. The creditors. - ANSWERC. The Insured
------- policies pay for loss of income due to period of disability while --------- policies
cover medical and surgical expenses.
A. Key Person, Extended covered
B. Extended coverage, Key Person
C. Disability Income, Medical Expense
D. Disability Expense, Medical Expense - ANSWERC. Disability Income, Medical
Expense
If an insured is covered on an expense-incurred basis under multiple insurers whom
are not informed about the other sources of coverage before loss then -
ANSWEREach insurer should pay a proportionate share of the claim.
Updates STUDY PACKAGE WITH COMPLETE
SOLUTIONS) Questions and Verified Answers| 100 %
Correct| Grade A
The primary eligibility requirement for Medicaid Benefits is based upon?
A. Whether the claimant is insurable on the private market
B. Age
C. Number of Dependents
D. Need - ANSWERD. Need
Medicaid is provided to those in need.
If a mother delivers her baby through a C-section, the minimum hospital stay is
A. 24 hours
B. 48 hours
C. 96 hours
D. 120 hours - ANSWERC. 96 hours for C-section, 48 hours for vaginal.
How is Medicare primarily funded?
A. Federal Tax Money
B. Insureds
C. Nonprofit organizations
D. State Tax - ANSWERA. Federal Tax Money
A is supported by Social Security Payroll, Part B is supported by premiums from
Beneficiaries. Some funds come from general tax.
Can an individual who belongs to a POS plan use an out-of-network physician?
A. Yes, and they may use an preferred physician, even if not part of the HMO
b. No
C. Yes, but they must use the POS physician first
D. Yes, but the must use the HMO physician first. - ANSWERA. Yes, the may use a
preferred physician, even if not part of the HMO.
Contracts that are prepared by one party and submitted to the other party on a take-
it-or leave it basis are classified as
A. Binding
B Contacts of Adhesion
C. Unilateral Contracts
D. Aleatory Contracts - ANSWERB. Contracts of Adhesion. Going to adhere to
something that the company says.
Which type of care re-establishes functional use to natural teeth?
A. Functionality
B. Repair
C. Restorative
, D. Fillings - ANSWERC. Restorative . It restores the teeth.
All of the policies of credit life or credit health insurance must be delivered or issues
for delivery in Kentucky only by
A. unlicensed person
B. The Commissioner
C. A separate, third party insurance
D. An insurer authorized to do insurance business, and such policies must be issued
only through holders of licenses issued by the Commissioner. - ANSWERD. An insurer
authorized to do insurance business, and such policies must be issued only through
holders of licenses issued by the Commissioner.
Which of the following will vary the length of the grace period in health insurance?
A. length of time insured
B. The term of policy
C. The mode of the premium payment
D. The length of any elimination period - ANSWERC. The mode of the premium
payment
7 days on a weekly premium, 10 days on a monthly, 31 days on anything more.
How soon following the occurrence of a covered loss must an insured submit written
proof of such loss to the insurance company?
A. as soon as possible
B. Within 20 days
C. Within 60 days
D. Within 90 days or as soon as reasonably possible, but not to exceed 1 year. -
ANSWERD. Within 90 days or as soon as reasonably possible, but not to exceed 1
year.
Under a health insurance policy, benefits, other than deaths benefits, that have not
otherwise been assigned, will be paid to
A. Beneficiary
B. The spouse
C. The Insured
D. The creditors. - ANSWERC. The Insured
------- policies pay for loss of income due to period of disability while --------- policies
cover medical and surgical expenses.
A. Key Person, Extended covered
B. Extended coverage, Key Person
C. Disability Income, Medical Expense
D. Disability Expense, Medical Expense - ANSWERC. Disability Income, Medical
Expense
If an insured is covered on an expense-incurred basis under multiple insurers whom
are not informed about the other sources of coverage before loss then -
ANSWEREach insurer should pay a proportionate share of the claim.
