NJ Health and Accident Insurance: 100 Essential Questions and Answers for Guaranteed Success"
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Course
NJ Health and Accident
Institution
NJ Health And Accident
Prepare for success with our comprehensive guide to NJ Health and Accident Insurance. This resource features 100 essential questions and answers designed to help you master key concepts and pass your exam with confidence. Whether you’re studying for a certification or seeking to deepen your under...
1. What is the primary purpose of health insurance?
o A) To provide financial support for retirement
o B) To cover medical expenses
o C) To invest in stocks
o D) To pay for education
Answer: B) To cover medical expenses
2. Which of the following is NOT typically covered by health
insurance?
o A) Prescription medications
o B) Routine check-ups
o C) Cosmetic surgery
o D) Emergency surgery
Answer: C) Cosmetic surgery
3. What does an "accident" mean in the context of accident
insurance?
o A) A deliberate injury
o B) An unforeseen and unintended event causing harm
o C) A pre-existing medical condition
o D) A planned medical procedure
Answer: B) An unforeseen and unintended event causing harm
4. What is a deductible in an insurance policy?
o A) The amount paid by the insurer
o B) The amount a policyholder must pay before insurance
coverage begins
o C) The percentage of the claim covered by the insurer
o D) The total sum insured
Answer: B) The amount a policyholder must pay before insurance
coverage begins
5. Which type of policy typically covers long-term disability benefits?
o A) Health insurance
o B) Life insurance
o C) Accident insurance
o D) Disability insurance
, Answer: D) Disability insurance
6. In health insurance, what is a co-payment?
o A) A fee paid by the insurance company
o B) A fee paid by the policyholder for each visit or service
o C) The total coverage amount of the policy
o D) The annual premium
Answer: B) A fee paid by the policyholder for each visit or service
7. Which of the following is a common exclusion in health insurance policies?
o A) Emergency medical treatment
o B) Preventive care
o C) Experimental treatments
o D) Routine vaccinations
Answer: C) Experimental treatments
8. What does "pre-existing condition" mean?
o A) A condition that develops after policy issuance
o B) A condition present before the start of the insurance policy
o C) A condition covered by all insurance policies
o D) A condition that cannot be treated
Answer: B) A condition present before the start of the insurance policy
9. Which type of health insurance plan usually requires choosing a primary care
physician (PCP)?
o A) PPO
o B) HMO
o C) EPO
o D) POS
Answer: B) HMO
10. What is the purpose of an "out-of-pocket maximum" in an insurance policy?
o A) To limit the total amount a policyholder has to pay for covered services
o B) To cover non-covered services
o C) To increase the premium costs
o D) To reduce the deductible amount
Answer: A) To limit the total amount a policyholder has to pay for covered services
11. Which type of insurance is specifically designed to cover accidents occurring outside
of work?
o A) Health insurance
, o B) Workers' compensation insurance
o C) Personal accident insurance
o D) Life insurance
Answer: C) Personal accident insurance
12. What is the term for insurance coverage that starts only after a certain period of
time?
o A) Immediate coverage
o B) Deferred coverage
o C) Retroactive coverage
o D) Temporary coverage
Answer: B) Deferred coverage
13. What does a "beneficiary" refer to in an insurance policy?
o A) The person who pays the premiums
o B) The person who receives the insurance payout
o C) The insurance company
o D) The insurance agent
Answer: B) The person who receives the insurance payout
14. Which insurance policy typically provides coverage for accidental death and
dismemberment?
o A) Health insurance
o B) Life insurance
o C) Travel insurance
o D) Accident insurance
Answer: D) Accident insurance
15. What does "copay" mean in a health insurance plan?
o A) The total amount the insurance covers
o B) The fixed amount paid by the policyholder at the time of service
o C) The amount the insurer pays towards a claim
o D) The percentage of the premium paid by the insurer
Answer: B) The fixed amount paid by the policyholder at the time of service
16. In health insurance, what is "network" referring to?
o A) The list of all doctors and hospitals covered by the insurance plan
o B) The policyholder's personal medical records
o C) The insurance company's administrative offices
o D) The total number of claims processed
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