Term
| A Major Medical Expense policy may be identified by the larger amounts listed in the policy schedule. (T or F) |
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Definition
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Term
| Which medical benefit payment structure is based on the average charges of medical services in a geographical area? |
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Definition
| -Usual Customary, Reasonable |
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Term
| Are vision and dental care normally covered as a medical expense in a Medical Expense policy? (Y or N) |
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Definition
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Term
| When an agent attempts to replace an individual A&H policy, care should be given to compare benefit levels, limits of coverage and exclusions. (T or F) |
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Definition
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Term
| The period of coverage for a newborn infant for group or individual accident and health insurance is ____ days. |
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Definition
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Term
| The wellness program for dependent children is in effect until a child reaches age 13. (T or F) |
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Definition
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Term
| A baby born with birth defects would not be covered under a group health plan. (T or F) |
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Definition
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Term
| A baseline mammogram must be offered to women covered by an A&H policy if the woman is age 35 to 59. (T or F) |
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Definition
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Term
| All of the following may be medical expense exclusions, except: A) Care in a governement facility B) A preexisting condition C) An injury caused by an accident D) War zone injury |
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Definition
| C) An injur caused by an accident |
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Term
| Accidental Death and Dismemberment benefits cover_____ and______ amounts. |
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Definition
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Term
| Periodontics is the treatment of gum disease. (T or F) |
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Definition
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Term
| Endodontics will cover pulp care and ______ . |
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Definition
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Term
| Prosthodontics is the work done on _____ and bridgework. |
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Definition
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