Health Insurance Florida 2-40 Practice Exam
Questions #2 EXAM fully solved & updated
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+ Answers) Solved 100% Correct!!
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Terms in this set (299)
Which of the following is NOT a Business overhead expense (Explanation:Business
form of medical insurance? Overhead Expense insurance is designed to
-Business overhead expense reimburse a business for overhead expenses in
-Surgical expense the event a business owner becomes disabled.
-Hospital expense Expenses such as rent, utilities, telephone,
-Long term care equipment, employees' salaries, etc.)
All of the following are state or Medigap (Explanation:A Medigap policy is a
federal government programs that Medicare supplement insurance policy sold by
provide health insurance, EXCEPT? private insurance companies to fill "gaps" in
-Medicare Medicare Parts A and B.)
-OASDI disability
-Medicaid
-Medigap
What type of health insurance is Medicaid
available to assist low-income
individuals?
,What types of reserves are set Premium and Claims reserves
aside and held by health insurance (Explanation:Reserves are set aside for the
companies? payment of future claims.)
Group health insurance is generally Participating (Explanation:Group plans written by
written on a basis that provides for mutual companies provide for dividends while
dividends or experience rating. stock companies frequently issue experience-
What is the basis called? rated plans.)
Which of the following is NOT TRUE Can be eligible for Medicaid
regarding eligibility for subsidies for
families under the new health care
act?
-For those who make between 100-
400% of the Federal Poverty -Level
-Cannot be covered by an
employer
-Cannot be eligible for Medicare
-Can be eligible for Medicaid
Which of the following operates as B) Fraternal associations
a corporation, society, or
association to provide life insurance
primarily for the mutual benefit of
its members, has a lodge or social
system with rituals and
representative form of
government?
A) Mutual companies
B) Fraternal associations
C) Stock companies
-Fraternal benefit society
,What does each member pay in a Fixed premium whether or not plan is used
typical HMO plan?
-Fixed premium based on a
deductible and copay
-Fixed premium whether or not
plan is used
-Premium based on how often plan
is used
Which of the following is correct They must be told that'll be getting all the
about those who are eligible for benefits from the Medicare Advantage plan
Medicare and wish to join an HMO?
-They must have a current Medicare
supplement policy
-They must be told that'll be getting
all the benefits from the Medicare
Advantage plan
-They must be age 70 and above
-They must have been enrolled
previously in an HMO
Joyce is totally disabled. Her HMO Coverage ends after 18 months
policy just terminated. All of the
following are correct regarding
"extension of benefits" for Joyce,
EXCEPT?
-Coverage ends once maximum
benefits have been exhausted
-Coverage ends once another
carrier assumes coverage
-Coverage ends if no longer totally
disabled
-Coverage ends after 18 months
, All of the following are correct Must deposit $100,000 with the Rehabilitation
regarding Florida regulation of Administration Expense Fund (Explanation:
HMOs, EXCEPT? They must deposit $10,000 with the Rehabilitation
-Must obtain a Certificate of Administration Expense Fund.)
Authority
-Must file a report of its activities
within 3 months of the end of each
fiscal year
-Must deposit $100,000 with the
Rehabilitation Administration
Expense Fund
-Must be sold by agents licensed
and appointed as health insurance
agents
What is "capitation" as it relates to Fixed amount paid by an HMO to a physician for
an HMO? medical services
-Amount to be collected by the
HMO from participating health care
providers
-Fixed amount paid by an HMO
during a policy period
-Fixed amount paid by an HMO to a
physician for medical services
-Amount required to be deposited
with the State of Florida
Questions #2 EXAM fully solved & updated
(latest version verified for accuracy) (Questions
+ Answers) Solved 100% Correct!!
Save
Terms in this set (299)
Which of the following is NOT a Business overhead expense (Explanation:Business
form of medical insurance? Overhead Expense insurance is designed to
-Business overhead expense reimburse a business for overhead expenses in
-Surgical expense the event a business owner becomes disabled.
-Hospital expense Expenses such as rent, utilities, telephone,
-Long term care equipment, employees' salaries, etc.)
All of the following are state or Medigap (Explanation:A Medigap policy is a
federal government programs that Medicare supplement insurance policy sold by
provide health insurance, EXCEPT? private insurance companies to fill "gaps" in
-Medicare Medicare Parts A and B.)
-OASDI disability
-Medicaid
-Medigap
What type of health insurance is Medicaid
available to assist low-income
individuals?
,What types of reserves are set Premium and Claims reserves
aside and held by health insurance (Explanation:Reserves are set aside for the
companies? payment of future claims.)
Group health insurance is generally Participating (Explanation:Group plans written by
written on a basis that provides for mutual companies provide for dividends while
dividends or experience rating. stock companies frequently issue experience-
What is the basis called? rated plans.)
Which of the following is NOT TRUE Can be eligible for Medicaid
regarding eligibility for subsidies for
families under the new health care
act?
-For those who make between 100-
400% of the Federal Poverty -Level
-Cannot be covered by an
employer
-Cannot be eligible for Medicare
-Can be eligible for Medicaid
Which of the following operates as B) Fraternal associations
a corporation, society, or
association to provide life insurance
primarily for the mutual benefit of
its members, has a lodge or social
system with rituals and
representative form of
government?
A) Mutual companies
B) Fraternal associations
C) Stock companies
-Fraternal benefit society
,What does each member pay in a Fixed premium whether or not plan is used
typical HMO plan?
-Fixed premium based on a
deductible and copay
-Fixed premium whether or not
plan is used
-Premium based on how often plan
is used
Which of the following is correct They must be told that'll be getting all the
about those who are eligible for benefits from the Medicare Advantage plan
Medicare and wish to join an HMO?
-They must have a current Medicare
supplement policy
-They must be told that'll be getting
all the benefits from the Medicare
Advantage plan
-They must be age 70 and above
-They must have been enrolled
previously in an HMO
Joyce is totally disabled. Her HMO Coverage ends after 18 months
policy just terminated. All of the
following are correct regarding
"extension of benefits" for Joyce,
EXCEPT?
-Coverage ends once maximum
benefits have been exhausted
-Coverage ends once another
carrier assumes coverage
-Coverage ends if no longer totally
disabled
-Coverage ends after 18 months
, All of the following are correct Must deposit $100,000 with the Rehabilitation
regarding Florida regulation of Administration Expense Fund (Explanation:
HMOs, EXCEPT? They must deposit $10,000 with the Rehabilitation
-Must obtain a Certificate of Administration Expense Fund.)
Authority
-Must file a report of its activities
within 3 months of the end of each
fiscal year
-Must deposit $100,000 with the
Rehabilitation Administration
Expense Fund
-Must be sold by agents licensed
and appointed as health insurance
agents
What is "capitation" as it relates to Fixed amount paid by an HMO to a physician for
an HMO? medical services
-Amount to be collected by the
HMO from participating health care
providers
-Fixed amount paid by an HMO
during a policy period
-Fixed amount paid by an HMO to a
physician for medical services
-Amount required to be deposited
with the State of Florida
