HEALTH INSURANCE FLORIDA 2-40 PRACTICE EXAM
QUESTIONS #3 - MEDICAL EXPENSES
A) Basic Hospital/Surgical and Major Medical - Answer -Comprehensive Medical
Expense Insurance combines which of the following coverage in one policy:
A) Basic Hospital/Surgical and Major Medical
B) Disability Income and Accidental Death and Dismemberment
C) Disability Income and Basic Hospital/Surgical
D) Major Medical and Accidental Death and Dismemberment
B) The amount paid will be reduced - Answer -If the client goes out of the network for
services on a PPO:
A) There is no coverage
B) The amount paid will be reduced
C) The PPO coverage is excess
D) Out of pocket expenses are negotiated
C) Provide coverage - Answer -Third party administrator (TPAs) do all of the following
EXCEPT:
A) Marketing
B) Underwriting
C) Provide coverage
D) Claims processing
B) Comprehensive Medical Expense - Answer -Which type of insurance policy
combines several types of benefits and provides more coverage than any of the others?
A) Hospital Expense
B) Comprehensive Medical Expense
C) Major Medical
D) Surgical Expense
A) They may only be started by hospitals - Answer -All are true about Preferred
Provider Organizations (PPOs), EXCEPT:
A) They may only be started by hospitals
B) Coverage may be reduced for out-of-network services
C) They may be started by insurance companies in order to compete with HMOs
D) Clients are known as subscribers
B) Hearing loss exams for adults - Answer -HMOs generally provide preventative care
in all of the following areas EXCEPT:
A) Well baby care
QUESTIONS #3 - MEDICAL EXPENSES
A) Basic Hospital/Surgical and Major Medical - Answer -Comprehensive Medical
Expense Insurance combines which of the following coverage in one policy:
A) Basic Hospital/Surgical and Major Medical
B) Disability Income and Accidental Death and Dismemberment
C) Disability Income and Basic Hospital/Surgical
D) Major Medical and Accidental Death and Dismemberment
B) The amount paid will be reduced - Answer -If the client goes out of the network for
services on a PPO:
A) There is no coverage
B) The amount paid will be reduced
C) The PPO coverage is excess
D) Out of pocket expenses are negotiated
C) Provide coverage - Answer -Third party administrator (TPAs) do all of the following
EXCEPT:
A) Marketing
B) Underwriting
C) Provide coverage
D) Claims processing
B) Comprehensive Medical Expense - Answer -Which type of insurance policy
combines several types of benefits and provides more coverage than any of the others?
A) Hospital Expense
B) Comprehensive Medical Expense
C) Major Medical
D) Surgical Expense
A) They may only be started by hospitals - Answer -All are true about Preferred
Provider Organizations (PPOs), EXCEPT:
A) They may only be started by hospitals
B) Coverage may be reduced for out-of-network services
C) They may be started by insurance companies in order to compete with HMOs
D) Clients are known as subscribers
B) Hearing loss exams for adults - Answer -HMOs generally provide preventative care
in all of the following areas EXCEPT:
A) Well baby care
