Question 1

Under the adjusted (modified)community rating approach to health insurance premium pricing, all policyholders in an area pay the same premium without regard to their personal health, age, gender, or other factors.

Accepted Answer

A) True 
 B)False

Question 2

One drawback of long-term-care insurance is its:

Accepted Answer

A)  high annual premiums.
B)  overlap with Medicare.
C)  inability to cover custodial care.
D)  short duration.
E)  non-renewability clause.F) A) and B)
G) A) and E)

Question 3

Which of the following statements regarding workers' compensation insurance is true?

Accepted Answer

A)  The federal government is responsible for workers' compensation legislation and regulation.
B)  Workers' compensation insurance includes only rehabilitation expenses.
C)  Employees are required to bear half of the entire cost of workers' compensation insurance.
D)  Workers' compensation insurance compensates workers who are injured on the job or become ill through work-related causes.
E)  Employers who file the most claims pay the lowest premiums on the insurance coverage.F) A) and E)
G) B) and D)

Question 4

Which of the following is a public assistance program that provides health insurance benefits only to those who are unable to pay for health care?

Accepted Answer

A)  Medicare
B)  Medicaid
C)  Blue Cross\Blue Shield
D)  Point-of-service (POS) plan
E)  Workers' compensationF) All of the above
G) A) and E)

Question 5

Disability income insurance will provide income to a disabled or ill person:

Accepted Answer

A)  without a waiting period.
B)  with unlimited funds for years.
C)  with a waiting period before income is received.
D)  with payments made to the recipient up to age 70.
E)  only if the insured is unable to work any job.F) A) and B)
G) A) and C)

Question 6

An individual receiving health care is allowed to receive:

Accepted Answer

A)  a one-time payment only from his or her insurance company for this care.
B)  multiple payments from only two insurance companies for this care.
C)  multiple payments from more than one insurance company for this care.
D)  either compensation from the employer or a one-time payment from only one insurance company for this care.
E)  payments from his or her employer only twice in his or her lifetime.F) A) and E)
G) A) and D)

Question 7

The ACA's provisions relating to long-term care include the Community Living Assistance Services and Support Program (CLASS) , which will be administered by:

Accepted Answer

A)  the U.S. Department of Health and Human Services.
B)  private insurance providers.
C)  the Social Security Administration.
D)  the government.
E)  consumers.F) D) and E)
G) All of the above

Question 8

In order to qualify for disability insurance under Social Security, a person must be:

Accepted Answer

A)  unable to carry out the duties of the current job.
B)  unable to carry out the duties of any job.
C)  ill for at least 3 months.
D)  expected to be disabled for at least 1 month.
E)  expected to be disabled for no more than 6 months.F) B) and D)
G) D) and E)

Question 9

Medicare Part B covers:

Accepted Answer

A)  post-hospital medical services.
B)  therapy, rehabilitation, and home health care.
C)  inpatient hospital services.
D)  imaging, laboratory tests, and prosthetic devices.
E)  dental care.F) A) and B)
G) B) and D)

Question 10

Long-term-care insurance provides protection against the cost of extended hospital stays.

Accepted Answer

A) True 
 B)False

Question 11

A _____ is a hybrid form of health maintenance organization (HMO) that allows members to go outside of the HMO network for care.

Accepted Answer

A)  point-of-service (POS) plan
B)  Blue Cross\Blue Shield plan
C)  fee-for-service plan
D)  traditional indemnity plan
E)  group HMO planF) A) and E)
G) A) and C)

Question 12

An exclusive provider organization (EPO) is a:

Accepted Answer

A)  hybrid form of health maintenance organization (HMO) that reimburses members a specified percentage of the cost.
B)  managed care plan that reimburses members only when affiliated providers are used.
C)  managed care plan in which subscribers receive services from physicians practicing from their own offices.
D)  hybrid form of health maintenance organization (HMO) that allows members to go outside the HMO network for care.
E)  prepaid hospital and medical expense plan that allows members to use nonaffiliated providers.F) A) and E)
G) C) and D)

Question 13

During the past few decades, the percentage of our income spent on health care:

Accepted Answer

A)  has increased due to an aging U.S. population.
B)  has decreased due to costly advances in medical technology.
C)  has increased due to advanced demand-and-supply distribution of health care facilities.
D)  has decreased due to increased regulation and decreased administrative costs.
E)  has decreased due to the reduction in health care costs.F) A) and E)
G) B) and D)

Question 14

Which of the following statements regarding medical insurance costs in the United States is true?

