Which statement about waiting periods in health insurance policies is accurate?

Disable ads (and more) with a premium pass for a one time $4.99 payment

Prepare for the Wisconsin Accident and Health Insurance Exam. Study with interactive questions, including hints and explanations. Optimize your chances of success and achieve your certification!

Waiting periods in health insurance policies serve to manage how quickly coverage for certain conditions, particularly pre-existing ones, becomes effective. When a policy includes a waiting period, it means that the insurer will not provide coverage for specified conditions until a set amount of time has passed since the policy was initiated. This is a common practice aimed at preventing moral hazard, where individuals may enroll in a health plan primarily to cover costs associated with existing medical issues.

In the context of pre-existing conditions, the application of a waiting period allows insurers to avoid immediate payouts for conditions that were already diagnosed or were being treated before the policy began. This protects insurance companies from financial risk and contributes to the overall sustainability of the insurance pool.

The other options do not align with standard practices in health insurance. For instance, waiting periods do not eliminate the need for a policy altogether, as they are simply terms within the claim-processing timeframe. They are not universally mandated by state laws, as regulations can vary significantly from one jurisdiction to another, allowing for flexibility in how waiting periods are implemented. Lastly, while some insurers might choose to waive waiting periods in certain situations, it is not a standard practice and typically requires specific conditions or agreements rather than being a broad policy characteristic.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy