Free Medical Plans Practice Questions
Arizona Life, Accident & Health exam (series 13-33) — 48 practice questions.
Subtopics: Point of service, High-deductible plan, UCR charges, Stop-loss, Managed care network, Telehealth, Provider claims, Health care appeals, ACA dependents, ACA metal levels, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings account, Health reimbursement arrangement, Flexible spending account, Capitation, Precertification, Basic hospital expense, Major medical, ACA metal tiers, Essential health benefits, Lifetime limits, Preventive care, 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 (POS) plan combines features of:
An HMO and a PPO
POS plans blend HMO and PPO features.
2. A high deductible health plan is required in order to:
Contribute to a health savings account
26 U.S.C. 223(c) defines an eligible individual by reference to coverage under a high deductible health plan.
3. Usual, customary and reasonable (UCR) charges are used by a health plan to:
Set the allowable amount for a service
UCR benchmarks typical local charges for a service.
4. A stop-loss (out-of-pocket) feature in a health plan:
Limits the insured's total out-of-pocket cost
After the stop-loss is met, covered charges are paid in full.
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.
