Question 1

In the jargon of the insurance industry,"UCR" stands for

Accepted Answer

A)  Urgent Care Reimbursement.
B)  Usual Customary and Reasonable.
C)  Usual Care Reimbursement.
D)  Usual Customary and Responsible.

Question 2

The federal government is the primary provider of insurance for those aged 65 and older.

Accepted Answer

A) True 
 B)False

Question 3

With "managed care" your primary care physician ensures that you receive medical care in the most efficient and inexpensive way.

Accepted Answer

A) True 
 B)False

Question 4

If you need individual coverage,a good way of holding down your insurance costs would be to

Accepted Answer

A)  purchase only accident insurance.
B)  purchase accident insurance supplemented by policies for specific catastrophic diseases such as cancer.
C)  purchase a comprehensive health care policy.
D)  purchase major medical insurance with high deductibles.

Question 5

Disability income insurance typically provides the insured with

Accepted Answer

A)  medical payments coverage.
B)  protection against loss of income (typically at no more than 60-70% of current income) .
C)  protection against loss of income and complete medical insurance coverage.
D)  protection against loss of income (typically at about 100% of current income) .

Question 6

Dental surgery to correct birth deformities or injuries is usually included under your basic health care insurance.

Accepted Answer

A) True 
 B)False

Question 7

Through the use of a medical directive,you can indicate the type of life support you are willing to receive when you are no longer able to speak for yourself.

Accepted Answer

A) True 
 B)False

Question 8

Employer sponsored group health care insurance

Accepted Answer

A)  is typically poor coverage requiring supplemental private insurance.
B)  generally provides employees with no control over their health care coverage.
C)  usually provides the employee with a choice of two or more health care alternatives.
D)  is almost always entirely paid for through employee paid premiums.

Question 9

An HMO typically covers

Accepted Answer

A)  a portion of your medical expenses,the balance being covered by Blue Cross/Blue Shield.
B)  all your medical expenses with the exception of certain deductibles.
C)  both life and health insurance.
D)  only specified illness and accidents.

Question 10

Medigap insurance fills the gap between expenses that re covered by medicaid and those that are not.

Accepted Answer

A) True 
 B)False  False

Question 11

The definition of disability in the insurance contract may depend upon the duration of the disability.

Accepted Answer

A) True 
 B)False

Question 12

Hospital indemnity insurance pays you a set daily amount regardless of your actual expenses.

Accepted Answer

A) True 
 B)False

Question 13

You are more likely to receive private disability benefits than Social Security disability benefits for a given illness or injury.

Accepted Answer

A) True 
 B)False

Question 14

HMOs provide only minimal basic health care coverage.

Accepted Answer

A) True 
 B)False  False

Question 15

Major medical only reimburses for hospital and medical expenses.

Accepted Answer

A) True 
 B)False

Question 16

In a managed health care program,

Accepted Answer

A)  you put together your own health care network.
B)  you are provided quality care at typically high cost.
C)  your primary care physician serves as the gatekeeper to your health care network.
D)  government regulations determine the provision of medical services.

Question 17

Those insurance plans offering a preferred provider typically

Accepted Answer

A)  do not provide any reimbursement for participants using non-PPO services.
B)  provide partial reimbursement for participants using non-PPO services.
C)  have been forced to provide full reimbursement for non-PPO services under state laws.
D)  have been forced to provide full reimbursement for non-PPO services under the National Health Maintenance Act.

Question 18

Major medical coverage usually begins only after your health care expenditures exceed a rather large deductible.

Accepted Answer

A) True 
 B)False

Question 19

Under a traditional comprehensive health insurance,long-term care coverage typically includes

Accepted Answer

A)  only custodial care.
B)  only non-skilled nursing care.
C)  only skilled nursing care.
D)  all of the above C

Question 20

The waiting period for health care insurance is the period between

Accepted Answer

A)  when you apply for membership and when you are admitted into the plan.
B)  when you pay your first premium and your plan coverage begins.
C)  when you enter an insurance plan and when the costs of a pre-existing illness are covered.
D)  when you incur a medical expense and you receive reimbursement for the expense.

Exam 14: Health Care and Disability Insurance: Protecting Your Earning Capacity

In the jargon of the insurance industry,"UCR" stands for

Correct AnswerverifiedShow Answer

The federal government is the primary provider of insurance for those aged 65 and older.

Correct AnswerverifiedShow Answer

With "managed care" your primary care physician ensures that you receive medical care in the most efficient and inexpensive way.

Correct AnswerverifiedShow Answer

If you need individual coverage,a good way of holding down your insurance costs would be to

Correct AnswerverifiedShow Answer

Disability income insurance typically provides the insured with

Correct AnswerverifiedShow Answer

Dental surgery to correct birth deformities or injuries is usually included under your basic health care insurance.

Correct AnswerverifiedShow Answer

Through the use of a medical directive,you can indicate the type of life support you are willing to receive when you are no longer able to speak for yourself.

Correct AnswerverifiedShow Answer

Employer sponsored group health care insurance

Correct AnswerverifiedShow Answer

An HMO typically covers

Correct AnswerverifiedShow Answer

Medigap insurance fills the gap between expenses that re covered by medicaid and those that are not.

Correct AnswerverifiedFalse

The definition of disability in the insurance contract may depend upon the duration of the disability.

Correct AnswerverifiedShow Answer

Hospital indemnity insurance pays you a set daily amount regardless of your actual expenses.

Correct AnswerverifiedShow Answer

You are more likely to receive private disability benefits than Social Security disability benefits for a given illness or injury.

Correct AnswerverifiedShow Answer

HMOs provide only minimal basic health care coverage.

Correct AnswerverifiedFalse

Major medical only reimburses for hospital and medical expenses.

Correct AnswerverifiedShow Answer

In a managed health care program,

Correct AnswerverifiedShow Answer

Those insurance plans offering a preferred provider typically

Correct AnswerverifiedShow Answer

Major medical coverage usually begins only after your health care expenditures exceed a rather large deductible.

Correct AnswerverifiedShow Answer

Under a traditional comprehensive health insurance,long-term care coverage typically includes

Correct AnswerverifiedC

The waiting period for health care insurance is the period between

Correct AnswerverifiedShow Answer

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False

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False

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C

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