Shared Flashcard Set

Details

Missouri Life/Health Insurance
Chapter 13-Senior Needs
19
Other
Professional
01/12/2011

Additional Other Flashcards

 


 

Cards

Term
1. Which federal health insurance program was developed primarily for the population that is age 65 or older and other who are receiving Social Security disablility?
Definition
-Medicare
Term
Medicare would the _____ coverage for John (age 66), if his wife (age 60), elected dependent coverage at her place of employment.
Definition
-Secondary
Term
What percentage of medical expense will Medicare pay if the members is attached to by an uncertified medical provider?
Definition
-0%
Term
If the insured disagrees with the amount of benefit paid by Medicare, what action may the insured take?
Definition
-Appeal the Decision
Term
There are 2 parts to the Medicare program: Part A and Part B. What part covers in hospital services?
Definition
-Part A
Term
Part A of Medicare does not pay for the three pints of blood in a benefit period.
Definition
-True
Term
Medicare will pay the cost of a kidney dialysis. (T or F)
Definition
-True
Term
When your client has a Medicare Supplement, Medicare is the primary carrier. (T or F)
Definition
-True
Term
Insurance companies writing Medicare Supplements must offer core plans before they may offer broader plans. (T or F)
Definition
-True
Term
We can assign our personal insurance benefits to our medical provider. Can those with Medicare coverage assign their benefits? (Y or N)
Definition
-Yes
Term
An agent expects a renewal commission next year of $200 on a Medicare Supplement policy. What was the first year commisssion on this policy?
Definition
-$400
Term
Medicare or LTC policies, the agent must make sure the client gets a Buyer's Guide and an Outline of Coverage at time of ________.
Definition
-Application
Term
Medicaid is a government insurance program that was designed for those people who are in need of public financial assistance. (T or F)
Definition
-True
Term
When we deliever a Buyer's Guide and the Outline of Coverage for a Medicare Supplement, we should get a ________ ______ from the prospective buyer.
Definition
-Signed recieipt
Term
The benefits of a LTC policy would be triggered by an insured being unable to perform 2 Activities of Daily Living (ADLs). (T or F)
Definition
-True
Term
Hospice care will include a family counseling service. (T or F)
Definition
-True
Term
Long-Term Care policies must carry a renewal clause that is no less favorable to the insred than ______ renewable
Definition
-guaranteed
Term
How long is the free look provision on LTC and Medicare Supplement contracts? A) 5 days B) 30 days C) 15 days D)10 days
Definition
B) 30 days
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