KENTUCKY 2023 HEALTH INSURANCE EXAM QUESTIONS AND CORRECT ANSWERS

KENTUCK Y 2023 HEALTH INSURANCE EXAM QUESTIONS AND CORRECT ANSWERS The primary eligibility requirement for Medicaid Benefits is based upon? A. Whether the claimant is insurable on the private market B. Age C. Number of Dependents D. Need - ANSWER - D. Need Medicaid is provided to those in need. If a mother delivers her baby through a C -section, the minimum hospital stay is A. 24 hours B. 48 hours C. 96 hours D. 120 hours - ANSWER - C. 96 hours for C -section, 48 hours for vaginal. How is Medicare primarily funded? A. Federal Tax Money B. Insureds C. Nonprofit organizations D. State Tax - ANSWER - A. Federal Tax Money A is supported by Social Security Payroll, Part B is supported by premiums from Beneficiaries. Some funds come from general tax. Can an individual who belongs to a POS plan use an out -of-network physician? A. Yes, and they may use an preferred physician, even if not part of the HMO b. No C. Yes, but they must use the POS physician first D. Yes, but the must use the HMO physician first. - ANSWER - A. Yes, the may use a preferred physician, even if not part of the HMO. Contracts that are prepared by one party and submitted to the other party on a take -it-or leave it basis are classified as A. Binding B Contacts of Adhesion C. Unilateral Contracts D. Aleatory Contracts - ANSWER - B. Contracts of Adhesion. Going to adhere to something that the company says. Which type of care re -establishes functional use to natural teeth? A. Functionality B. Repair C. Restorative D. Fillings - ANSWER - C. Restorative . It restores the teeth. All of the policies of credit life or credit health insurance must be delivered or issues for delivery in Kentucky only by A. unlicensed person B. The Commissioner C. A separate, third party insurance D. An insurer authorized to do insurance business, and such policies must be issued only through holders of licenses issued by the Commissioner. - ANSWER - D. An insurer authorized to do insurance business, and such policies must be issued only through holders of licenses issued by the Commissioner. Which of the following will vary the length of the grace period in health insurance? A. length of time insured B. The term of policy C. The mode of the premium payment D. The length of any elimination period - ANSWER - C. The mode of the premium payment 7 days on a weekly premium, 10 days on a monthly, 31 days on anything more. How soon following the occurrence of a covered loss must an insured submit written proof of such loss to the insurance company? A. as soon as possible B. Within 20 days C. Within 60 days D. Within 90 days or as soon as reasonably possible, but not to exceed 1 year. - ANSWER - D. Within 90 days or as soon as reasonably possible, but not to exceed 1 year. Under a health insurance policy, benefits, other than deaths benefits, that have not otherwise been assigned, will be paid to A. Beneficiary B. The spouse C. The Insured D. The creditors. - ANSWER - C. The Insured