Accepted Answer

A)  Advances in medical technology have decreased medical insurance costs.
B)  Health insurance does not pay for routine medical costs.
C)  A poor demand-and-supply distribution of health care facilities and services has increased health care costs.
D)  Increased regulation and decreased administrative costs have reduced medical insurance costs in the United States.
E)  Due to the financial importance of health insurance, nearly 50% of the U.S. population has health insurance.F) B) and D)
G) A) and D)

Question 15

More than 15% of the working-age population are not covered by health insurance.

Accepted Answer

A) True 
 B)False

Question 16

Medicare and Medicaid cover:

Accepted Answer

A)  between 50 and 100% of the total cost of long-term care.
B)  all the costs related to long-term care.
C)  between 0 and 50% of the total cost of long-term care.
D)  the average cost of long-term care.
E)  none of the costs related to long-term care.F) B) and C)
G) B) and E)

Question 17

Medicare and Medicaid are administered by hospitals and physicians.

Accepted Answer

A) True 
 B)False

Question 18

You would have a better chance of insurance coverage for medical services not provided by the network with a preferred provider organization (PPO)plan than with a health maintenance organization (HMO)plan.

Accepted Answer

A) True 
 B)False

Question 19

Blue Cross\Blue Shield payments for health care services are made directly to the subscriber rather than the hospital or physician.

Accepted Answer

A) True 
 B)False

Question 20

Generally, group insurance plans cost less than individual policies.

Accepted Answer

A) True 
 B)False

Exam 9: Insuring Your Health

Generally, group insurance plans cost less than individual policies.

Correct AnswerverifiedShow Answer

You would have a better chance of insurance coverage for medical services not provided by the network with a preferred provider organization (PPO)plan than with a health maintenance organization (HMO)plan.

Correct AnswerverifiedShow Answer

More than 15% of the working-age population are not covered by health insurance.

Correct AnswerverifiedShow Answer

Long-term-care insurance provides protection against the cost of extended hospital stays.

Correct AnswerverifiedShow Answer

During the past few decades, the percentage of our income spent on health care:

Correct AnswerverifiedShow Answer

One drawback of long-term-care insurance is its:

Correct AnswerverifiedShow Answer

Under the adjusted (modified)community rating approach to health insurance premium pricing, all policyholders in an area pay the same premium without regard to their personal health, age, gender, or other factors.

Correct AnswerverifiedShow Answer

Blue Cross\Blue Shield payments for health care services are made directly to the subscriber rather than the hospital or physician.

Correct AnswerverifiedShow Answer

Which of the following is a public assistance program that provides health insurance benefits only to those who are unable to pay for health care?

Correct AnswerverifiedShow Answer

An individual receiving health care is allowed to receive:

Correct AnswerverifiedShow Answer

Which of the following statements regarding workers' compensation insurance is true?

Correct AnswerverifiedShow Answer

A _____ is a hybrid form of health maintenance organization (HMO) that allows members to go outside of the HMO network for care.

Correct AnswerverifiedShow Answer

Medicare and Medicaid are administered by hospitals and physicians.

Correct AnswerverifiedShow Answer

An exclusive provider organization (EPO) is a:

Correct AnswerverifiedShow Answer

Medicare and Medicaid cover:

Correct AnswerverifiedShow Answer

Disability income insurance will provide income to a disabled or ill person:

Correct AnswerverifiedShow Answer

Medicare Part B covers:

Correct AnswerverifiedShow Answer

In order to qualify for disability insurance under Social Security, a person must be:

Correct AnswerverifiedShow Answer

The ACA's provisions relating to long-term care include the Community Living Assistance Services and Support Program (CLASS) , which will be administered by:

Correct AnswerverifiedShow Answer

Which of the following statements regarding medical insurance costs in the United States is true?

Correct AnswerverifiedShow Answer

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