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Life Insurance Exam > Intro to Health Insurance > Flashcards

Intro to Health Insurance Flashcards

1
Q

Kurt’s medical policy states that it will pay him $50 a day for each day he is hospitalized. The policy pays benefits on which bases?

  • Partial
  • Indemnity
  • Reimbursement
  • Service
A
  • Indemnity
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2
Q

All of the following are classified as types of accident and sickness insurance coverage EXCEPT

  • survivorship insurance
  • medical expense insurance
  • disability income insurance
  • dental insurance
A
  • survivorship insurance

Survivorship life insurance is also known as second to die insurance. this specialized policy insures & pays the death benefit when the last insured dies.

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3
Q

Credit Health insurance

  • covers creditors only
  • provides payments on loans if the debtor dies
  • covers both creditors and debtors
  • provides payments on loans that become due when the debtor is disabled
A
  • provides payments on loans that become due when the debtor is disabled
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4
Q

A hospital indemnity insurance policy may be recommended to a client for all of the following EXCEPT
the policy can be an ideal supplement to other health insurance
* the policy will pay the full amount of the hospital stay
* the premiums are affordable
* benefits are paid directly to the insured & may be used for any purpose

A
  • the policy will pay the full amount of the hospital stay
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5
Q

Blanket health insurance is a type of group accident insurance

  • individual health & life insurance
  • group accident insurance
  • group and life insurance
  • individual accident insurance
A

group accident insurance

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6
Q

Marco’s medical expense policy states that it will pay a flat $75 per day for room and board for each day of hospitalization. The policy benefits on which basis?

  • Reimbursement
  • Service
  • invoice
  • Indemnity
A
  • Indemnity

Medical expense policies written on an indemnity basis pay a daily benefit for each day of hospitalization, regardless of the actual expense.

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7
Q

A policy that covers one specific type of life-threatening or serious condition is known by all of the following names EXCEPT

  • critical illness plan
  • obscure disease plan
  • specified disease policy
  • dread disease policy
A

obscure disease plan

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8
Q

Which of the following is nOT a common health insurance exclusion?

  • Treatment for burns sustained while the insured was committing arson
  • Plastic surgery to repair scar tissue
  • Medical care after the insured breaks her arm while at work
  • cosmetic surgery to reduce wrinkles
A
  • Plastic surgery to repair scar tissue
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9
Q

Which of the following statements about blanket accident and sickness insurance policies is not correct?

  • The can be issued on a group basis or an individual basis
    • the insurer does not need to furnish each person with a certificate
    • they are issued to groups such as common carriers & educational institutions
    • individual application is not required
A
  • The can be issued on a group basis or an individual basis
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10
Q

A health insurance plan may pay benefits for all the following EXCEPT

  • over-the-counter drugs
  • disabling injury or sickness
  • dental work
  • nursing home care
A

*over-the-counter drugs

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11
Q

Limited plans are characterized by all of the following EXCEPT

  • limited perils
  • very broad or open perils
  • limited benefits
  • notice to the insured
A
  • very broad or open perils
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12
Q

Which of the following falls under the definition of a limited policy?

  • Accidental death & dismemberment (AD&D) insurance
  • long-term care insurance
  • prescription drug plan
  • a flat-benefit disability policy
A
  • prescription drug plan
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13
Q

Which of the following is the most valid reason for a person to purchase a specified (dread) disease health insurance policy?

  • she wants to make sure that she and her family are protected against a major illness
  • she has been diagnosed with heart disease
  • she wants coverage against the Irish of illnesses such as Aids, tuberculosis, & diabetes
  • her family has a history of cancer, and she is concerned that she might contract the disease
A
  • her family has a history of cancer, and she is concerned that she might contract the disease
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14
Q

Hearing aids might be covered under what type of health policy?

  • prescription drug
  • hospital indemnity
  • hearing insurance
  • short-term medical expense
A
  • hearing insurance
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15
Q

Agnes purchases a round-trip accident policy at the airport before leaving on a business trip. Her policy would be which type of insurance?

  • credit accident & health
  • business overhead expense
  • limited risk
  • industrial health
A
  • limited risk
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16
Q

What kind of policy provides coverage only for death, dismemberment, disability, or hospital and medical care caused by accidents?

  • medicare supplement policy
  • accident-only policy
  • specialized death policy
  • major medical type II policy
A

accident-only policy

17
Q

In which of the following situations would an accidental death and dismemberment (AD&D) policy most not likely pay?

  • the insured trips over a computer cable at the office, strikes his head on a steam radiator and dies form his injury 1 week later
  • the insured injures a finger while using a chainsaws in his workshop
  • the insured becomes distracted while talking on her cell phone when driving, collides with a telephone pole. and loses a leg
  • while serving as a camp counselor during a class field, the insured loses an arm in a boating accident
A
  • the insured injures a finger while using a chainsaws in his workshop
18
Q

Which of the following entities would NOT be offered a blanket health insurance policy?

  • the employees of a factory
  • a college
  • a soccer team
  • an airline
A
  • a college
19
Q

Which of the following statements regarding blanket health insurance is CORRECT?

  • benefits change as the group changes
  • it provides insurance for members and associations
  • person injured are named in the policy
  • it covers a group of people who may be exposed to the same risks
A

it covers a group of people who may be exposed to the same risks

20
Q

All of the following types of health insurance coverage can be written on an individual basis EXCEPT

  • accidental death & dismemberment
  • disability income
  • medical expense
  • social security
A
  • social security

Life Insurance Exam (13 decks)

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