Chapter No 8

Question No 1 : Stand alone health insurance company means:

Choice1 : It is only the insurance company which can deal with health insurance
Choice2 : It is only insurance company which can stand in the insurance market
Choice3 : It is an insurance company which deals exclusively health insurance
Choice4 : It is an insurance company whose health is not good
Correct Answer : It is an insurance company which deals exclusively health
insurance
Your Answer : It is an insurance company which deals exclusively health
insurance
CORRECT ANSWER

Question No 2 : Which one of the following statement is right?

Choice1 : Some health insurance companies allow OP treatment facilities
Choice2 : Some health insurance companies allow allopathic treatment
Choice3 : Both are correct
Choice4 : Both are wrong
Correct Answer : Both are correct
Your Answer : Both are correct
CORRECT ANSWER

Question No 3 : Select the correct option in the following statements.

Choice1 : TPAs receive health insurance premium
Choice2 : TPASs arrange payment of claims
Choice3 : Both are wrong
Choice4 : Both are correct
Correct Answer : TPASs arrange payment of claims
Your Answer : Both are correct
WRONG ANSWER

Question No 4 : Portability clause in health insurance deals with:

Choice1 : Shifting of health insurance from one insurer to another insurer
Choice2 : One can carry the health insurance policy easily
Choice3 : Credit gained for pre-existing conditions and time bound exclusions
can be transferred to another insurance company while switching over.
Choice4 : All are correct.
Correct Answer : Credit gained for pre-existing conditions and time bound
exclusions can be transferred to another insurance company while switching
over.
Your Answer : All are correct.
WRONG ANSWER

Question No 5 : What is the purpose of Day Care Centers?

Choice1 : Centers who carry surgical procedures that does not require 24 hours
stay
Choice2 : Centers who demand 24 hours stay for conducting surgeries etc.
Choice3 : Centers who conduct operations in day time only.
Choice4 : Centers that have only day care nursing service.
Correct Answer : Centers who carry surgical procedures that does not require 24
hours stay
Your Answer : Centers who demand 24 hours stay for conducting surgeries etc.
WRONG ANSWER

Question No 6 : What is meant by Health plus Life Combo Products?

Choice1 : It is a combined product providing both life cover and health insurance
by a Life Insurance company.
Choice2 : It is a combined product providing life cover by a Life Insurance
company and health cover by a health insurance company.
Choice3 : A product offered by a Standalone health insurance company covering
both life and health insurance
Choice4 : Combination of life insurance cover from a Life Insurance company

and health insurance cover from a general insurance company /standalone

health insurance company
Correct Answer : Combination of life insurance cover from a Life Insurance
company and health insurance cover from a general insurance company
/standalone health insurance company
Your Answer : It is a combined product providing life cover by a Life Insurance
company and health cover by a health insurance company.
WRONG ANSWER

Question No 7 : Most health insurance companies cover pre-existing diseases

after a specified time period. It is called:
Choice1 : Waiting period
Choice2 : Prerequisite period
Choice3 : Excluded period
Choice4 : Extended period
Correct Answer : Waiting period
Your Answer : Waiting period
CORRECT ANSWER

Question No 8 : What are the symptoms of a Floater Policy?

Choice1 : Wife and husband are covered and cover for both is limited to the sum
assured
Choice2 : Parents with 2 children are covered and with individual sum assureds
Choice3 : Wife, husband and 2 children are covered and cover for entire family is
limited to sum assured
Choice4 : None of the above is correct
Correct Answer : Wife, husband and 2 children are covered and cover for entire
family is limited to sum assured
Your Answer : Parents with 2 children are covered and with individual sum
assureds
WRONG ANSWER

Question No 9 : Hospital means:

Choice1 : Has minimum 10 in-patient beds
Choice2 : Round the clock service of nurses/doctors
Choice3 : Fully equipped operation theatre
Choice4 : All the above
Correct Answer : All the above
Your Answer : Not Attempted
Not Attempted

Question No 10 : According to IRDA regulations Health insurance policies shall

contain:
Choice1 : Free Look Period provision (15 days)
Choice2 : Grace period provision (30 days)
Choice3 : Provision for nomination
Choice4 : All the above
Correct Answer : All the above
Your Answer : All the above
CORRECT ANSWER

Question No 11 : Group health insurance policies can be issued to cover:

Choice1 : Members of an association/institution
Choice2 : Account holders of a bank
Choice3 : Employees of an industry
Choice4 : All are correct
Correct Answer : All are correct
Your Answer : All are correct
CORRECT ANSWER

Question No 12 : A person has taken a floater policy for Rs.5,00,000 covering

himself, spouse, 2 children. A child was hospitalized and the expenses amounted
to Rs.6,00,000/- How much the policy pay?
Choice1 : Rs. 6,00,000
Choice2 : Rs.1,25,000
Choice3 : Rs.5,00,000
Choice4 : Rs.4,50,000
Correct Answer : Rs.5,00,000
Your Answer : Rs.5,00,000
CORRECT ANSWER

Question No 13 : The policy issued covering a group is otherwise called:

Choice1 : Institute policy
Choice2 : Master Policy
Choice3 : Employees policy
Choice4 : Large members policy
Correct Answer : Master Policy
Your Answer : Master Policy
CORRECT ANSWER

Question No 14 : A person has take two health insurance policies one for
Rs.2,00,000 and another for Rs.3,00,000 with two different companies A & B
respectively. He was hospitalized and incurred Rs.1,50,000/-. How much claim
amount he receives:
Choice1 : Rs.1,50,000
Choice2 : Rs.3,00,000
Choice3 : Rs.5,00,000
Choice4 : None of the above
Correct Answer : Rs.1,50,000
Your Answer : Rs.3,00,000
WRONG ANSWER

Question No 15 : Network hospitals are recognized by insurers for extending

cashless facility by TPAs. If a person takes treatment in a non-network hospital,
what will be the position?
Choice1 : Cashless facility is not available to the insured
Choice2 : Insured shall pay the hospitalization expenses and claim
reimbursement from insurers/TPAs
Choice3 : Both are correct.
Choice4 : Both are wrong
Correct Answer : Both are correct.
Your Answer : Both are correct.
CORRECT ANSWER