Exam (elaborations)
Health Insurance Questions With Complete Solutions
- Course
- Institution
Health Insurance Questions With Complete Solutions
[Show more]
Seller
Follow
LeCrae
Reviews received
Content preview
Health Insurance Questions With Complete SolutionsA 70-year old insured individual has suffered from kidney failure for the
past 24 months. She is covered by her spouse's large-group employer plan.
How will Medicare be utilized in this situation? Correct Ans - "Will
be the secondary insurer and pay for claims not fully covered by the group
plan".
An HMO that involves a partnership of physicians and other providers who
practice out of a central facility is called a(n) Correct Ans - Group
HMO
Under group health insurance, a certificate of coverage is issued to the
Correct Ans - Employee
The Commissioner is responsible for all of the following EXCEPT
Correct Ans - Recommending insurers
In which of the following situations would the insurer be liable for a loss?
Correct Ans - Because the insured did not commit or participate in the
felony, the loss will be covered.
Which of the following provides Medicare supplement policies?
Correct Ans - Private insurance companies
Maria is a Preferred Provider Organization (PPO) subscriber and received
care from an out-of-network provider. Which of the following is the likely
result? Correct Ans - Care is covered
No Long-Term Care policy may exclude pre-existing conditions for a period
of more than Correct Ans - 6 months
The election of COBRA for continuation of health coverage will Correct
Ans - Maintain the same coverage and increase premium
In accident and health plans, premiums paid less frequent than monthly
require a minimum grace period of at least Correct Ans - 31 days
The grace period for health policies is no less than 7 days for weekly
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62890 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now