Health Insurance Quiz

<p>His lost income (D)</p> Signup and view all the answers

<p>Disability income insurance (A)</p> Signup and view all the answers

<p>$4,800 (D)</p> Signup and view all the answers

<p>More advantageous to the insurer (A)</p> Signup and view all the answers

<p>Schedule of Benefits (B)</p> Signup and view all the answers

<p>Residual disability (C)</p> Signup and view all the answers

<p>There are no schedules in a Major Medical Policy. (A)</p> Signup and view all the answers

<p>Surgical expense policy (A)</p> Signup and view all the answers

<p>A benefit payment from a Hospital Income Policy. (A)</p> Signup and view all the answers

<p>$1,400 (A)</p> Signup and view all the answers

<p>Only one deductible applies per claim despite multiple injuries. (A)</p> Signup and view all the answers

<p>He was overcharged for services rendered. (A)</p> Signup and view all the answers

<p>$3,400 (D)</p> Signup and view all the answers

<p>To offer increased assistance for medical needs to those unable to pay (D)</p> Signup and view all the answers

<p>Acute care (A)</p> Signup and view all the answers

<p>Hospital Insurance (B)</p> Signup and view all the answers

<p>Offer Plan A if they sell any of the other plans (C)</p> Signup and view all the answers

<p>Covers various care services provided outside of hospital acute care units (D)</p> Signup and view all the answers

<p>A sanitarium for weight loss (D)</p> Signup and view all the answers

<p>Nonoccupational injuries (C)</p> Signup and view all the answers

<p>Respite Care (B)</p> Signup and view all the answers

<p>Custodial Care Facility - care given without the supervision of an R.N. (B)</p> Signup and view all the answers

<p>A condition for which advice or treatment was received within 6 months of coverage (C)</p> Signup and view all the answers

<p>It limits coverage to only skilled nursing care for a certain number of days (B)</p> Signup and view all the answers

<p>Allowing for caregiver relief (D)</p> Signup and view all the answers

<p>Adult Day Care (C)</p> Signup and view all the answers

<p>Supplemental Security Income (C)</p> Signup and view all the answers

<p>Age of the insured (A)</p> Signup and view all the answers

<p>Providing comfort for terminal illnesses (A)</p> Signup and view all the answers

<p>They must cover pre-existing conditions from the start date of the policy. (A)</p> Signup and view all the answers

<p>Send a signed form to the company explaining why coverage could not be placed. (A)</p> Signup and view all the answers

<p>Hospitalization care (B)</p> Signup and view all the answers

<p>Respite care (C)</p> Signup and view all the answers

<p>Custodial care (C)</p> Signup and view all the answers

<p>59 1/2 years (D)</p> Signup and view all the answers

<p>Anyone qualifying for Medicaid benefits (C)</p> Signup and view all the answers

<p>Automatically reflect changes in Medicare policies. (A)</p> Signup and view all the answers

<p>90 days (A)</p> Signup and view all the answers

<p>Benefits will be reduced to reflect premiums that would have been charged. (D)</p> Signup and view all the answers

<p>The policy may be cancelled if not notified. (B)</p> Signup and view all the answers

<p>Intoxicants and Narcotics (D)</p> Signup and view all the answers

<p>They are included at the insurer's option and must comply with state regulations. (D)</p> Signup and view all the answers

<p>The claim will be denied due to the illegal act. (C)</p> Signup and view all the answers

<p>They may apply for a rate reduction. (A)</p> Signup and view all the answers

<p>It could result in the policy being cancelled. (B)</p> Signup and view all the answers

A type of medical expense policy that pays a fixed amount daily, weekly, or monthly for hospitalization, regardless of the actual expenses incurred.

A type of medical expense policy designed to cover high costs associated with specific illnesses, like cancer or heart disease.

A disability income policy that defines total disability as the insured's inability to perform their own occupation. It is more advantageous to the insured than an "any occupation" policy, but also more expensive.

