Medical Expense Insurance Exam Questions and Answers

Medical Expense Insurance Exam Questions and Answers A fee for service health insurance plan will normally cover vitamins and natural remedies cosmetic procedures gym membership a disease - ANSWER a disease Low frequency diseases can be exclusively covered by what kind of health insurance policies? Limited policies Blanket policies Employer policies Restricted policies - ANSWER Limited policies All of the following plans allow for employee contributions to be taken on a pre-tax basis EXCEPT Section 125 Plan Premium Only Plan Cafeteria Plan Health Reimbursement Arrangement Plan - ANSWER Health Reimbursement Arrangement Plan A health insurance policy will typically cover injuries obtained from war elective cosmetic surgery preventative health services work related injuries - ANSWER preventative health services Medical Expense Insurance would cover an injury occurring at the insured's residence an injury occurring at work an injury caused by war elective surgeries - ANSWER an injury occurring at the insured's residence The elimination period under a hospital indemnity plan is the period in which pre-existing conditions are not taken into consideration the period in which all deductibles are eliminated the specified number of days after an insurance policy's issue date during which coverage is not afforded for sickness the specified number of days an insured must wait before becoming eligible to receive benefits for each hospitalization - ANSWER the specified number of days an insured must wait before becoming eligible to receive benefits for each hospitalization Which type of coverage pays an amount per day for hospitalization directly to the insured regardless of the insured's other health insurance? MEWA Mutual Group Hospital indemnity - ANSWER hospital indemnity An indemnity plan pays both the insured and health care provider provides the insured a specific dollar amount for services pays the health care provider directly for services rendered is typically issued as a group plan - ANSWER provides the insured a specific dollar amount for services When an insured has a major medical plan with first dollar coverage, how does this impact the benefits paid? No deductible payment is required Deductible specified in the contract is payable by the insured Insured must pay a percentage of covered losses An initial deductible plus a percentage of the remaining covered loss is owed by the insured - ANSWER No deductible payment is required