Free Medical Plans Practice Questions

California Accident & Health Agent exam (series Accident & Health) — 101 practice questions.

Practice Medical Plans

Subtopics: Mammography, Maternity hospital stay, Mental health parity, Cervical cancer screening, Maternity cost sharing, Prostate cancer screening, Mastectomy reconstruction, Diabetes management, Behavioral health treatment, Dependent age, Newborn coverage, Contraceptive coverage, Dollar limits, Preventive services, Adopted children, Fertility mandate, Fertility small group, Mastectomy stays, Cervical screening, Parity scope, Disabled dependents, Prostate screening, Covered California, Exchange agent certification, Premium tax credits, Medi-Cal MAGI, Medical loss ratio, Self-insured plans, Fee-for-service, Deductible, Stop-loss, Major medical, HMO, PPO, POS, Gatekeeper, Preauthorization, Utilization review, Preventive care, Copayment, 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, Annual and lifetime limit prohibition, Health insurance marketplace, Premium tax credit, Prescription drug formulary, Major medical cost-sharing, Out-of-pocket maximum, Plan concepts, Consumer-driven plans, HDHP and HSA, Cost containment, Grievances and appeals, ACA, Emergency services, Children's coverage, Prescription drugs

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Sample questions & answers

1. California requires individual and group disability policies to provide coverage for:

Screening or diagnostic mammography

California mandates coverage of mammography for screening or diagnostic purposes upon proper referral.

2. A California policy providing maternity coverage may not restrict inpatient stays to less than:

48 hours for vaginal delivery and 96 hours for a cesarean section

California mandates minimum inpatient stays of 48 hours after vaginal delivery and 96 hours after cesarean, with limited exceptions.

3. California's mental health parity law requires covered plans to provide mental health and substance use benefits:

On terms no more restrictive than medical benefits

California requires medically necessary mental health and substance use disorder coverage under terms equal to medical benefits.

4. California mandates that covered women have access to:

Cervical cancer screening tests

California requires coverage of cervical cancer screening, including the conventional Pap test.

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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.