Deck 11: Health,disability,and Long-Term Care Insurance

Question 1

Physician expense insurance helps pay for physician's care that does not involve surgery.

Answer 1

True

Question 2

Surgical expense insurance pays part or the full amount of the surgeon's fees for an operation.

Answer 2

True

Question 3

Basic health insurance coverage includes hospital expense insurance,surgical expense insurance,and physician expense insurance.

Answer 3

True

Question 4

A good health insurance plan should offer basic coverage for hospital and doctor bills.

Question 5

More people have hospital insurance than any other kind of health insurance.

Question 6

Affordable health care has become one of the most important social issues of our time.

Question 7

The prescription to stay healthy includes getting sufficient rest,relaxation,and exercise.

Question 8

Very few group health insurance policies have a coordination of benefits provision.

Question 9

People often buy surgical expense insurance in combination with hospital expense insurance and physician expense insurance.

Question 10

A deductible provision requires the policyholder to pay a basic amount before the policy benefits begin.

Question 11

One reason for the high and rising costs of health care is the use of sophisticated and expensive technologies.

Question 12

One way to reduce your own medical costs is to stay well.

Question 13

The United States has the lowest per capita medical expenditures of any industrialized country in the world.

Question 14

Individual health insurance covers either one person or a family.

Question 15

Physician expense insurance coverage excludes visits to the doctor's office,x-rays,and lab tests.

Question 16

Hospital expense insurance pays part or the full amount of hospital bills for room,board,and other charges.

Question 17

A good health insurance plan should impose no unreasonable exclusions.

Question 18

Group health insurance will cover you,but not your immediate family.

Question 19

A recent study by Americans for Long-Term Care Security found that one out of five Americans over age 30 is at risk of needing some form of long-term care within the next 12 months.

Question 20

Health club membership is a form of protection to alleviate the financial burdens individuals suffer from illness or injury.

Question 21

Dread disease and cancer policies are usually very good values.

Question 22

A coinsurance provision requires the policyholder to share the expenses beyond the deductible amount.

Question 23

Medicare covers routine checkups,dental care,most immunizations,cosmetic surgery,routine foot care,eyeglasses,and hearing aids.

Question 24

Medicare originally had two parts: hospital insurance and medical insurance.

Question 25

The two best-known sources of government health insurance are Medicare and Medicaid.

Question 26

Medicaid is administered by each state within certain broad federal requirements and guidelines.

Question 27

Part A of Medicare pays for all covered services for inpatient hospital care after you pay a single annual deductible.

Question 28

A stop-loss provision requires the policyholder to pay up to a certain amount,after which the insurance company pays 100 percent of all remaining covered expenses.

Question 29

Preferred provider organizations combine the best elements of the fee-for-service and HMO systems.

Question 30

Blue Cross plans provide for surgical and medical services performed by physicians.

Question 31

The hospital indemnity policy is a good substitute for basic or major medical protection.

Question 32

To get Medicare medical insurance,you must sign up for it and pay a monthly premium.

Question 33

A hospital indemnity policy pays benefits directly to the hospital only when you are hospitalized.

Question 34

Medicare hospital insurance is financed from a portion of the Social Security tax.

Question 35

Long-term care insurance was virtually unknown 50 years ago,but it is now growing faster than any other form of insurance.

Question 36

Medigap insurance,intended to supplement Medicare,is sold and serviced by the federal government.

Question 37

Blue Shield plans provide hospital care benefits on essentially a "service type" basis.

Question 38

Medicare covers the cost of care received outside the United States,Canada,and Mexico.

Question 39

Medicare does not cover the medical expenses of private-duty nursing care.

Question 40

Care in a skilled nursing facility beyond 100 days per benefit period is approved and covered by Medicare.

Question 41

Good disability plans pay when you are unable to work at your regular job; poor disability plans pay only when you are unable to work at any job.

Question 42

You should seek a disability income policy that pays benefits for life.

Question 43

Once a person is eligible,Medicaid provides more benefits than does Medicare.

Question 44

The premium for noncancelable and guaranteed renewable coverage for a disability income policy is higher,but the coverages are well worth the extra cost.

Question 45

Disability income insurance is probably the least neglected form of available insurance protection.

Question 46

Medicare supplement insurance is a government-sponsored program.

Question 47

Very few members of the Medicaid population are also covered by Medicare.

Question 48

Disability benefits begin on the first day you become disabled.

Question 49

Disability income insurance provides regular cash income lost by employees as the result of an accident or illness.

Question 50

You should look for a disability income policy that waives premium payments while you are disabled.

Question 51

Many employers provide disability income protection for their employees through group insurance plans.

Question 52

Title XIX of the Social Security Act provides for a program of medical assistance to certain low-income individuals and families,known as Medicaid.

Question 53

Medicaid differs from Medicare because eligibility for Medicaid depends on having very low income and assets.

Question 54

Most salaried workers in the United States do not participate in the Social Security program.

Question 55

Medicaid is financed by both state and federal funds.

Question 56

Because Medicaid coverage is very limited,people using it need to purchase supplemental insurance.

Question 57

Medicare was never intended to pay all medical costs.

Question 58

Generally,disability income policies with shorter waiting periods have lower premiums.

Question 59

It is best for you to get routine care and recommended preventive services from a primary care provider rather than a hospital's emergency department.

Question 60

Every year,12% of the adult U.S.population suffers a long-term disability.

