Free Medical Plans Practice Questions

Alaska Life, Accident & Health exam — 59 practice questions.

Practice Medical Plans

Subtopics: Point of service, Capitation, Basic hospital expense, Comprehensive major medical, Stop-loss, Usual customary reasonable, Network advantage, Preventive care, Unfair discrimination, Newborn notice, Spousal enrollment, Nurse midwives, Mammograms, Colorectal screening, Autism coverage, Health discount plans, Preauthorization, Primary care choice, External review, ACA marketplace subsidies, Cost-sharing reductions, Preventive services, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings account, Health reimbursement arrangement, Flexible spending account, Precertification, Major medical, ACA metal tiers, Essential health benefits, Lifetime limits, Special enrollment, HDHP and HSA, Managed care, Usual, reasonable and customary, Basic surgical, Short-term medical, Vision insurance

Read the Medical Plans study guide

Sample questions & answers

1. A point-of-service health plan is best described as:

A plan blending HMO and PPO features letting members choose in or out of network at the time of service

A POS plan blends HMO and PPO features and lets members decide in or out of network at the point of service.

2. Capitation in managed care refers to paying a provider:

A fixed amount per enrolled member per period regardless of services used

Capitation pays a provider a fixed amount per member per period regardless of services used.

3. Basic hospital expense coverage typically pays for:

Hospital room, board, and miscellaneous hospital charges up to stated limits

Basic hospital expense covers room, board, and miscellaneous hospital charges up to stated limits.

4. A comprehensive major medical plan is characterized by:

A deductible, coinsurance, and a high overall maximum covering a broad range of services

Comprehensive major medical combines a deductible, coinsurance, and a high maximum over broad services.

All Life, Accident & Health topics

Practice: Medical Plans

Answer choices are shuffled every time, and every question comes with an explanation.

Practice questions are study aids generated for exam preparation and are not actual exam questions. Content is provided for educational purposes and is not legal advice. Verify current statutes, rules, and exam specifications with the Insurance Department and the exam administrator before relying on it.