Posts

Showing posts with the label Dental Insurance

Combination plans are comprised of two types of plan features: basic and

Combination plans are comprised of two types of plan features: basic and A. Expanded B. Limited C. Comprehensive D. Scheduled Answer: C. Comprehensive

Which of the following is excluded in a dental insurance plan?

Which of the following is excluded in a dental insurance plan? A. Cosmetic treatment due to an accident B. Replacement of a stolen prosthetic device C. Lost dentures D. Treatment for the surrounding and supporting tissue of the teeth such as for gum disease Answer: C. Lost dentures

Julie must have orthodontic work performed on her incisors. Which type of service would this be called, under a nonscheduled plan?

Julie must have orthodontic work performed on her incisors. Which type of service would this be called, under a nonscheduled plan? A. Major service B. Basic service C. Minor service D. Repair service Answer: A. Major service

Which of the following would be considered a routine procedure?

Which of the following would be considered a routine procedure? A. Prosthodontics B. Annual check-up C. Endodontics D. Orthodontics Answer: B. Annual check-up

Which type of dental treatment involves the replacement of natural teeth with artificial devices?

Which type of dental treatment involves the replacement of natural teeth with artificial devices? A. Restorative B. Orthodontics C. Prosthodontics D. Replacement Answer: C. Prosthodontics

Which type of dental treatment addresses the supporting tissue of teeth?

Which type of dental treatment addresses the supporting tissue of teeth? A. Endodontics B. Periodontics C. Orthodontics D. Soft dental Answer: B. Periodontics

All of the following statements are true of a Combination Dental Plan EXCEPT

All of the following statements are true of a Combination Dental Plan EXCEPT A. It is basically a combination of a scheduled and nonscheduled dental plan B. It covers diagnostic and preventive care on the usual, customary, and reasonable basis C. It uses a fee schedule for other dental services D. It is also known as the Superimposed Plan Answer: D. it is also known as the Superimposed Plan

The type of dental plan which is incorporated into a major medical expense is a/an

The type of dental plan which is incorporated into a major medical expense is a/an A. Stand-alone dental plan B. Blanket dental plan C. Integrated dental plan D. Supplemental dental plan Answer: C. Integrated dental plan

A dental plan that provides coverage based upon a specified maximum scheduled amount for each procedure and pays on a 'first dollar' basis with no deductible or coinsurance is a

A dental plan that provides coverage based upon a specified maximum scheduled amount for each procedure and pays on a 'first dollar' basis with no deductible or coinsurance is a A. Comprehensive plan B. Nonscheduled plan C. Basic or scheduled plan D. Combination plan Answer: C. Basic or scheduled plan

Under a nonscheduled plan, what portion of the balance could an insured expect to pay for basic services?

Under a nonscheduled plan, what portion of the balance could an insured expect to pay for basic services? A. 50% B. 80% C. 100% D. 20% Answer: D. 20%

Which type of dental care services would cover the costs of extraction of wisdom teeth?

Which type of dental care services would cover the costs of extraction of wisdom teeth? A. Orthodontics B. Oral surgery C. Restorative D. Endodontics Answer: B. Oral surgery

In order to minimize adverse selection, employer group dental plans may require employees who enroll after they were initially eligible to participate to do all of the following EXCEPT

In order to minimize adverse selection, employer group dental plans may require employees who enroll after they were initially eligible to participate to do all of the following EXCEPT A. Reduce benefits for a period such as one year B. Increase benefits for a period of one year C. Submit evidence of insurability D. Satisfy a longer probationary period Answer: B. Increase benefits for a period of one year

A child is being fitted for braces. Which type of dental care is this?

A child is being fitted for braces. Which type of dental care is this? A. Prosthodontics B. Periodontics C. Restorative D. Orthodontics Answer: D. Orthodontics

Under which plan does preventative dental treatment not apply toward the deductible?

Under which plan does preventative dental treatment not apply toward the deductible? A. Focused B. Provisional C. Limited D. Nonscheduled Answer: D. Nonscheduled

Which type of care re-establishes functional use to natural teeth?

Which type of care re-establishes functional use to natural teeth? A. Repair B. Restorative C. Fillings D. Functionality Answer: B. Restorative

All of the following are usually provided under an employer group dental insurance plan EXCEPT

All of the following are usually provided under an employer group dental insurance plan EXCEPT A. Preventative care for up to two visits per year B. The dental plan is typically written in conjunction with group health insurance C. The dental plan places limits on such procedures as braces and appliances D. Coverage for cosmetic surgery Answer: D. Coverage for cosmetic surgery

Which clause allows both the insured and dentist to know in advance which benefits will be paid?

Which clause allows both the insured and dentist to know in advance which benefits will be paid? A. Preadmission B. Advanced Benefit Notification C. Fixed Rate D. Precertification Answer: D. Precertification

An insured is scheduled to have two cavities filled. He knows in advance what benefits will be paid for the procedure. Which clause is responsible for the advance notification?

An insured is scheduled to have two cavities filled. He knows in advance what benefits will be paid for the procedure. Which clause is responsible for the advance notification? A. Fixed Rate B. Scheduled Benefits C. Advanced Benefit Notification D. Prior authorization Answer: D. Prior authorization

Which type of dental care would cover operative treatment of the mouth?

Which type of dental care would cover operative treatment of the mouth? A. Endodontics B. Orthodontics C. Oral surgery D. Restorative Answer: C. Oral surgery

Which of the following is not covered under a dental insurance plan?

Which of the following is not covered under a dental insurance plan? A. Restoration Care B. Respite Care C. Endodontics D. Orthodontics Answer: B. Respite Care