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HIEU 202 Chapter 32 quiz Questions &Exam (elaborations) answers 100% satisfaction guarantee Latest update 2024/2025 with complete solution

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2 pages

Written in 2024/2025

Grade A+

GOLDSOLUTIONS

HEALTH INSURANCE COVERED BENEFITS - correct answer - Hospital and medical bills - Loss of income - disability - Dental bills - Long-term care LIMITED BENEFIT POLICIES - correct answer - Accident only - Dread disease - Critical illness - Hospital indemnity - Credit disability - Blanket coverage - Prescription drugs - Vision - Hearing HEALTH INSURANCE COMMON EXCLUSIONS - correct answer ...

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13 pages

Written in 2024/2025

Grade A+

RealGrades

First Dollar coverage - correct answer -basic medical insurance -no deductible Basic hospital expense - correct answer -policy states that the max daily room and board benefit is $500 per day for 30 days. -surgery not covered Usual Customary and reasonable (UCR) - correct answer -insurer calculates by averaging the cost of a specific surgery in a defined geographic area. -if actual ...

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11 pages

Written in 2024/2025

Grade A+

RealGrades

elimination period - correct answer deductible of time starting from date of loss (cost of coverage is lower if longer waiting period) --> max = 2 years (usually 60 days) probationary period - correct answer wont cover illness until 10-30 days after contract has been issued indemnity period - correct answer total time contract will cover any single accident/illness Business Overhe...

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24 pages

Written in 2024/2025

Grade A+

RealGrades

Mandatory Uniform Provisions - correct answer Must be included in every individual accident policy, no additional provisions may be included which otherwise restrict or modify a uniform provision, designed to protect the insured's interest Entire Contract Clause- Mandatory Uniform - correct answer Includes the policy and provisions, c a copy of the application and any riders, waivers, or endorsements Time Limit on Cer...

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9 pages

Written in 2024/2025

Grade A+

RealGrades

Which of these statements is INCORRECT regarding a preferred provider organization (PPO) - correct answer PPO's are NOT a type of managed care systems A 66 year-old is covered under a group health plan while employed with a business that has 40 employees. If she injures herself while walking in the park, what coverage would be considered primary? - correct answer Her group health plan Which of the following statements...

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2 pages

Written in 2024/2025

Grade A+

RealGrades

Claims examiner - correct answer review health claims to determine whether the charges are reasonable and medically necessary based on the patient's diagnosis. This may be for liability or commercial claims. CMS - correct answer Centers for Medicare and Medicaid Services : Formerly HCFA. Part of the DHHS that administers the Medicare and Medicaid programs. CPT - correct answer : Curr...

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10 pages

Written in 2024/2025

Grade A+

RealGrades

Concealment - correct answer The intentional failure to disclose known facts on an insurance application is called $94,800 - correct answer Betty owns a universal life insurance policy that was issued with a $100,000 face amount and now has total death benefit protection of $110,000. Several months ago she borrowed $15,000 from the policy. The outstanding loan balance (Including Interest) is $15,200. If Betty dies today, wh...

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22 pages

Written in 2024/2025

Grade A+

RealGrades

insurance - correct answer business that was developed as a means for spreading the result of financial loss among many persons so the cost to any one person is small risk - correct answer the possibility that loss might occur, reason people purchase insurance speculative risk - correct answer risk that offers the opportunity to gain as well as the possibility of loss, gambling is an ex...

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10 pages

Written in 2024/2025

Grade A+

RealGrades

A cancelable policy of health insurance may be cancelled: - correct answer By either the insurer or the insured Concurrent review is defined as: - correct answer The assignment of a caseworker to an ongoing claim All of the following are true regarding "qualified" Long Term Care (LTC) insurance plans, EXCEPT: - correct answer They must have a cash value Pre-existing conditions ...

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10 pages

Written in 2024/2025

Grade A+

RealGrades

Premiums paid that exceed 7 1/2% of an insured's Adjusted Gross Income (AGI) are tax-deductible when paid for which of the following plans? - correct answer Qualified Long-Term Care plan All _____ policies must be guaranteed renewable. - correct answer long-term care An attending physician's statement would be appropriate for which life insurance purpose? - correct answer At the r...

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15 pages

Written in 2024/2025

Grade A+

RealGrades

Which of the following statements is CORRECT about coinsurance? A: It applies to deductibles as well as to claim payments. B: It helps control overutilization of benefits. C: It if effective for the first claim payment and waived for future claims. D: Insurance companies may adjust the coinsurance ratio after issuing this policy. - correct answer B: It helps control overutilization of benefits. Which of the following health policies requires a beneficiar...

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13 pages

Written in 2024/2025

Grade A+

RealGrades

What year was the McCarren-Ferguson Act enacted? - correct answer 1945 Which of the following requires insurers to disclose when an applicant's consumer or credit history is being investigated? - correct answer 1070 Fair Credit Reporting Act A nonprofit incorporated society that does not have capital stock and operates for the sole benefit of its members is known as: - correct answer ...

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4 pages

Written in 2024/2025

Grade A+

RealGrades

Differences between Best of Breed and integrated systems approach. Which is best for a small practice? Large hospital? Why? - correct answer Best of breed refers to products selected from a variety of vendors This is best for smaller practices because often times it results in acquisition of separate software solutions for various operational administrative functions. Systems Integration is the process of bringing together the component subsystems into one s...

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4 pages

Written in 2024/2025

Grade A+

RealGrades

Hip, Knee, and Ankle, The Hip & Pelvis Questions &Exam (elaborations) answers 100% satisfaction guarantee Latest update 2024/2025 with complete solution

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10 pages

Written in 2024/2025

Grade A+

GOLDSOLUTIONS

HIM 1423 CH 5 Questions &Exam (elaborations) answers 100% satisfaction guarantee Latest update 2024/2025 with complete solution

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5 pages

Written in 2024/2025

Grade A+

GOLDSOLUTIONS