Question 61

Harry Morgan gets a bad case of the flu and ends up in the hospital for three days.Which part of his basic health insurance coverage should help pay for this stay?

A)Hospital expense
B)Surgical expense
C)Physician expense
D)Major medical expense
E)Medicare Part B

Question 62

What are some possible reasons for high and rising costs of health care?

A)The use of sophisticated and expensive technologies
B)Rapid average earnings growth for health care professionals
C)Duplication of tests
D)The increasing number and longevity of elderly people
E)All of these

Question 63

Which of the following groups has undertaken innovative activities to contain the costs of health care?

A)Employers
B)Labor unions
C)Health insurers
D)Consumers
E)All of these

Question 64

Raymond Carter has a type of all-inclusive health insurance that has a very low deductible and pays for hospital,surgical,medical,and other bills under one plan.What type of insurance does he have?

A)Comprehensive major medical
B)Hospital indemnity
C)Long-term care
D)Cancer
E)Disability income

Question 65

Joan Wilder receives a phone call from a salesperson who tries to sell her an insurance policy by scaring her about her high risk of death from this disease.She knows that this type of insurance policy is notoriously a poor value,so she politely declines.What type of insurance policy did this salesperson likely try to sell her?

A)Comprehensive major medical
B)Hospital indemnity
C)Long-term care
D)Cancer
E)Disability income

Question 66

Chris Jones has an insurance policy that pays benefits to him in cash when he is hospitalized.What type of insurance would this be?

A)Comprehensive major medical
B)Hospital indemnity
C)Long-term care
D)Cancer
E)Disability income

Question 67

Sophie Bennett has personally paid a total of $6,000 in medical costs this year,which is the out-of-pocket limit listed in her insurance plan.At this point,there is a provision in her insurance contract that requires her insurance company to pay 100% of her medical costs for the remainder of the year.What provision is this likely to be?

A)Coordination of benefits
B)Hospital indemnity clause
C)Coinsurance
D)Stop-loss provision
E)Major medical expense provision

Question 68

Julie Cumbie was playing softball and got hurt sliding into second base.She gets an x-ray at her doctor's office to make sure her ankle isn't broken.Which part of her basic health insurance coverage should help pay for this x-ray?

A)Hospital expense
B)Surgical expense
C)Physician expense
D)Major medical expense
E)Medicare Part B

Question 69

Sophie Bennett is required to pay 20 percent of her medical costs after the deductible has been paid.What is this requirement called?

A)Coordination of benefits
B)Deductible
C)Coinsurance
D)Stop-loss provision
E)Waiver of premium

Question 70

Nathan Drummond has three different insurance policies.He has been injured in an accident and has incurred $30,000 in medical bills.There is a provision in all of his insurance contracts that ensures the total benefits he receives from all sources is limited to 100% of allowable medical expenses.What is this provision called?

A)Coordination of benefits
B)Deductible
C)Coinsurance
D)Stop-loss provision
E)Waiver of premium

Question 71

Which country has the highest per capita medical expenditures of any industrialized country in the world?

A)Australia
B)Britain
C)Canada
D)Denmark
E)United States

Question 72

Which of the following is an innovative way concerned groups are containing health care costs?

A)Incentives to encourage preventive care
B)Encouragement of prepaid group practices
C)Establishment of community health education programs
D)Encouragement by doctors for patients to pay cash for routine medical care
E)All of these

Question 73

Joe Johnson needs surgery for appendicitis.Which part of his basic health insurance coverage should help pay for the surgeon's fees?

A)Hospital expense
B)Surgical expense
C)Physician expense
D)Major medical expense
E)Medicare Part B

Question 74

Sophie Bennett must pay $500 for doctor's visits each year before her insurance company will make any payments for doctor's visits.What is this requirement called?

A)Coordination of benefits
B)Deductible
C)Coinsurance
D)Stop-loss provision
E)Waiver of premium

Question 75

What is one of the best ways for you to avoid the high cost of illness?

A)Get sufficient rest.
B)Gain a little extra weight.
C)Smoke and drink.
D)Drive dangerously.
E)Avoid relaxation.

Question 76

Which type of health insurance plan may not provide benefits for the major portion of your medical care bills?

A)Group health insurance
B)Life insurance
C)Medicare
D)Medicaid
E)Disability income insurance

Question 77

Jamal Walker developed a serious infection and spent 6 months in his hospital's intensive care unit.What part of his health insurance policy would be the most useful for helping to pay for this?

A)Hospital expense
B)Surgical expense
C)Physician expense
D)Major medical expense
E)Medicare Part B

Question 78

Karen Bloomberg was seriously injured in a car accident and is paralyzed from the waist down.Luckily,she has an insurance policy that will pay for someone to come in and help with her daily activities such as bathing,dressing,and household chores.What type of insurance policy is this likely to be?

A)Comprehensive major medical
B)Hospital indemnity
C)Long-term care
D)Cancer
E)Disability income

Question 79

Which provision in a health insurance policy states that you will pay a flat dollar amount each time you receive a covered medical service?

A)Daily benefit
B)Benefit period
C)Policy limit
D)Elimination period
E)Copayment

Question 80

Most group health insurance plans in the United States are sponsored by:

A)victims of communicable diseases.
B)individuals with families.
C)single individuals with no dependents.
D)elderly individuals.
E)employers.