Sally is considering her Medicare options. She understands that to enroll in Medicare Part B, she
will have to pay a monthly premium. Since she is
... [Show More] healthy, she is considering delaying her
enrollment until later. Will she be able to enroll at a later date?
1 .Yes, she can enroll at anytime in the future
2 .Yes, however; she would have a permanent premium penalty when she does enroll
3 .No, this is a take or leave it situation
4.Yes, but she would have to show evidence of good health. Correct Answer: Yes, however; she
would have a permanent premium penalty when she does enroll
Under Medicare Part A, a spell of illness begins again and is subject to a new deductible for
another admission when:
1 .The patient has been discharged from a prior stay and 45 days have elapsed 2
.The patient has been discharged from a prior stay and 30 days have elapsed
3 .The patient has been discharged from a prior stay and 60 days have elapsed
4.The patient has been discharged from a prior stay and 90 days have elapsed Correct Answer:
The patient has been discharged from a prior stay and 60 days have elapsed
What type of insurer retains risk?
1 .Government insurance.
2 .Reinsurers.
3 .Self insurers.
4 .Assessment insurers. Correct Answer: Self insurers.
A variety of types of care are provided under a long-term care policy. All of the following are
types of care generally provided EXCEPT:
1 .Home health care
2 .Intensive care
3 .Custodial care
4 .Skilled care Correct Answer: Intensive care
Melvin has a long-term care policy with a 30-day elimination period. The policy has a daily
benefit of $100/day. The policy has a 3-year benefit period. If Melvin is confined to a nursing
home for 9 months, how much in benefits will his policy pay?
1 .$ 27,000 2 .$
18,000
3 .$ 24,000
4 .$17,000 Correct Answer: $ 24,000
Martin and his friends were at a local tavern celebrating his birthday. Martin left the bar to
drive home, but unfortunately, he was involved in a fatal accident, killing himself and two other
individuals. An autopsy reveals that Martin was well above the legal limit on his blood alcohol
test. Martin's family will receive the following from his Accidental Death and Dismemberment
policy:
1 .His family will receive reduced benefits since other deaths were involved.
2 .His family will receive the principal sum since this was death
3 .His family will receive no benefits, since he was in the act of committing a felony
4.His family will receive no benefits since there was no dismemberment involved. Correct
Answer: His family will receive no benefits, since he was in the act of committing a felony
An exclusion that always appears in a health policy is:
1 .No coverage for drug or alcohol related illness
2 .Hernia from an accident
3 .Travel outside of the USA
4.Injury in the act of committing a felony Correct Answer: Injury in the act of committing a
felony
Bruce owns a plan that pays $100 daily benefit for a hospital stay with no deductible. This kind
of policy is known as a (an):
1 .Major medical plan
2 .Basic plan
3 .Indemnity plan
4 .Reimbursement plan Correct Answer: Indemnity plan
Under what conditions is the death benefit (principal sum) payable under an Accidental Death
and Dismemberment (AD&D) policy?
1 .The insured dies from a grave illnes [Show Less]