VIRGINIA INSURANCE VALID VIRGINIA-LIFE-ANNUITIES-AND-HEALTH-INSURANCE TEST PASS4SURE: VIRGINIA LIFE, ANNUITIES, AND HEALTH INSURANCE EXAMINATION SERIES 11-01 - FREE4TORRENT ONE YEAR FREE UPDATES

Virginia Insurance Valid Virginia-Life-Annuities-and-Health-Insurance Test Pass4sure: Virginia Life, Annuities, and Health Insurance Examination Series 11-01 - Free4Torrent One Year Free Updates

Virginia Insurance Valid Virginia-Life-Annuities-and-Health-Insurance Test Pass4sure: Virginia Life, Annuities, and Health Insurance Examination Series 11-01 - Free4Torrent One Year Free Updates

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Virginia Insurance Virginia Life, Annuities, and Health Insurance Examination Series 11-01 Sample Questions (Q72-Q77):

NEW QUESTION # 72
Which expenses are covered by Medicare Part D?

  • A. Dental
  • B. Medical
  • C. Hospital
  • D. Prescription drug

Answer: D

Explanation:
Detailed Answer in Step-by-Step Solution:
* Medicare Part D (C) specifically covers prescription drug costs for enrollees.
* Medical expenses (A) are under Part B, hospital costs (B) under Part A, and dental (D) is generally not covered by Medicare unless supplemental.
The Virginia study guide states that Medicare Part D, introduced in 2006, provides prescription drug coverage through private plans, distinct from Parts A and B. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on "Medicare."


NEW QUESTION # 73
Unless an insured has made fraudulent statements on the application for individual health coverage, subsequent claims may not be denied under the provision for:

  • A. Time limit on certain defenses
  • B. Legal actions
  • C. Time payment of claims
  • D. Grace period

Answer: A

Explanation:
Detailed Answer in Step-by-Step Solution:
* The "time limit on certain defenses" provision (B), often tied to incontestability, limits the insurer's ability to deny claims based on application errors after a period (e.g., 2 years), unless fraud is proven.
* Legal actions (A) governs lawsuits, grace period (C) covers premium delays, and time payment of claims (D) sets claim payment deadlines-none relate to application defenses.
The Virginia study guide explains that the time limit on certain defenses provision protects insureds by restricting post-issuance claim denials after a contestable period, absent fraud. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on "Health Insurance Policy Provisions."


NEW QUESTION # 74
If a patient with a preferred provider organization (PPO) chooses to use a non-PPO provider, the patient usually can expect:

  • A. 100% reimbursement for the service provided
  • B. To pay the full cost of care
  • C. A one-year waiting period before re-enrolling in the PPO
  • D. To have higher out-of-pocket expenses

Answer: D

Explanation:
Detailed Answer in Step-by-Step Solution:
* In a PPO, using a non-PPO provider (out-of-network) leads to higher out-of-pocket expenses (A) due to lower reimbursement rates and potential excess charges.
* Option B (full cost) is inaccurate; some coverage applies. Option C (100% reimbursement) is false.
Option D (waiting period) is unrelated.
The Virginia study guide reiterates that PPOs cover out-of-network care but at a reduced level, increasing the insured's costs compared to in-network use. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on "Managed Care Plans."


NEW QUESTION # 75
If a patient with a preferred provider plan chooses to use a non-preferred provider, the patient usually can expect:

  • A. A one-year waiting period before re-enrolling in the preferred provider plan
  • B. 100% reimbursement for the service provided
  • C. To pay the full cost of care
  • D. To have higher out-of-pocket expenses

Answer: D

Explanation:
Detailed Answer in Step-by-Step Solution:
* In a PPO, using a non-preferred (out-of-network) provider typically results in higher out-of-pocket expenses (A) due to lower reimbursement rates (e.g., 60% vs. 80% in-network) and potential excess charges.
* Option B (full cost) may apply to HMOs, not PPOs, which still offer some coverage. Option C (100% reimbursement) is false. Option D (waiting period) is unrelated to provider choice.
The Virginia study guide explains that PPOs offer flexibility to use out-of-network providers, but at a higher cost to the insured due to reduced coinsurance or additional charges. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on "Managed Care Plans."


NEW QUESTION # 76
To be complete, an application for health insurance must contain all of the following EXCEPT:

  • A. Applicant's signature
  • B. Applicant's name and address
  • C. Initial premium
  • D. Date of application

Answer: C

Explanation:
Virginia Code § 38.2-3501 requires health insurance applications to include essential details for underwriting and contract formation: the applicant's name and address (option A), signature (option B) to affirm accuracy, and date (option C) to establish timing. These are mandatory for a complete application. Option D (initial premium) is not required on the application itself; while payment may accompany it to bind coverage (e.g., via a conditional receipt), it's a separate transaction, not an application component. The study guide likely lists these elements in a sample application, noting that premium submission is optional until acceptance, making D the exception.


NEW QUESTION # 77
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