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2024 – 2025 HEALTH INSURANCE FLORIDA 2 – 40 PRACTICE EXAM QUESTIONS 2 ACTUAL QUESTIONS AND CORRECTLY WELL DEFINED ANSWERS LATEST ALREADY GRADED A+ $12.99
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2024 – 2025 HEALTH INSURANCE FLORIDA
2 – 40 PRACTICE EXAM QUESTIONS 2
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST ALREADY
GRADED A+
This is a product designed to provide coverage for necessary diagnostic,
preventive, therapeutic, rehabilitative, maintenance, or personal care services
provided in a setting other than an acute care unit of a hospital. This product is
called?
A) Long-Term Care
B) Medicare Supplement
C) Retirement Benefits
D) Outpatient Care - ANSWERS-Long-Term Care
(The question is describing a Long-Term Care Policy. Medicare Supplement is
incorrect as it covers skilled nursing care only, and then on a limited basis by
number of days.)
,Exclusions listed in the policy are NOT covered. Which of the following is not an
exclusion?
A) Intentionally self-inflicted injuries
B) Elective cosmetic surgery
C) Nonoccupational injuries
D) Care in a government facility - ANSWERS-Nonoccupational injuries
(Nonoccupational injuries are covered. Job related or occupational injuries are
typically excluded as they are covered by Workers' Compensation.)
Which Long-Term Care definition does not match the coverage?
A) Residential Care - health care provided in one's home under a planned program
established by his/her attending physician.
B) Respite Care - provides relief to the caregiver not the long-term care patient.
C) Custodial Care Facility - a licensed facility, operated according to the laws of the
state, under the supervision of an R.N.
D) Skilled Nursing Facility - a licensed facility, operated in accordance with the
laws of the state, providing skilled nursing care under the supervision of a
physician. - ANSWERS-Residential Care - health care provided in one's home
under a planned program established by his/her attending physician.
(This is the definition of Home Convalescent Care, not Residential Care, which
occurs within a long-term care facility.)
,What type of health insurance is available to assist low-income individuals?
-Social Security disability
-Medicare supplement
-Medicare
-Medicaid - ANSWERS-Medicaid
What types of reserves are set aside and held by health insurance companies?
-Premium reserves
-Premium and Claims reserves
-Claims reserves
-Deductible and Premium reserves - ANSWERS-Premium and Claims reserves
(Explanation:Reserves are set aside for the payment of future claims.)
Group health insurance is generally written on a basis that provides for dividends
or experience rating. What is the basis called?
-Contributory
-Noncontributory
-Nonparticipating
-Participating - ANSWERS-Participating (Explanation:Group plans written by
mutual companies provide for dividends while stock companies frequently issue
experience-rated plans.)
, Which of the following is NOT a form of medical insurance?
-Business overhead expense
-Surgical expense
-Hospital expense
-Long term care - ANSWERS-Business overhead expense (Explanation:Business
Overhead Expense insurance is designed to reimburse a business for overhead
expenses in the event a business owner becomes disabled. Expenses such as rent,
utilities, telephone, equipment, employees' salaries, etc.)
All of the following are state or federal government programs that provide health
insurance, EXCEPT?
-Medicare
-OASDI disability
-Medicaid
-Medigap - ANSWERS-Medigap (Explanation:A Medigap policy is a Medicare
supplement insurance policy sold by private insurance companies to fill "gaps" in
Medicare Parts A and B.)
Which of the following is NOT TRUE regarding eligibility for subsidies for families
under the new health care act?
-For those who make between 100-400% of the Federal Poverty -Level
-Cannot be covered by an employer
-Cannot be eligible for Medicare
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