PF 7.01: Question Preview (ID: 15291)


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What is a beneficiary?
a) A doctor who provides general medical care and coordinates other health care. b) The length of time it takes an insurance policy to reach it full value c) The amount of money payable to a beneficiary as a death benefit when an insured dies d) A group or individual selected to receive the assets of a person when he/she dies
What is a deductible?
a) An initial amount paid by insured for a loss before insurance compensations begin b) A written contract stating the arrangement between insured and insurer+ c) Potential risks and losses against which an insured is protected by a policy d) A fee paid to an insurance company on a regular basis for coverage
What is worker\'s compensation?
a) Employers are required to have in every state in some form. Covers medical care at work. b) An illness or injury that a person has at the time he/she enrolls in a health care plan c) A patient’s right to restart coverage annually d) An illness or injury that leaves a person unable to work
What is an HMO?
a) Preferred providers organization---an agreement between health providers with empoloyers or insurers b) An illness or injury that leaves a person unable to work c) Provides compensation for losses due to injury, illness, or disability d) Health management organizaiton---a health care group that provides health care services to members
What is COBRA?
a) An illness or injury that a person has at the time he/she enrolls in a health care plan b) A federal law that someone who leaves employment may be eligible to keep insurance coverage insuranc c) A fee paid to an insurance company on a regular basis for coverage d) May be purchased by Medicare recipients to cover part/all expenses not covered by Medicare.
What is a risk?
a) Uncertain, unpredictable factors that can lead to losses or damages b) A consumer who has purchased an insurance policy c) An initial amount paid by insured for a loss before insurance compensations begin d) Provides compensation for losses due to injury, illness, or disability
Mark must pay $500 in approved medical expenses before his insurance policy will make any payments. Which feature of health insurance is this?
a) coverage b) deductible c) exclusion d) preauthorization
Angela’s employer announced a new health insurance plan that requires all medical services be arranged through a primary care physician. Which type of health insurance program?
a) Health Management Organization (HMO) b) Health Savings Account (HSA) c) Point of Service (POS) d) Preferred Provider Organization (PPO)
Susan is 22, single, and living on her own. She hopes to marry and have children someday. Term insurance has which advantage?
a) cash value b) convertible c) low cost d) permanent
Alex has insurance that will cover the three months of nursing home care he will need after his automobile accident. Which type of insurance is this?
a) disability b) long term care c) major medical d) medigap
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