H05 Health Insurance Claims MCQs

Welcome to our comprehensive collection of Multiple Choice Questions (MCQs) on H05 Health Insurance Claims, a fundamental topic in the field of IC38 Life Insurance Agent Exam. Whether you're preparing for competitive exams, honing your problem-solving skills, or simply looking to enhance your abilities in this field, our H05 Health Insurance Claims MCQs are designed to help you grasp the core concepts and excel in solving problems.

In this section, you'll find a wide range of H05 Health Insurance Claims mcq questions that explore various aspects of H05 Health Insurance Claims problems. Each MCQ is crafted to challenge your understanding of H05 Health Insurance Claims principles, enabling you to refine your problem-solving techniques. Whether you're a student aiming to ace IC38 Life Insurance Agent Exam tests, a job seeker preparing for interviews, or someone simply interested in sharpening their skills, our H05 Health Insurance Claims MCQs are your pathway to success in mastering this essential IC38 Life Insurance Agent Exam topic.

Note: Each of the following question comes with multiple answer choices. Select the most appropriate option and test your understanding of H05 Health Insurance Claims. You can click on an option to test your knowledge before viewing the solution for a MCQ. Happy learning!

So, are you ready to put your H05 Health Insurance Claims knowledge to the test? Let's get started with our carefully curated MCQs!

H05 Health Insurance Claims MCQs | Page 5 of 6

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Q41.
What is the purpose of "Mortal remains repatriation" in overseas travel insurance claims?

a.

It refers to arranging a visit to the local embassy

b.

It involves translating foreign languages

c.

It is about repatriating the deceased person's remains to their home country

d.

It deals with lost luggage assistance

Discuss
Answer: (c).It is about repatriating the deceased person's remains to their home country Explanation:"Mortal remains repatriation" in overseas travel insurance claims involves repatriating the deceased person's remains to their home country.
Q42.
What is the role of an interpreter referral in overseas travel insurance claims?

a.

To translate legal documents

b.

To provide assistance with legal matters

c.

To assist in communication by translating languages

d.

To assist in arranging hotel accommodations

Discuss
Answer: (c).To assist in communication by translating languages Explanation:The role of an interpreter referral in overseas travel insurance claims is to assist in communication by translating languages.
Q43.
What is the role of most hospitals when dealing with international insurance companies in overseas travel insurance?

a.

They deny treatment to insured individuals

b.

They start treatment immediately and request payments upfront

c.

They provide treatment on a cashless basis after accepting the policy

d.

They only accept payments in foreign currency

Discuss
Answer: (c).They provide treatment on a cashless basis after accepting the policy Explanation:Most hospitals dealing with international insurance companies in overseas travel insurance provide treatment on a cashless basis after accepting the policy.
Q44.
In the event of hospitalization during overseas travel, what is the first step the insured individual should take?

a.

Contact the local embassy

b.

Notify the insurance call center

c.

Pay for all expenses upfront

d.

Seek treatment at any hospital

Discuss
Answer: (b).Notify the insurance call center Explanation:In the event of hospitalization during overseas travel, the insured individual should notify the insurance call center.
Q45.
What is the primary purpose of information provided by hospitals to assistance companies/insurers during overseas travel insurance claims?

a.

To verify the patient's identity

b.

To inflate the treatment charges

c.

To check the validity of the policy and verify coverages

d.

To deny cashless treatment

Discuss
Answer: (c).To check the validity of the policy and verify coverages Explanation:The primary purpose of information provided by hospitals to assistance companies/insurers during overseas travel insurance claims is to check the validity of the policy and verify coverages.
Q46.
When are reimbursement claims typically filed by insured individuals in overseas travel insurance?

a.

Before seeking medical treatment

b.

After returning to their home country

c.

While still abroad

d.

When their insurance policy expires

Discuss
Answer: (b).After returning to their home country Explanation:Reimbursement claims in overseas travel insurance are typically filed by insured individuals after returning to their home country.
Q47.
How is the payment made in reimbursement claims in overseas travel insurance?

a.

In foreign currency

b.

Through online payment platforms only

c.

In Indian Rupee (INR)

d.

In a combination of foreign currency and INR

Discuss
Answer: (c).In Indian Rupee (INR) Explanation:Payments for reimbursement claims in overseas travel insurance are made in Indian Rupee (INR).
Q48.
What is the role of a network hospital in a cashless claim?

a.

Providing treatment without any pre-approval

b.

Providing treatment based on pre-approval from the insurer/TPA

c.

Requesting payment from the insured

d.

Filing a claim on behalf of the insured

Discuss
Answer: (b).Providing treatment based on pre-approval from the insurer/TPA Explanation:In a cashless claim, a network hospital provides medical services based on pre-approval from the insurer/TPA.
Q49.
What does "reserving" refer to in insurance?

a.

The premium paid by the policyholder

b.

The amount of provision made for all claims in the books of the insurer

c.

The cost of medical treatments

d.

The compensation paid to the insured

Discuss
Answer: (b).The amount of provision made for all claims in the books of the insurer Explanation:"Reserving" in insurance refers to the amount of provision made for all claims in the books of the insurer based on the status of the claims.
Q50.
In case of denial of a claim, where can the customer seek resolution apart from representing the insurer?

a.

The local police

b.

The hospital's management

c.

The Insurance Ombudsman, Consumer Commissions, or legal authorities

d.

The insurance company's customer service

Discuss
Answer: (c).The Insurance Ombudsman, Consumer Commissions, or legal authorities Explanation:In case of denial of a claim, the customer has the option, apart from representing the insurer, to approach the Insurance Ombudsman or the Consumer Commissions or even the legal authorities.
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