An accident and health insurance policy defines an injury as “bodily injury by accidental means”. For an injury to be covered on this policy, what is required? A. The accident must be external and violent B. The cause of the accident must be intentional C. Only the injury resulting from an accident must be unintentional D. Both the cause and the result of an accident must be unintentional

D. Both the cause and the result of an accident must be unintentional More test answers on https://studyhippo.com/pre-cert-practice-exam/

An insured pays premiums on an annual basis for an individual health insurance policy. What is the MINIMUM number of days for the Grace Period provision?

31 More test answers on https://studyhippo.com/florida-insurance/

Megan has covered medical expenses of $15,500. Her health insurance policy has a $1,000 calendar year deductible, 20% coinsurance and $2,500 stop loss. What amount will her Insurance Company pay?

$12,000 ($15,500 – $1,000) = $14,500 $14,500 x 0.2 = 2,900 2,900 > 2,500 14,500 – 2,500 = 12,000 More test answers on https://studyhippo.com/uncc-finn-3272-test-3-clicker-questions/

Which of the following statements pertaining to health insurance policy premium factors is correct?

Health insurance policies are paid for on a year-by-year basis and are subject to periodic increases More test answers on https://studyhippo.com/exam-143106/

Which of the following is NOT required in the Outline of Coverage for a health insurance policy?

Projection of the policy’s future costs ( “Projection of the policy’s future costs”. A table indicating the policy’s projected future costs is not required in an Outline of Coverage. More test answers on https://studyhippo.com/8-florida-laws-and-rules-pertinent-to-insurance-test-only-has-40-questions/

T was treated for an ailment 2 months prior to applying for a health insurance policy. This condition was noted on the application and the policy was issued shortly afterwards.How will the insurer likely consider this condition?

Insurer will likely treat as a pre-existing condition which may not be covered for one year More test answers on https://studyhippo.com/medical-expense/

Which of the following is NOT required in the Outline of Coverage for a health insurance policy? Explanation of the policy’s benefits Listing of the policy’s exclusions and limitations Projection of the policy’s future costs Explanation of the policy’s renewal and cancellation provisions

Projection of the policy’s future costs More test answers on https://studyhippo.com/florida-laws-and-rules-pertinent-to-insurance-ch-8/

Which of the following is the most valid reason for a person to purchase a specified (dread) disease health insurance policy? A) He wants to make sure that he and his family are protected against a major illness. B) Her family has a history of cancer, and she is concerned that she might contract the disease. C) He has been diagnosed with heart disease. D) She wants coverage against the risk of such illnesses as AIDS, tuberculosis, and diabetes.

B) Her family has a history of cancer, and she is concerned that she might contract the disease. More test answers on https://studyhippo.com/practice-tests-test-answers/

When a health insurance policy is purchased in the state of New York, the insured may cancel the policy and receive a premium refund within a) 90 days. b) 10 days. c) 20 days. d) 30 days.

c) 20 days. The Free Look Provision allows for an insured to review his/her policy once it has been delivered; if the insured decides to return it within a certain time period, the premium will be refunded. The Free Look time period varies from state to state. In New York the insured can review the policy from anywhere between 10 and 20 days. More test answers on https://studyhippo.com/test-practice/

the reason for a condination of benefites statement is a health insurance policy is

to prevent duplication or pverlappimg of pymts for the same medical expense More test answers on https://studyhippo.com/chp-347/

Home Page Social Science Business Insurance Health Insurance Policy

Health Insurance Policy Flashcards, test questions and answers

Discover flashcards, test exam answers, and assignments to help you learn more about Health Insurance Policy and other subjects. Don’t miss the chance to use them for more effective college education. Use our database of questions and answers on Health Insurance Policy and get quick solutions for your test.

What is Health Insurance Policy?

Health insurance policy is an agreement between a person or an organization and an insurance company where the insurer agrees to provide medical coverage to the insured in exchange for payment of premiums. It is important because it helps individuals and families manage the cost of health care services. Health insurance policies can vary significantly from one plan to another, so it is important for individuals to understand what their options are before selecting a plan.The most common types of health insurance policies are employer-sponsored plans, individual plans, and government-sponsored programs such as Medicare and Medicaid. Employer-sponsored plans are typically provided through an employer or union and offer comprehensive coverage at a reduced rate compared to individual plans. Individual plans are typically offered by private insurers and may offer more limited coverage than employer-sponsored plans but can be tailored to meet individual needs. Government-sponsored programs such as Medicare and Medicaid provide coverage for certain categories of people who may not qualify for other forms of health insurance due to age or income level. Regardless of which type of policy you choose, it is important to understand the details in order to make sure that you’re getting the right kind of coverage for your situation. Some aspects that should be considered include co-payments, deductibles, out-of-pocket maximums, covered services, provider networks, prescription drug benefits, annual limits on total costs paid out by the insurer, preauthorization requirements for certain treatments/drugs/services, waiting periods before certain benefits kick in (like maternity), etc. Additionally determining whether your current doctors are members of your chosen network will also help ensure that you get quality care at affordable rates if needed. Overall having adequate health insurance is essential because it helps protect individuals against financial risks associated with illness or injury and allows them access to quality healthcare services when they need them most.