NY SERIES 17-52 FINAL PAPER 2025 QUESTIONS WITH
ANSWERS RATED A+
✔✔A medical insurance plan in which the health care provider is paid a regular fixed
amount for providing care to the insured and does not receive additional amounts of
compensation dependent upon the procedure performed is called - ✔✔Prepaid plan.
✔✔Medicaid provides all of the following benefits EXCEPT - ✔✔Income assistance for
work-related injury.
✔✔What would a physician utilize if he/she wanted to know if a treatment is covered
under an insured's plan and at what rate it will be paid? - ✔✔Prospective review
✔✔Which of the following programs expands individual public assistance programs for
people with insufficient income and resources? - ✔✔Medicaid
✔✔When the policy premium wasn't submitted with the application, what should the
agent obtain from the insured upon policy delivery? - ✔✔A statement of good health
✔✔The Patient Protection and Affordable Care Act includes all of the following
provisions EXCEPT - ✔✔Individual tax deduction for premiums paid.
✔✔Pertaining to insurance, what is the definition of a fiduciary responsibility? -
✔✔Promptly forwarding premiums to the insurance company
✔✔Which of the following persons would qualify for Medicare Part A? - ✔✔Anyone who
has permanent kidney failure
✔✔A rating method in which the premium is the same for all covered persons,
regardless of age, sex, or health status is referred to as - ✔✔Community rating
✔✔What is the purpose of Medigap policies? - ✔✔To cover expenses for Medicare
deductibles and coinsurance
✔✔Under which of the following circumstances may the uniform individual accident and
sickness policy provisions be changed? - ✔✔If the change is more favorable to the
policyholder
✔✔In an HMO policy, one of the main responsibilities of the primary care physician
(PCP) as a gatekeeper is to do which of the following? - ✔✔Help control costs
✔✔Short term - ✔✔less than 2 years
ANSWERS RATED A+
✔✔A medical insurance plan in which the health care provider is paid a regular fixed
amount for providing care to the insured and does not receive additional amounts of
compensation dependent upon the procedure performed is called - ✔✔Prepaid plan.
✔✔Medicaid provides all of the following benefits EXCEPT - ✔✔Income assistance for
work-related injury.
✔✔What would a physician utilize if he/she wanted to know if a treatment is covered
under an insured's plan and at what rate it will be paid? - ✔✔Prospective review
✔✔Which of the following programs expands individual public assistance programs for
people with insufficient income and resources? - ✔✔Medicaid
✔✔When the policy premium wasn't submitted with the application, what should the
agent obtain from the insured upon policy delivery? - ✔✔A statement of good health
✔✔The Patient Protection and Affordable Care Act includes all of the following
provisions EXCEPT - ✔✔Individual tax deduction for premiums paid.
✔✔Pertaining to insurance, what is the definition of a fiduciary responsibility? -
✔✔Promptly forwarding premiums to the insurance company
✔✔Which of the following persons would qualify for Medicare Part A? - ✔✔Anyone who
has permanent kidney failure
✔✔A rating method in which the premium is the same for all covered persons,
regardless of age, sex, or health status is referred to as - ✔✔Community rating
✔✔What is the purpose of Medigap policies? - ✔✔To cover expenses for Medicare
deductibles and coinsurance
✔✔Under which of the following circumstances may the uniform individual accident and
sickness policy provisions be changed? - ✔✔If the change is more favorable to the
policyholder
✔✔In an HMO policy, one of the main responsibilities of the primary care physician
(PCP) as a gatekeeper is to do which of the following? - ✔✔Help control costs
✔✔Short term - ✔✔less than 2 years
