Arizona Health Insurance Exam 2025 – 400 Free Practice Questions to Pass the Exam

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What does "guaranteed issue" mean in health insurance policies?

Insurers can deny coverage based on health status

Insurers must offer coverage regardless of the applicant's health status

"Guaranteed issue" refers to a provision in health insurance policies that mandates insurers to offer coverage to all applicants regardless of their health status. This means that, even if an individual has pre-existing conditions or a poor health profile, the insurance company cannot deny them coverage. This concept is particularly significant because it ensures that everyone has access to health insurance, promoting equity in healthcare access.

This provision is a fundamental aspect of consumer protections established by laws like the Affordable Care Act. It aims to eliminate discrimination in health insurance based on health conditions, thereby ensuring that individuals do not face barriers to obtaining coverage due to their health history.

The other options describe different circumstances in health insurance. Denying coverage based on health status contradicts the essence of guaranteed issue, as does the idea that only certain individuals qualify for coverage. The customization of insurance policies is not directly related to the guaranteed issue provision, which pertains specifically to the obligation of insurers to provide coverage no matter the applicant's health status.

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Only certain individuals qualify for coverage

Insurance policies can be customized upon request

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