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Accident and Health Insurance Policy Standards Questions and Answers 2024
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Accident and Health Insurance Policy Standards
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Accident and Health Insurance PolicyStandards
Individual or family health insurance policies issued to individuals over age 65 may limit
coverage only for __________ ___________ that are defined in the policy. - answered-
existing conditions
Policies may not exclude coverage for a ______ that has been prescribed to treat a type
of cancer for which the FDA has not yet given its approval. - answer drug
Health insurance policies must cover prostate-specific antigen (PSA) tests or similar
tests to detect _________ cancer. - answer prostate
Policies must also cover screening mammograms for women, beginning at age ___. -
answer35
Insurers may not refuse to issue, charge a higher premium, or reduce coverage for
physical illness or injury solely because a person suffers from a what two things? -
answermental illness or chemical dependency.
what plans must cover care provided in a state tax-supported institution on the same
basis as if the care was provided in another public or private institution. - answerhealth
benefit plans
Health benefit plans must provide obstetrical-gynecological benefits to female plan
participants who are age ___ or older. - answer13
Adopted children are covered by their adoptive parent's health insurance upon what? -
answeradoption or when they are first placed for adoption.
Foster children are covered by health insurance upon placement in the foster home to
the same extent as... - answerother members of the family.
True or False: Dependent children are covered by their parents' health insurance from
the moment of birth. - answerTrue
An insurer can or cannot require proof of a child's continuing incapacitation and
dependency more often than annually after the child reaches the limiting age. -
answercannot
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