Wisconsin Accident and Health Insurance Exam Questions with 100% Verified Answers

Wisconsin Accident and Health Insurance Exam Questions with 100% Verified Answers A characteristic of preferred provider organizations (PPO) is PPOs operate like an HMO on a prepaid basis. If service is obtained outside the PPO, benefits are reduced and costs increase. PPOs are generally public in nature rather than private. Health care providers themselves are barred from forming a PPO due to conflict of interest. - If service is obtained outside the PPO, benefits are reduced and costs increase. A comprehensive major medical health insurance policy contains an Eligible Expenses provision which identifies the types of health care services that are covered. All of the following health care services are typically covered EXCEPT for Hospital charges. Physician fees. Experimental and investigative services. Nursing services. - Experimental and investigative services. A disability income insurance policy was recently issued with a rating. What does this mean? Policyowner will be charged an additional premium. Policy will have specific illnesses excluded from coverage. Policyowner will be charged a reduced premium. Policy will have a longer waiting period. - Policyowner will be charged an additional premium. A family counseling benefit is typically offered under which of these coverages? Skilled nursing care. Respite care. Home health care. Hospice care. - Hospice care. A Guaranteed Renewable provision allows Discrimination of individuals who have an increased loss experience. Premiums that may not be increased beyond contractual requirements. Premiums which can only be increased per rate class. Cancellation of the policy at the insurer's discretion. - Premiums which can only be increased per rate class. A health insurance applicant is notified that a physical examination is required. Which of the following statements is correct? Physical examinations are performed at the expense of the applicant. Physical examinations are performed at the expense of the insurer. All applicants for group health insurance require a physical examination. All applicants for health insurance do not require a physical examination. - Physical examinations are performed at the expense of the insurer. A health insurance underwriter will most likely view alcohol abuse as a(n) Decreased exposure to risk. Increased exposure to risk. Condition which cannot be taken into account. Condition which results in an automatic rejection for coverage. - Increased exposure to risk. A health insurer MUST provide a proof of loss form Within 10 days of the actual loss. Within 10 days of receipt of the notice of loss. Within 15 days of receipt of the notice of loss. Within 15 days of the actual loss. - Within 15 days of receipt of the notice of loss. A health plan offered by private insurance companies is Social Security. Medicaid. Medicare. A Medicare Supplement. - A Medicare Supplement.