Florida 240 License EXAM LATEST UPDATED
VERSION QUESTIONS AND VERIFIED CORRECT
ANSWERS JUST RELEASED
Which of the following does Social Security NOT provide benefits for? -
answer>>>dismemberment
Medicaid was designed to assist individuals who are - answer>>>below a specific income
limit
What is the maximum Social Security Disability benefit amount an insured can receive? -
answer>>>100% of the insured's Primary Insurance Amount
What is Medicare? - answer>>>is a hospital and medical expense insurance program
Medicare is intended for all of the following groups EXCEPT - answer>>>Those enrolled
as a full-time student
Medicare Part A and Part B do NOT pay for - answer>>>Dental work
Which of the following reimburses its insureds for covered medical expenses? -
answer>>>Commercial insurers
The situation in which a group of physicians are salaried employees and conduct business
in an HMO facility is called a(n): - answer>>>closed panel
,What does Medicare Parts A and B cover? - answer>>>Part A covers hospitalization; Part
B covers doctor's services
A medical care provider which typically delivers health services at its own local medical
facility is known as a - answer>>>Health maintenance organization (HMOs)
Which of the following statements is true about most Blue Cross/Blue Shield
organizations? - answer>>>They are nonprofit organizations
Which of these is considered a true statement regarding Medicaid? - answer>>>Funded
by both state and federal governments
Which of the following types of organizations are prepaid group health plans, where
members pay in advance for the services of participating physicians and hospitals that
have agreements? - answer>>>HMO
Which of these statements is INCORRECT regarding a Preferred Provider Organization
(PPO)? - answer>>>PPO's are NOT a type of managed care systems
J is a subscriber to a plan which contracts with doctors and hospitals to provide medical
benefits at a preset price. What type of plan does J belong to? - answer>>>health
maintenance organization
Which of the following organizations would make reimbursement payments directly to
the insured individual for covered medical expenses? - answer>>>Commercial insurer
The percentage of an individual's Primary Insurance Amount (PIA) determines the
benefits paid in which of the following programs? - answer>>>Social Security Disability
Income
,Which type of provider is known for stressing preventative medical care? -
answer>>>Health Maintenance Organizations (HMO's)
Which of the following statements BEST defines usual, customary, and reasonable (UCR)
charges? - answer>>>The maximum amount considered eligible for reimbursement by an
insurance company under a health plan
Which of the following phrases refers to the fees charged by a healthcare professional? -
answer>>>Usual, customary, and reasonable expenses
Comprehensive Major Medical policies usually combine: - answer>>>Major Medical with
Basic Hospital/Surgical coverage
Which of these options can an individual use their medical flexible spending account to
pay for? - answer>>>prescription drugs
Which of the following BEST describes a Hospital Indemnity policy? - answer>>>Coverage
that pays a stated amount per day of a covered hospitalization
Which of the following is NOT a limited benefit plan? - answer>>>Life insurance policies
An insured covered by a group Major Medical plan is hospitalized after sustaining injuries
that resulted from an automobile accident. Assuming the plan had a $1,000 deductible
and an 80/20 Coinsurance clause, how much will the INSURED be responsible to pay with
$11,000 in covered medical expenses? - answer>>>$3,000
Deductibles are used in health policies to lower: - answer>>>overuse of medical services
, All of the following statements about Major Medical benefits are true, EXCEPT: -
answer>>>Benefits have no maximum limit
Major Medical policies typically: - answer>>>contain a deductible and coinsurance
In Major Medical Expense policies, what is the intent of a Stop Loss provision? -
answer>>>Limits an insured's out-of-pocket medical expenses
What type of policy would only provide coverage for specific types of illnesses (cancer,
stroke, etc)? - answer>>>Dread disease insurance
Basic Hospital and Surgical policy benefits are: - answer>>>lower than the actual
expenses incurred
Basic Medical Expense insurance: - answer>>>has lower benefit limits than Major
Medical insurance
T was treated for an ailment 2 months prior to applying for a health insurance policy. This
condition was noted on the application and the policy was issued shortly afterwards.How
will the insurer likely consider this condition? - answer>>>Insurer will likely treat as a pre-
existing condition which may not be covered for one year
Which of the following costs would a Basic Hospital/Surgical policy likely cover? -
answer>>>Surgically removing a facial birthmark
