Comprehensive Medical Expense Insurance combines which of the following coverage in one
policy:
A) Basic Hospital/Surgical and Major Medical
B) Disability Income and Accidental Death and Dismemberment
C) Disability Income and Basic Hospital/Surgical
D) Major Medical and Accidental Death and Dismemberment - ANSWER A) Basic
Hospital/Surgical and Major Medical
If the client goes out of the network for services on a PPO:
A) There is no coverage
B) The amount paid will be reduced
C) The PPO coverage is excess
D) Out of pocket expenses are negotiated - ANSWER B) The amount paid will be reduced
Third party administrator (TPAs) do all of the following EXCEPT:
A) Marketing
B) Underwriting
C) Provide coverage
D) Claims processing - ANSWER C) Provide coverage
A (basic hospital) health insurance service plan:
A) Pays hospital only for specific services stated in the policy
B) Pays the hospital directly for claims incurred by low income persons
C) Pays the hospital or doctor directly as provided by the service plan
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policy:
A) Basic Hospital/Surgical and Major Medical
B) Disability Income and Accidental Death and Dismemberment
C) Disability Income and Basic Hospital/Surgical
D) Major Medical and Accidental Death and Dismemberment - ANSWER A) Basic
Hospital/Surgical and Major Medical
If the client goes out of the network for services on a PPO:
A) There is no coverage
B) The amount paid will be reduced
C) The PPO coverage is excess
D) Out of pocket expenses are negotiated - ANSWER B) The amount paid will be reduced
Third party administrator (TPAs) do all of the following EXCEPT:
A) Marketing
B) Underwriting
C) Provide coverage
D) Claims processing - ANSWER C) Provide coverage
A (basic hospital) health insurance service plan:
A) Pays hospital only for specific services stated in the policy
B) Pays the hospital directly for claims incurred by low income persons
C) Pays the hospital or doctor directly as provided by the service plan
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