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INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement. -[The government | Individuals] pay(s) a larger share of personal health care expenses than private health insurance.


A) for the first item
B) for the second item
C) if neither item will correctly complete the statement.

D) B) and C)
E) All of the above

Correct Answer

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Long-term care insurance can cover both nursing home and home health care.

A) True
B) False

Correct Answer

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Which of the following best describes a custodial care facility?


A) a place that combines apartment-style living with prepared meals,housekeeping,and personal care services.
B) a place that provides regular assistance with such activities as transferring someone from a bed to a chair,or helping them take a bath or get dressed.
C) a place with licensed medical professionals that assist residents regularly with medically necessary care.
D) a place that provides regular assistance with chronic health conditions that are acute in nature.
E) custodial care is best provided in a hospital where surgical facilities are always available.

F) A) and E)
G) B) and E)

Correct Answer

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Insurers are required to cover people with pre-existing medical conditions without limiting or setting unrealistically high insurance rates.

A) True
B) False

Correct Answer

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Nick has a comprehensive health care policy with a $250 per calendar year deductible and 80%-20% with a maximum $1,000 copayment cap per calendar year.In January,Nick had a $600 claim which the insurance company paid $280.Nick experiences another unrelated claim in October resulting in total bills of $5,000.How much will Nick have to pay for the second claim?


A) $5,000
B) $3,930.
C) $1,800
D) $ 930.
E) none of the above.

F) B) and D)
G) A) and D)

Correct Answer

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The insurance designed to help with nursing home or in-home care due to chronic illness is called


A) Medicare.
B) major medical.
C) comprehensive major medical.
D) nursing home care.
E) long term care.

F) A) and C)
G) A) and B)

Correct Answer

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When you are hospitalized for surgical care,surgical expense coverage will pay the hospital bill.

A) True
B) False

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Surgical expenses now generally are reimbursed on the basis of


A) actual surgical expense.
B) listed benefit schedules.
C) specific percentage of actual surgical expense.
D) average national cost of the surgery.
E) usual,reasonable and customary expenses.

F) B) and E)
G) B) and C)

Correct Answer

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INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement. -You would be more likely to receive [70 | 90] percent of your pre-disability income from a disability income policy.


A) for the first item
B) for the second item
C) if neither item will correctly complete the statement.

D) B) and C)
E) All of the above

Correct Answer

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Advances in medical technology,prescriptions drugs and treatments have substantially reduced the costs health care in recent decades.

A) True
B) False

Correct Answer

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Disability income insurance provides benefits that are designed to


A) pay for hospital care costs from injuries.
B) substitute for lost income.
C) cover hospital care costs from illness.
D) substitute for social security disability benefits.
E) supplement retirement income for the elderly.

F) A) and E)
G) B) and D)

Correct Answer

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Starting in 2014,the Affordable Care Act requires insurance companies to set premiums based on all the following except


A) Family size
B) Where you live
C) Tobacco use
D) Gender
E) Age

F) B) and E)
G) A) and E)

Correct Answer

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Your right to continue a health insurance policy if you choose is known as


A) policy exclusions.
B) persons covered.
C) continuation.
D) duration of benefits.
E) renewability.

F) D) and E)
G) A) and D)

Correct Answer

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INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement. -Scheduled surgical benefits tend to be [very close to | way below] what most surgeons will charge.


A) for the first item
B) for the second item
C) if neither item will correctly complete the statement.

D) All of the above
E) A) and B)

Correct Answer

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Increasing the deductible is likely to lower the premium on a comprehensive major medical policy.

A) True
B) False

Correct Answer

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INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement. -The U.S.spends about [17% | 24%] of our economic output on health care.


A) for the first item
B) for the second item
C) if neither item will correctly complete the statement.

D) A) and C)
E) A) and B)

Correct Answer

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All Americans are required to have or buy health insurance beginning in 2014 or pay a penalty.

A) True
B) False

Correct Answer

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INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement. -An individual receiving health care [could | could not] receive multiple payments from more than one insurance company for this care.


A) for the first item
B) for the second item
C) if neither item will correctly complete the statement.

D) None of the above
E) All of the above

Correct Answer

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Which of the following statements is true about the means (income) testing for Medicare?


A) there are strictly enforced income limits that are based on federal standards but may vary slightly by state.
B) limits apply to the amount of counted assets individuals can have,but they are routinely overlooked.
C) means testing is intended to ensure that only the truly needy get access to Medicare.
D) there is an asset test and an income test.
E) Medicare is not income tested.

F) B) and E)
G) B) and D)

Correct Answer

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Typically group health insurance plans provide substantially less comprehensive coverage than the average individually underwritten policy.

A) True
B) False

Correct Answer

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