Medicare Part A does NOT provide coverage for:
Inpatient room and board
Inpatient prescription medication
First 3 pints of blood
Skilled nursing facility care
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First 3 pints of blood
Terry suffers an injury at his workplace which is covered by workers compensation.
Terry also has a medical expense insurance policy. under medical expense insurance
policies, losses that are covered by workers compensation are typically:
,Excluded for coverage
Partially covered
Covered, but requiring a higher deductible and copay
Subject to age restrictions
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Excluded for coverage
Which of the following would permit an insurer to delay a covered disability policy
claim?
Probationary period
Service waiting period
Elimination period
Grace period
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Elimination period
Which statement is true regarding hospital preadmission certification for emergency
situations?
Notification is not required for emergency situations
,Insured cannot be admitted without preadmission certification
Notification is required to be given before insured is admitted to the hospital
Notification is required to be given after insured is admitted to the hospital
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Notification is required to be given after insured is admitted to the hospital
Specialty care is provided by which of the following health maintenance organization
providers?
Neurologist
HMO administrator
HMO director
Gatekeeper
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Neurologist
How can a group dental insurer discourage adverse selection?
Allow pre-existing conditions
Eliminate deductibles and coinsurance
Extend open enrollment period
, Limit the duration of coverage
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Limit the duration of coverage
Use of XYZ Insurance Company brochures, business cards, and rating guides is an
example of:
Express authority
Implied authority
Apparent authority
Fiduciary duty
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Apparent authority
Which of these procedures is NOT designed for ambulatory care centers?
Inpatient surgery
Vaccinations
Outpatient surgery
Physical examinations
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Inpatient room and board
Inpatient prescription medication
First 3 pints of blood
Skilled nursing facility care
Give this one a try later!
First 3 pints of blood
Terry suffers an injury at his workplace which is covered by workers compensation.
Terry also has a medical expense insurance policy. under medical expense insurance
policies, losses that are covered by workers compensation are typically:
,Excluded for coverage
Partially covered
Covered, but requiring a higher deductible and copay
Subject to age restrictions
Give this one a try later!
Excluded for coverage
Which of the following would permit an insurer to delay a covered disability policy
claim?
Probationary period
Service waiting period
Elimination period
Grace period
Give this one a try later!
Elimination period
Which statement is true regarding hospital preadmission certification for emergency
situations?
Notification is not required for emergency situations
,Insured cannot be admitted without preadmission certification
Notification is required to be given before insured is admitted to the hospital
Notification is required to be given after insured is admitted to the hospital
Give this one a try later!
Notification is required to be given after insured is admitted to the hospital
Specialty care is provided by which of the following health maintenance organization
providers?
Neurologist
HMO administrator
HMO director
Gatekeeper
Give this one a try later!
Neurologist
How can a group dental insurer discourage adverse selection?
Allow pre-existing conditions
Eliminate deductibles and coinsurance
Extend open enrollment period
, Limit the duration of coverage
Give this one a try later!
Limit the duration of coverage
Use of XYZ Insurance Company brochures, business cards, and rating guides is an
example of:
Express authority
Implied authority
Apparent authority
Fiduciary duty
Give this one a try later!
Apparent authority
Which of these procedures is NOT designed for ambulatory care centers?
Inpatient surgery
Vaccinations
Outpatient surgery
Physical examinations
Give this one a try later!
