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Exam (elaborations)

Health Insurance Exam Graded A+ 2024/2025 | Questions with Complete Solutions.

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Health Insurance Exam Graded A+ 2024/2025 | Questions with Complete Solutions. A health insurance policy may cover all the following risks except? a. medical expenses b. war related injuries c. dental expenses d. loss of income due to disability Answer:B Under individual policies, chi...

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  • September 3, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Life Health Insurance
  • Life Health Insurance
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Health Insurance Exam

A health insurance policy may cover all the following risks
except?
a. medical expenses
b. war related injuries
c. dental expenses
d. loss of income due to disability


Answer:B




Under individual policies, children of the insured may be
covered up to the age of?
Answer:26




Which of the following is not true of a major-medical health
insurance policy?
a. it is designed to pay on a first dollar of expense basis
b. it usually has a maximum benefit amount
c. the benefits are subject to deductibles
d. it is designed to cover hospital and medical expenses of a
catastrophic nature

,Answer:A




Which describes the features of a comprehensive major
medical medical policy?
a. there is no coinsurance
b. basic medical expense benefits are provided in single
package
c. the deductible is always expressed as deferred amount
d. it is the same as major medical insurance


Answer:B




Which of the following losses will be covered by a group
medical expense policy?
a. injury resulting from active military duty
b. intentional self inflicted injury
c. an elective cosmetic surgery
d. a per-existing condition


Answer:D




Which of the following is not true regarding basic surgical
expense coverage?

, a. there is no deductible
b. contracts include a surgical schedule
c. it is commonly written in conjunction with hospital expense
policies
d. coverage is unlimited


Answer:D




An insured has a major medical policy with a $500 deductible
and a coinsurance clause of 80/20. If he incurs medical
expenses of $4,000, the insurer would pay?
Answer:$2,800




Maurice's health insurance plan covers practically all types of
medical expenses. Maurice's insurer provides first dollar
coverage for basic benefits, but applies a deductible for major
benefits and then pays 80/20 coinsurance. What type of
coverage does Maurice have?
Answer:comprehensive major medical




An insured has a major medical policy with a $500 deductible
and 80/20 coinsurance. The insured is hospitalized and
sustains a $2,500 bill. What is the max amount that the insured
will have to pay?
Answer:$900

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