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

A) True
B) False

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A good health insurance plan should:


A) provide at least one year's hospital room and board in full.
B) provide at least a $2 million lifetime maximum for each family member.
C) pay 100 percent for out-of-hospital expenses.
D) offer basic coverage for hospital and doctor bills.
E) limit your out-of-pocket expenses to no more than $1,000 per year.

F) All of the above
G) B) and D)

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Marcia Fuller has an insurance policy that lists that she and her three daughters, ages 6, 10, and 12, are covered under this policy. Which provision in her insurance policy is defined by this list?


A) Eligibility
B) Assigned benefits
C) Benefit limits
D) Guaranteed renewable
E) Exclusions and limitations

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

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Good disability plans pay when you are:


A) unable to work at your regular job.
B) unable to work at any job.
C) unable to work at a related job.
D) ill even for a short period.
E) fired from your regular job.

F) None of the above
G) B) and D)

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Which one of the following provisions requires that the policyholder pay a basic amount before the policy benefits begin?


A) Coinsurance
B) Stop loss
C) Deductible
D) Self-insurance
E) Incontestable

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

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Jamal Walker developed a serious infection and spent 6 months in his hospital's intensive care unit. What part of his 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
E) Medicare Part B

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

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Medicare medical insurance helps pay for:


A) inpatient hospital care.
B) doctors' services.
C) home health care.
D) hospice care.
E) None of these services

F) C) and E)
G) C) and D)

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

A) True
B) False

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Which type of health insurance pays for physician's care that does not involve surgery?


A) Surgical expense
B) Hospital expense
C) Physician's expense
D) Long-term care
E) Medicare Part B

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

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Which one of the following is not a provider of health insurance?


A) Fraternal organizations
B) Trade unions
C) Government programs such as Medicare
D) Health Insurance Industry Association
E) Blue Cross and Blue Shield

F) C) and D)
G) A) and C)

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Which type of health insurance is simply a bad buy?


A) Individual health
B) Group health
C) Dread disease
D) Dental
E) Vision

F) None of the above
G) C) and D)

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Which one of the following is a source of government health insurance?


A) Blue Cross
B) Blue Shield
C) National Institutes of Health
D) HMO
E) Medicaid

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

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Just about every worker is adequately covered by disability income insurance.

A) True
B) False

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


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

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

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

A) True
B) False

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Sophie Bennett has personally paid a total of $5,000 in medical costs this year. At this point, there is a clause in her insurance contract that requires her insurance company to pay 100% of her medical costs for the remainder of the year. What clause is this likely to be?


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

F) A) and E)
G) A) and C)

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The hospital insurance portion of Medicare helps pay for:


A) inpatient hospital care.
B) inpatient care in a skilled nursing facility.
C) home health care.
D) hospice care.
E) All of these types of care

F) A) and C)
G) C) and D)

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

A) True
B) False

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The number of Americans without basic health insurance has been decreasing since the 1980s.

A) True
B) False

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