Florida Insurance Licensing Practice Exam 2025 - Free Insurance Licensing Practice Questions and Study Guide

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What is a "waiting period" in health insurance?

A timeframe during which a policyholder must wait to receive benefits for covered services

A "waiting period" in health insurance is a specific timeframe during which a policyholder must wait before they can begin receiving benefits for covered services. This means that if a policyholder incurs medical expenses related to a condition that arose before the waiting period is over, those expenses may not be covered, and the policyholder would have to pay out of pocket. Waiting periods are often put in place to prevent adverse selection, where individuals who are aware of their medical needs would seek insurance only when they require immediate care.

This concept is particularly relevant in policies covering specific types of healthcare services, such as maternity, surgery, or other treatments that might not be financially viable for insurers without some kind of waiting period. It helps insurance companies manage risk and ensure that they can provide coverage effectively.

The other options refer to different concepts in health insurance. Preventive care not being covered addresses the limitations different policies might have regarding routine check-ups and screenings, which is not the same as a waiting period. The timeframe allowed for filing a claim pertains to claims management rather than waiting for benefits, and the period before a policy cancellation takes effect deals with policy management and termination rather than coverage initiation times.

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A duration for which preventive care is not covered

The time allowed for filing a claim after an incident

The period before policy cancellation takes effect

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