Which of the following are commonly excluded from health insurance coverage quizlet?
Asked by: Ms. Laury Koelpin | Last update: December 15, 2023Score: 4.5/5 (19 votes)
Most health insurance policies typically exclude losses due to war and acts of war, self-inflicted injuries, military service, and overseas residence. Being injured while vacationing in a state other than one's state of residence is not something that would be excluded.
Which of the following is typically not eligible for coverage in a group health policy?
Question: Which of the following is typically NOT eligible for coverage in a group health policy? (A temporary employee is typically NOT eligible for coverage in a group health policy.)
Which of the following is not covered under a health benefit plan?
Health insurance typically covers most doctor and hospital visits, prescription drugs, wellness care, and medical devices. Most health insurance will not cover elective or cosmetic procedures, beauty treatments, off-label drug use, or brand-new technologies.
Which of the following claims are typically excluded from medical policies?
Intentionally self-inflicted injuries are typically excluded by Medical Expense policies.
What type of injury would be excluded under a health insurance policy quizlet?
Policies may exclude or limit coverage for injuries or illnesses resulting from suicide, attempted suicide, or other self-inflicted injury of the insured. Most health insurance policies limit or exclude coverage for sickness or injury of the insured that would otherwise be covered by Workers' Compensation.
Life and Health Insurance License Exam Free Practice Questions Past Paper Part 1
Which of the following would not be excluded in the coverage a exclusions section of the commercial general liability policy?
The correct answer is: C. Intentional acts – The CGL does not contain an “intentional acts” exclusion. Exclusion “a.” is the Expected or Intended Injury Exclusion, but it does not exclude an intentional ACT unless the act is Expected or Intended to cause an injury.
Which of the following is excluded under Coverage A of the general liability policy?
Expected or intended bodily injury or third-party property damage= Coverage A doesn't include bodily injury or property damages that arise due to an act intended by the policyholder. War: The policy doesn't cover any third-party losses or damages which arise due to war, including undeclared war.
What is an example of exclusion in health insurance?
Some of these exclusions, such as dental and optical care, are actually add-on benefits that can be obtained on top of many general health insurance plans. On the contrary, miscellaneous hospital stay charges and cosmetic surgeries are virtually always excluded as they are not medically necessary expenses.
What are exclusions in health care policies?
In a nutshell, an exclusion is a condition or instance that is not covered by your insurance plan. Just as each plan has a list of items that the insurance company will cover, they also have a list of items they will not.
Which of the following claims are typically excluded from medical expense policies quizlet?
Which of the following claims are typically excluded from Medical expense policies? (Medical expense policies usually EXClUDE coverage for claims resulting from treatment of intentionally self-inflicted injuries.)
Which of the following is not included under a health benefit plan quizlet?
Which of the following is NOT included under a health benefit plan? Hospital Indemnity Plan. All of the following are characteristics of a major medical expense policy EXCEPT: Elimination period.
Which of the following is not required in an outline of coverage for a health insurance policy?
Which of the following is NOT required in the Outline of Coverage for a health insurance policy? "Projection of the policy's future costs". A table indicating the policy's projected future costs is not required in an Outline of Coverage.
Are services that are never covered by the health insurance policy quizlet?
Coverage exclusions are services or products that are never covered by the plan, even when medically necessary.
Which of the following is not a common health insurance exclusion?
All of the following are common exclusion from health policies, EXCEPT: The self-inflicted injuries exclusion excludes or limits coverage for injuries or illnesses resulting from suicide, attempted suicide, or other self-inflicted injury of the insured.
What are the common exclusions to continuation of group coverage?
Answer: Common exclusions to continuation of group coverage include: Dental Coverage, Other Prescription Drugs. Question: How would a contingent beneficiary receive the policy proceeds in an Accidental Death and Dismemberment (AD&D) policy?
Which of the following is not a group of people eligible for coverage under Medicare quizlet?
Which of the following persons is NOT eligible for Medicare Part A? Rationale: Low-income children are not eligible for Medicare but may be eligible for health insurance through Medicaid.
What is major exclusions?
In insurance policies, exclusions are provisions that eliminate coverage for particular occurrences, properties, types of damage, or locations. The policy does not cover a plan that excludes any items or costs, and excluded fees are not included in the plan's out-of-pocket maximum.
What are specific exclusions?
Specific Exclusions means the exclusions listed in the Schedule which will apply to a specific Benefit listed in that Schedule, over and above the general exclusions listed below.
What does not excluded mean in insurance?
An excluded driver is a person in your household who has been explicitly excluded from coverage under your car insurance policy. Their name will show as "excluded" on your policy, and they won't be insured to drive any vehicles on your policy.
What are 2 examples of exclusion?
Street children, people with leprosy or AIDS and undocumented migrants are examples of such socially excluded categories. In the present report, the term “group” refers to both types of identity and is recognized as a social construct used to facilitate the analysis.
Why are there exclusions in insurance policies?
Insurance exclusions are policy provisions that waive coverage for certain types of risks or events. Policy exclusions create a balance between coverage for fortuitous losses (losses you couldn't have reasonably prepared for) and the need to remain solvent in order to pay those claims.
What are the two categories of exclusions?
Judicial review in Federal court is also available after a final decision by the DAB.” The LEIE contains two different types of exclusions: 1) mandatory exclusions and 2) permissive exclusions. These categories distinguish the acts that determine the exclusion action.
What is excluded from general liability?
A general liability policy covers damage to property of others, but not damage to your own property! If an employee incurs damage while at a client site, for example, you'll be covered under general liability, but when it comes to your own property you need an entirely different type of plan.
What is typically excluded from an employers liability insurance?
Here are a few of the most common exclusions from this type of coverage: Intentional wrongdoing: If an employer intentionally hurts someone or damages property, this insurance will not protect them. Workers compensation claims: If an employee gets injured at work, this insurance will not cover their compensation claim.
What is one type of coverage that is always excluded from a property insurance policy?
Floods. Damage caused by floods is almost always a homeowners exclusion. Flood damage is a very common HO-3 policy exclusion, but even homeowners with HO-5 policies, which provide broader coverage than HO-3 policies, are likely not covered for flood damage.