1|Page
PSI LIFE, ACCIDENT, HEALTH PRACTICE
EXAM QUESTIONS WITH QUESTIONS AND
ANSWERS 100% VERIFIED
Managed Care Organizations that offer a Medicare Advantage Plan
require the subscriber to select a _____________ to manage health
care needs. - correct answer_ Primary Care Physician
Originally, Medicare was for U.S. citizens age _______ and over. -
correct answer_ 65
What does the following refer to?
Administered by the state using federal guidelines; funded federally
and by states for poor persons of all ages; for poor persons 65+,
disabled, or blind, may qualify for nursing home benefits - correct
answer_ Medicaid
If a Medicare Supplement policy replaces another Medicare
Supplement policy that has been in force for _____ months or more,
the replacing insurer cannot impose an exclusion or limitation based on
a preexisting condition. - correct answer_ 6
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The __________ enrollment period begins when a person past age 65
who was covered by an employer sponsored group health plan is no
longer covered by the plan (whether the person elects COBRA
continuation or not). - correct answer_ special
Which of these is a Mandatory Uniform Provision?
1
Illegal Occupation
2
Misstatement of Age
3
Conformity with State Statutes
4
Legal Actions - correct answer_ 4
Legal Actions
(the rest are optional provisions)
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This rider will provide paid-up coverage if the insured cancels or lapses
the policy due to nonpayment of premium. - correct answer_
Nonforfeiture
The _________ Enrollment Period provides an open enrollment period
from January 1 to March 31 each year for those who did not enroll in
Medicare Part B when they first became eligible. - correct answer_
General
Medi-Cal expenditures on behalf of persons in institutional settings and
all expenditures on behalf of persons age _____ and older are subject
to 'asset recovery' under federal Medicaid rules following the death of
the individual. - correct answer_ 55
Medicare Part B provides coverage for: - correct answer_ Outpatient
hospital (emergency room/urgent care) treatment
Beth has a contract stating she must be disabled for 3 months before
benefits will begin to be paid. This 3-month period is known as the: -
correct answer_ Elimination Period
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Under the Uniform Individual Accident and Sickness Policy Provisions,
what happens when a health policy contains provisions that have gone
out of compliance because of changes in state law? - correct answer_
The policy will be construed as if it conformed to the law
Under the Entire Contract provision, the agreement between the
insured and the insurer does not include: - correct answer_ Statements
made to the applicant by the producer during the application process
Under the Legal Actions Mandatory Uniform Provision, an insured must
wait at least _____ days after providing proof of loss before he or she
can take legal action against the insurer. - correct answer_ 60 days
With a managed health care plan all _________ care must be covered
as if it were provided on an in-network basis. - correct answer_
emergency
All states have adopted the Uniform Individual Accident and Sickness
Policy Provision Law. If an insurer changes any of these provisions, they
PSI LIFE, ACCIDENT, HEALTH PRACTICE
EXAM QUESTIONS WITH QUESTIONS AND
ANSWERS 100% VERIFIED
Managed Care Organizations that offer a Medicare Advantage Plan
require the subscriber to select a _____________ to manage health
care needs. - correct answer_ Primary Care Physician
Originally, Medicare was for U.S. citizens age _______ and over. -
correct answer_ 65
What does the following refer to?
Administered by the state using federal guidelines; funded federally
and by states for poor persons of all ages; for poor persons 65+,
disabled, or blind, may qualify for nursing home benefits - correct
answer_ Medicaid
If a Medicare Supplement policy replaces another Medicare
Supplement policy that has been in force for _____ months or more,
the replacing insurer cannot impose an exclusion or limitation based on
a preexisting condition. - correct answer_ 6
,2|Page
The __________ enrollment period begins when a person past age 65
who was covered by an employer sponsored group health plan is no
longer covered by the plan (whether the person elects COBRA
continuation or not). - correct answer_ special
Which of these is a Mandatory Uniform Provision?
1
Illegal Occupation
2
Misstatement of Age
3
Conformity with State Statutes
4
Legal Actions - correct answer_ 4
Legal Actions
(the rest are optional provisions)
,3|Page
This rider will provide paid-up coverage if the insured cancels or lapses
the policy due to nonpayment of premium. - correct answer_
Nonforfeiture
The _________ Enrollment Period provides an open enrollment period
from January 1 to March 31 each year for those who did not enroll in
Medicare Part B when they first became eligible. - correct answer_
General
Medi-Cal expenditures on behalf of persons in institutional settings and
all expenditures on behalf of persons age _____ and older are subject
to 'asset recovery' under federal Medicaid rules following the death of
the individual. - correct answer_ 55
Medicare Part B provides coverage for: - correct answer_ Outpatient
hospital (emergency room/urgent care) treatment
Beth has a contract stating she must be disabled for 3 months before
benefits will begin to be paid. This 3-month period is known as the: -
correct answer_ Elimination Period
, 4|Page
Under the Uniform Individual Accident and Sickness Policy Provisions,
what happens when a health policy contains provisions that have gone
out of compliance because of changes in state law? - correct answer_
The policy will be construed as if it conformed to the law
Under the Entire Contract provision, the agreement between the
insured and the insurer does not include: - correct answer_ Statements
made to the applicant by the producer during the application process
Under the Legal Actions Mandatory Uniform Provision, an insured must
wait at least _____ days after providing proof of loss before he or she
can take legal action against the insurer. - correct answer_ 60 days
With a managed health care plan all _________ care must be covered
as if it were provided on an in-network basis. - correct answer_
emergency
All states have adopted the Uniform Individual Accident and Sickness
Policy Provision Law. If an insurer changes any of these provisions, they
