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Medical Expenses MCQ Flashcards
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Side A ------ Side B The miscellaneous expense benefit is a basic hospital expense policy normally will coverA. physicians' bedside visitsB. the administering of anesthesiaC. drugs and medicine administered in the hospitalD. hospital room and board ------ B. the administering of anesthesia Clarence is to enter the hospital for a thyroidectomy. His basic medical expense policy includes a relative value schedule for surgical expense. The schedule lists 55 units for a thyroidectomy and a conversion factor of $8. How much will the policy pay?A. $400B. $440C. $540D. $550 ------ B. $440 Which of the following statements about deductible provisions in medical insurance policies is not correct?A. They help to eliminate small claimsB. They provide that initial expenses up to a specified amount are to be paid by the insured.C. They are most common in basic medical expense policiesD. They help to hold down premium rates. ------ C. They are most common in basic medical expense policies An insured has a basic hospital/surgical expense policy, which provides benefits of $50 per day for up to 30 days of hospitalization and $750 for miscellaneous charges. It bases its surgical benefits on a schedule approach. The insured is hospitalized for a severely broken leg that requires surgery. The surgical procedure has been assigned $500 by the policy, though the customary charge in the area is $600. The insured incurs the following covered expenses:$80 per day for seven days hospital charge$675 for the surgical procedure$800 for miscellaneous expensesThe insured's policy will payA. $1,600B. $1,700C. $1,800D. $2,035 ------ A. $1,600 When a medical expense policy pays benefits on a fixed-rate basis, it paysA. a certain percentage of whatever the hospital room charges areB. for total hospital expenses, less a deductibleC. a flat amount per day for hospital room and boardD. only for surgery and miscellaneous hospital expenses ------ C. a flat amount per day for hospital room and board Wilbur's basic medical expense policy limits the miscellaneous expense benefit to 20 times the $90 daily room and board benefit. During his recent hospital stay, miscellaneous expenses totaled $2,100. How much, if any, of this amount will Wilbur have to pay?A. $0B. $210C. $300D. $2,100 ------ C. $300 Which of the following examples pertaining to major medical policy deductibles is correct?A. Eric's major medical policy has a $500 flat deductible provision. He incurs covered expenses totaling $350. He will pay nothing and his major medical policy will pay $350B. Sarah has a major medical policy with a $500 flat deductible and an 80/20 coinsurance provision. Her covered expenses total $1,800. Of that amount, she will pay $500 and her insurance will pay $1,300C. Valerie incurs a hospital bill of $8,300. Her basic medical expense insurance pays $2,400. Valerie pays a $200 deductible and her major medical plan takes care of the balance of covered expenses. Her deductible would be classified as a corridor deductible.D. An integrated deductible amount is $2,000. With this deductible, after the basic policy benefits are exhausted, the insured pays the full $2,000 deductible and then the major medical benefits are payable ------ C. Valerie incurs a hospital bill of $8,300. Her basic medical expense insurance pays $2,400. Valerie pays a $200 deductible and her major medical plan takes care of the balance of covered expenses. Her deductible would be classified as a corridor deductible. Arthur incurs total hospital expenses of $9,500 all of which are covered by his major medical policy. The policy includes a $500 deductible and a 75/25 coinsurance feature. Of the total expense, how much will Arthur have to pay?A. $2,375B. $2,750C. $2,875D. $6,675 ------ B. $2,750 All of the following are types of deductible provisions associated with major medical policies exceptA. corridorB. integratedC. flatD. stop-loss ------ D. stop-loss If the coinsurance feature in a major medical insurance policy is 75/25 with a $100 deductible, how much of a $2,100 bill would the insured pay?A. $100B. $500C. $600D. $1,500 ------ C. $600
Side A ------ Side B The miscellaneous expense benefit is a basic hospital expense policy normally will coverA. physicians' bedside visitsB. the administering of anesthesiaC. drugs and medicine administered in the hospitalD. hospital room and board ------ B. the administering of anesthesia Clarence is to enter the hospital for a thyroidectomy. His basic medical expense policy includes a relative value schedule for surgical expense. The schedule lists 55 units for a thyroidectomy and a conversion factor of $8. How much will the policy pay?A. $400B. $440C. $540D. $550 ------ B. $440 Which of the following statements about deductible provisions in medical insurance policies is not correct?A. They help to eliminate small claimsB. They provide that initial expenses up to a specified amount are to be paid by the insured.C. They are most common in basic medical expense policiesD. They help to hold down premium rates. ------ C. They are most common in basic medical expense policies An insured has a basic hospital/surgical expense policy, which provides benefits of $50 per day for up to 30 days of hospitalization and $750 for miscellaneous charges. It bases its surgical benefits on a schedule approach. The insured is hospitalized for a severely broken leg that requires surgery. The surgical procedure has been assigned $500 by the policy, though the customary charge in the area is $600. The insured incurs the following covered expenses:$80 per day for seven days hospital charge$675 for the surgical procedure$800 for miscellaneous expensesThe insured's policy will payA. $1,600B. $1,700C. $1,800D. $2,035 ------ A. $1,600 When a medical expense policy pays benefits on a fixed-rate basis, it paysA. a certain percentage of whatever the hospital room charges areB. for total hospital expenses, less a deductibleC. a flat amount per day for hospital room and boardD. only for surgery and miscellaneous hospital expenses ------ C. a flat amount per day for hospital room and board Wilbur's basic medical expense policy limits the miscellaneous expense benefit to 20 times the $90 daily room and board benefit. During his recent hospital stay, miscellaneous expenses totaled $2,100. How much, if any, of this amount will Wilbur have to pay?A. $0B. $210C. $300D. $2,100 ------ C. $300 Which of the following examples pertaining to major medical policy deductibles is correct?A. Eric's major medical policy has a $500 flat deductible provision. He incurs covered expenses totaling $350. He will pay nothing and his major medical policy will pay $350B. Sarah has a major medical policy with a $500 flat deductible and an 80/20 coinsurance provision. Her covered expenses total $1,800. Of that amount, she will pay $500 and her insurance will pay $1,300C. Valerie incurs a hospital bill of $8,300. Her basic medical expense insurance pays $2,400. Valerie pays a $200 deductible and her major medical plan takes care of the balance of covered expenses. Her deductible would be classified as a corridor deductible.D. An integrated deductible amount is $2,000. With this deductible, after the basic policy benefits are exhausted, the insured pays the full $2,000 deductible and then the major medical benefits are payable ------ C. Valerie incurs a hospital bill of $8,300. Her basic medical expense insurance pays $2,400. Valerie pays a $200 deductible and her major medical plan takes care of the balance of covered expenses. Her deductible would be classified as a corridor deductible. Arthur incurs total hospital expenses of $9,500 all of which are covered by his major medical policy. The policy includes a $500 deductible and a 75/25 coinsurance feature. Of the total expense, how much will Arthur have to pay?A. $2,375B. $2,750C. $2,875D. $6,675 ------ B. $2,750 All of the following are types of deductible provisions associated with major medical policies exceptA. corridorB. integratedC. flatD. stop-loss ------ D. stop-loss If the coinsurance feature in a major medical insurance policy is 75/25 with a $100 deductible, how much of a $2,100 bill would the insured pay?A. $100B. $500C. $600D. $1,500 ------ C. $600
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