Questions With Verified Multiple Choice and
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1. For insurance to function effectively, it must include which basic
characteristic?
A. Government oversight
B. Pooling of losses
C. Guaranteed profits
D. Mandatory enrollment
✔ Correct Answer: B
2. Which characteristic of insurance refers to payment only for events not under
the insured’s control?
A. Indemnification
B. Risk transfer
C. Payment only for random losses
D. Coverage expansion
✔ Correct Answer: C
3. Which term refers to shifting financial risk from the insured to the insurer?
A. Moral hazard
B. Indemnification
C. Risk transfer
D. Cost pooling
✔ Correct Answer: C
4. Indemnification means:
, A. Requiring deductibles
B. Restoring the insured to their prior financial condition
C. Eliminating risk entirely
D. Transferring risks to the government
✔ Correct Answer: B
Insurance Problems & Protections
5. Adverse selection refers to:
A. Overuse of services because patients pay less
B. High-risk individuals being more likely to seek insurance
C. Doctors encouraging unnecessary treatment
D. Medicare denial of claims
✔ Correct Answer: B
6. Moral hazard refers to:
A. High-risk individuals seeking coverage
B. Risk of insurance fraud
C. Overuse of healthcare services because the insured does not bear full cost
D. Premium increases due to inflation
✔ Correct Answer: C
7. Which of the following is NOT a technique insurers use to control risk?
A. Deductibles
B. Coinsurance
C. Copayments
D. Universal reimbursement
✔ Correct Answer: D
8. Coinsurance requires the patient to:
A. Pay a fixed fee
B. Pay a percentage of medical expenses