Free Medical Plans Practice Questions
Arizona Accident & Health exam (series 13-32) — 85 practice questions.
Subtopics: Deductible, Coinsurance, Out-of-pocket maximum, Preferred provider organization, Health maintenance organization, Copayment, Health savings account, Telehealth, Provider claims, Health care appeals, ACA dependents, ACA metal levels, Fee-for-service, Stop-loss, Major medical, HMO, PPO, POS, Gatekeeper, Preauthorization, Utilization review, Preventive care, Coordination of benefits, Comprehensive major medical, HIPAA portability, HIPAA privacy, Dependent to age 26, Exclusive Provider Organization, High-deductible health plan, Capitation, Closed-panel HMO, Open-panel HMO, Concurrent review, Second surgical opinion, Case management, Out-of-network cost sharing, Essential health benefits, Metal tier levels, Guaranteed issue, Medical loss ratio, Annual and lifetime limit prohibition, Health insurance marketplace, Premium tax credit, Prescription drug formulary, Major medical cost-sharing, Plan concepts, Consumer-driven plans, HDHP and HSA, Cost containment, Grievances and appeals, ACA, Emergency services, Mental health parity, Children's coverage, Newborn coverage, Prescription drugs
Read the Medical Plans study guide
Sample questions & answers
1. In a major medical plan, the deductible is the amount:
The insured pays before the plan pays
The deductible is paid out of pocket before benefits begin.
2. Coinsurance in a health plan refers to:
A percentage split of covered costs after the deductible
Coinsurance splits covered costs by percentage.
3. The stop-loss (out-of-pocket maximum) in a health plan:
Caps the insured's cost sharing for the period
After the stop-loss is reached the plan pays 100% of covered charges.
4. A preferred provider organization (PPO) plan generally:
Pays out-of-network care at higher cost sharing
PPOs use networks but still pay out of network at a lower level.
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.