cosmetic surgery
VERSION QUESTIONS AND VERIFIED CORRECT
ANSWERS JUST RELEASED
Which of the following does Social Security NOT provide benefits for? -
answer>>>dismemberment
Medicaid was designed to assist individuals who are - answer>>>below a specific income
limit
What is the maximum Social Security Disability benefit amount an insured can receive? -
answer>>>100% of the insured's Primary Insurance Amount
What is Medicare? - answer>>>is a hospital and medical expense insurance program
Medicare is intended for all of the following groups EXCEPT - answer>>>Those enrolled
as a full-time student
Medicare Part A and Part B do NOT pay for - answer>>>Dental work
Which of the following reimburses its insureds for covered medical expenses? -
answer>>>Commercial insurers
The situation in which a group of physicians are salaried employees and conduct business
in an HMO facility is called a(n): - answer>>>closed panel
,What does Medicare Parts A and B cover? - answer>>>Part A covers hospitalization; Part
B covers doctor's services
A medical care provider which typically delivers health services at its own local medical
facility is known as a - answer>>>Health maintenance organization (HMOs)
Which of the following statements is true about most Blue Cross/Blue Shield
organizations? - answer>>>They are nonprofit organizations
Which of these is considered a true statement regarding Medicaid? - answer>>>Funded
by both state and federal governments
Which of the following types of organizations are prepaid group health plans, where
members pay in advance for the services of participating physicians and hospitals that
have agreements? - answer>>>HMO
Which of these statements is INCORRECT regarding a Preferred Provider Organization
(PPO)? - answer>>>PPO's are NOT a type of managed care systems
J is a subscriber to a plan which contracts with doctors and hospitals to provide medical
benefits at a preset price. What type of plan does J belong to? - answer>>>health
maintenance organization
Which of the following organizations would make reimbursement payments directly to
the insured individual for covered medical expenses? - answer>>>Commercial insurer
The percentage of an individual's Primary Insurance Amount (PIA) determines the
benefits paid in which of the following programs? - answer>>>Social Security Disability
Income
,Which type of provider is known for stressing preventative medical care? -
answer>>>Health Maintenance Organizations (HMO's)
Which of the following statements BEST defines usual, customary, and reasonable (UCR)
charges? - answer>>>The maximum amount considered eligible for reimbursement by an
insurance company under a health plan
Which of the following phrases refers to the fees charged by a healthcare professional? -
answer>>>Usual, customary, and reasonable expenses
Comprehensive Major Medical policies usually combine: - answer>>>Major Medical with
Basic Hospital/Surgical coverage
Which of these options can an individual use their medical flexible spending account to
pay for? - answer>>>prescription drugs
Which of the following BEST describes a Hospital Indemnity policy? - answer>>>Coverage
that pays a stated amount per day of a covered hospitalization
Which of the following is NOT a limited benefit plan? - answer>>>Life insurance policies
An insured covered by a group Major Medical plan is hospitalized after sustaining injuries
that resulted from an automobile accident. Assuming the plan had a $1,000 deductible
and an 80/20 Coinsurance clause, how much will the INSURED be responsible to pay with
$11,000 in covered medical expenses? - answer>>>$3,000
Deductibles are used in health policies to lower: - answer>>>overuse of medical services
, All of the following statements about Major Medical benefits are true, EXCEPT: -
answer>>>Benefits have no maximum limit
Major Medical policies typically: - answer>>>contain a deductible and coinsurance
In Major Medical Expense policies, what is the intent of a Stop Loss provision? -
answer>>>Limits an insured's out-of-pocket medical expenses
What type of policy would only provide coverage for specific types of illnesses (cancer,
stroke, etc)? - answer>>>Dread disease insurance
Basic Hospital and Surgical policy benefits are: - answer>>>lower than the actual
expenses incurred
Basic Medical Expense insurance: - answer>>>has lower benefit limits than Major
Medical insurance
T was treated for an ailment 2 months prior to applying for a health insurance policy. This
condition was noted on the application and the policy was issued shortly afterwards.How
will the insurer likely consider this condition? - answer>>>Insurer will likely treat as a pre-
existing condition which may not be covered for one year
Which of the following costs would a Basic Hospital/Surgical policy likely cover? -
answer>>>Surgically removing a facial birthmark
cosmetic surgery
