Canadian Accredited Insurance Broker (CAIB) Three Practice Exam 2025 – The All-In-One Guide to Exam Success!

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What is a potential drawback of a "wait period" in health insurance?

Increased risk for the insurance provider

Prolonged coverage in emergencies

Delay in accessing critical benefits

A wait period in health insurance refers to a designated timeframe during which the insured is not eligible to claim certain benefits after the policy begins. The correct choice highlights the implication of this feature, which primarily affects the insured's access to necessary treatments and services.

During a wait period, individuals might face significant delays in receiving critical healthcare services, which can be especially concerning for those with pre-existing conditions or urgent medical needs. This delay can lead to worsened health outcomes, complications, and increased anxiety for patients who rely on timely care.

While the other options present potential considerations related to the wait period, they do not encapsulate the primary consequence regarding patient access to crucial medical benefits. Increased risk for the insurance provider refers to their obligation in terms of claims, but that is not a direct experience of the insured during the wait. The mention of prolonged coverage in emergencies suggests an advantage rather than a drawback, as wait periods typically apply to planned treatments rather than emergency situations. Lastly, the reduction in overall policy cost might be a consideration when evaluating health plans, but it does not directly address the implications of having to wait for benefits during a critical time, which ultimately impacts the insured's access to timely healthcare.

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Reduction in overall policy cost

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