Exam Questions #3 - Medical
Expenses with Solved Solutions.
A) Basic Hospital/Surgical and Major Medical - Answer Comprehensive Medical Expense
Insurance combines which of the following coverage in one policy:
A) Basic Hospital/Surgical and Major Medical
B) Disability Income and Accidental Death and Dismemberment
C) Disability Income and Basic Hospital/Surgical
D) Major Medical and Accidental Death and Dismemberment
B) The amount paid will be reduced - Answer If the client goes out of the network for
services on a PPO:
A) There is no coverage
B) The amount paid will be reduced
C) The PPO coverage is excess
D) Out of pocket expenses are negotiated
C) Provide coverage - Answer Third party administrator (TPAs) do all of the following EXCEPT:
A) Marketing
B) Underwriting
C) Provide coverage
D) Claims processing
D) Pays the hospital or doctor directly as provided by the service plan - Answer A (basic
hospital) health insurance service plan:
A) Pays hospital only for specific services stated in the policy
B) Pays the hospital directly for claims incurred by low income persons
C) Pays the hospital or doctor directly as provided by the service plan
D) Pays the hospital or doctor directly as provided by the service plan