Disability income insurance provides payments to replace lost income due to a disability, allowing the insured to maintain their standard of living.

A provision in a medical expense policy where only one deductible applies per claim, even if multiple people are injured in the same accident.

The amount of medical expenses the insured is responsible for paying before the insurance policy kicks in.

The percentage of medical expenses that the insurer pays after the deductible is met.

A list of medical expenses and the amount the insurer will pay for each.

A medical expense policy that provides coverage for catastrophic health losses with a lifetime maximum limit.

A type of medical expense policy that pays a fixed amount for a specific type of medical expense, such as hospitalization, regardless of the actual cost incurred.

A situation where the insured receives a payment from their health policy, usually for hospitalization.

Medicare Supplement policies are offered by insurance companies that are affiliated with Medicare and are designed to cover the deductibles and co-insurance that Medicare doesn't cover.

These policies are available to individuals aged 59 1/2 or older without requiring proof of insurability. This means you don't have to undergo medical examinations or provide health history to qualify.

Medicare Supplement policies are required to cover pre-existing conditions from the policy's effective date. This means that conditions you had before getting the policy are covered without additional restrictions.

Long-term care insurance provides financial assistance for individuals who need help with daily living activities due to chronic illness, disability, or aging. It can cover various care levels, including custodial care, intermediate nursing care, and skilled nursing care.

Respite care, a feature of long-term care insurance, offers temporary relief to family caregivers by providing professional care for the insured individual. This allows caregivers to take a break, recharge, and maintain their own well-being.

Custodial care, a type of care covered by some long-term care policies, provides assistance with basic daily living activities such as bathing, dressing, eating, and toileting. It is designed to help individuals who need ongoing help with personal care.

Medicare Supplement policies must cover all expenses not covered by Medicare Part A from the 61st to the 90th day.

Long-term care insurance can cover different levels of care based on the individual's needs, including custodial care, intermediate nursing care, and skilled nursing care. However, hospitalization care is not typically covered by long-term care insurance.

This provision requires the insured to provide proof of their loss within 90 days or as soon as possible, but no later than one year unless they are legally incapacitated.

A provision that allows the insurer to reduce benefits if the insured changes to a more hazardous occupation. The benefits will be reduced to what the premiums paid would have purchased at the more hazardous rate.

The insurer has the option to include these provisions in the policy, but if they choose to do so, they must comply with the state's insurance code.

This provision allows the insurer to deny liability if the insured is intoxicated or under the influence of drugs at the time of the loss.

This provision gives the insurer the right to deny a claim if the insured's actions were illegal at the time of the loss, even if the loss occurred while using equipment normally used for legal purposes.

A federal and state program providing medical assistance to low-income individuals and families, known as Medi-Cal in California.

Part of Medicare that covers hospital stays, skilled nursing facilities, hospice care, and some home health services.

A type of insurance designed to cover expenses related to long-term care needs, such as assistance with daily living activities or skilled nursing care.

Care provided in a licensed facility that meets state regulations, offering skilled nursing care under a doctor's supervision.

A type of long-term care that provides temporary relief to caregivers by offering professional care for the insured person.

Care provided in a licensed facility that meets state regulations, offering basic assistance with activities of daily living under an R.N.'s supervision.

Care provided in one's home under a planned program established by their doctor, focusing on healthcare.

Injuries sustained outside of work, typically covered by long-term care policies.

A type of long-term care facility that provides a lower level of care than a skilled nursing facility, often focusing on personal care, support services, and rehabilitation.

Example: Nursing home.

Long-term care insurance coverage that helps pay for the costs of services provided at a facility, such as a skilled nursing facility or an assisted living facility.

Long-term care insurance coverage that helps pay for the costs of services provided at home, such as personal care, home health care, and adult day care.

A condition that existed before the effective date of a long-term care insurance policy. It may affect the coverage or premiums.

The amount of medical expenses that the insured must pay out-of-pocket before the insurance policy starts covering costs.