Health insurance coverage Study guides, Class notes & Summaries

Which statement is true about the Medicare Advantage (MA) Out- of pocket Maximum? correct answer: All MA plans have an Out- of Pocket maximum to help limit the member's out of pocket cost for Medicare-covered services. A consumer currently has Original Medicare and is enrolled in a stand alone PDP. What will happens if the consumer enrolls in a n MA Plan that has integrated PDP coverage? correct answer: The consumer will be automatically disenrolled from their stand-alone PDP upon enrollmen...

All of the following are correct about the required provisions of a health insurance policy EXCEPT A. The entire contract clause means the signed application, policy, endorsements, and attachments constitute the entire contract. B. A reinstated policy provides immediate coverage for an illness. C. Policies become incontestable after being in force for 3 years. D. A grace period of 31 days is found in an annual pay policy. - correct answer B. A reinstated policy provides immediate co...

AHIP FINAL EXAM TEST QUESTIONS AND ANSWERS 2023-2024 WITH VERIFIED ANSWERS Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him?correct answersHe may sign-up for Medicare at any time however coverage usually begins on the fourth month after dialysis treatments start. Juan Perez, who is turning age 65 next month, intends to work for severa...

NJ Health and Accident Questions and Answers 100% Pass In what form do disability income policies typically pay benefits Periodic income The Mandatory health policy provision states that the policy, including endorsements and attached papers, constitutes The entire insurance contract between the parties The entire contract includes the actual policy and the application employer sponsored group health insurance provides coverage for which of the following Alcoholism The term w...

Insurance Exam AZ #1333 Latest Update Rated A An insurer must keep advertising materials and records for at least how many years? 3 The insurance coverage in a variable life insurance policy may vary based on the value of the underlying investments When is it acceptable to charge or receive a fee or service charge in addition to the premium in connection with the transaction of insurance? If the amount of the fee or service charge is reasonably related to the cost of the service. The dental s...

Ohio Health Insurance Exam Questions and Answers 100% Correct Bryce purchased a disability income policy with a rider that guarantees him the option of purchasing additional amounts of coverage at predetermined times without requiring to provide evidence of insurability. What kind of rider is this? A.) Guaranteed insurability rider B.) Additional coverage rider C.) Paid-up option rider D.) Extended insurability rider Guaranteed insurability rider All of the following are included as part of...

AINS 103 (Latest 2023/ 2024 Update) Exploring Commercial Insurance Exam Review Questions and Verified Answers| 100% Correct| Grade A Q: Which one of the following is one of the covered causes of loss in the commercial property policy Causes of Loss—Basic form? Answer: Vandalism Q: Billy owns a baseball souvenir store in Cooperstown, NY. He insured his store under a Building and Personal Property Coverage Form (BPP) with a $275,000 limit and a $1,500 deductible. A large fire in ...

AHIP Final Exam Test Questions and Answers (2023/2024) GRADED A+ Answers Correct/Verified Mr., Moy’s, wife ,has ,a ,Medicare ,Advantage ,plan, ,but ,he ,wants ,to ,understand ,what coverage ,Medicare ,Supplemental ,Insurance ,provides ,since ,his ,health ,care ,needs ,are,different ,from ,his ,wife's ,needs. ,What ,could ,you ,tell ,Mr. ,Moy?correct ,answersMedicare,Supplemental ,Insurance ,would ,help ,cover ,his ,Part ,A ,and ,Part ,B ,deductibles ,or coinsurance ,in ,Original ,F...

INDIANA LIFE AND HEALTH RULES AND REGULATIONS EXAM (2023/2024) RATED A+ Insurance Commissioner • Appointment by Governor • Member of NAIC Insurance commissioner Duties responsible for overseeing the Department of Insurance, which regulates insurance companies operating in Indiana. works to promote improvements to insurance laws and the enforcement of said laws in Indiana.[ Certificate of Authority Licensed companies receive a _______________________________ to conduct the business of insur...

An insurer is REQUIRED to offer which of the following to each long-term care applicant at the time of purchase? - correct answer Inflation protection Which of these riders will pay a death benefit if the insured's spouse dies? - correct answer Family term insurance rider Disability income plans which require that the insurer can NEVER change or alter premium rates are usually considered - correct answer Nonconcellable What is the required action to be taken by a South Carolina l...

WV Life Insurance Laws and Rules Latest Update Graded A+ Examination of Records The Commissioner can examine anyone in the business of insurance in the state at anytime. A company shall be examined every 5 years. Notice and Hearing the Commissioner may call and hold hearings for any purpose deemed necessary. Insurance Commissioner the commissioner may conduct investigations or examinations whenever deemed necessary, subpoena the witnesses to testify. cease and desist order the ...

ALABAMA INSURANCE TEST QUESTIONS & ANSWERS (100% CORRECT) ALABAMA INSURANCE TEST QUESTIONS & ANSWERS (100% CORRECT) Which welfare program provides assistance to the needy? - ANSWER - Medicaid Barbara has the right to change the beneficiary designation on her life insurance policy. Barbara's beneficiary is a(n): - ANSWER - revocable beneficiary Within how many calendar days must all clean electronic health insurance claims be paid in Alabama? - ANSWER - 30 Which type of term policy ...