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Tennessee Health Insurance Questions with
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Health Insurance
Ans: Covers the risk of loss caused by a "living death"; after sustaining an
accidental injury or sickness, medical expenses must be paid in addition to
the normal living expenses
Basic Types of Losses and Benefits for Health Insurance
Ans: - Loss of income from disability
- Medical expense
- Dental expense
- Long-term care expense
Disability Income
Ans: Occurs when an accidental injury or sickness prevents an insured from
being able to work; replaces income lost while the insured is unable to work;
benefits are valued (a stated amount) based on a % of the insured's lost
income; only covers the insured
Medical Expense Insurance
Ans: Covers the cost of medical treatments, physician's fees, hospitalization,
and other medical costs that ensue when the insured incurs an accidental
injury or sickness; may cover the insured and their dependents
Franchise Insurance
Sunday, 02 March 2025
, Ans: Provides coverage for small groups that are not large enough to apply
for group coverage; each individual undergoes individual underwriting
Medicare
Ans: Provides health insurance coverage for individuals over the age of 65;
also covers ESRD (renal failure) and Lou Gehrig's disease
Medicaid
Ans: A state and federally funded medical assistance program for financially
disadvantaged individuals; welfare program operated by each individual
state; covers for medical care and services that Medicare only partially
covers, including nursing home and home health care
TRICARE
Ans: Provides health insurance coverage to active duty and retired
members of the uniformed services and their dependents; replaced
CHAMPUS; 3 types of plans: prime (least costly; organized like HMO), extra
(receive medical care through a PPO arrangement), and standard (receive
medical care from any provider; more expensive).
Renewability Classes
Ans: - Cancellable
- Optionally renewable
- Conditionally renewable
- Guaranteed renewable
- Non-cancellable
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