Free Medical Plans Practice Questions
Delaware Life, Accident & Health exam — 51 practice questions.
Subtopics: Basic hospital expense, Basic surgical expense, Comprehensive major medical, Capitation, Usual customary and reasonable, Flexible spending account, Health reimbursement arrangement, Preventive care, Hospitalized at termination, Newborn coverage, Adding a newborn, Dependent children to 26, Disabled dependent children, Clean claim processing, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings 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. Basic hospital expense coverage typically pays for:
Room and board and other hospital charges
Basic hospital expense coverage pays for room and board and miscellaneous hospital charges up to the stated limits.
2. Basic surgical expense coverage generally pays surgeons' fees according to:
A surgical schedule or usual and customary limit
Basic surgical expense coverage pays for surgery based on a surgical schedule or usual and customary charge up to a stated maximum.
3. Comprehensive major medical insurance is best characterized by:
Broad coverage with a deductible and coinsurance
Comprehensive major medical covers a wide range of medical expenses subject to a deductible and coinsurance up to high limits.
4. Under a capitation arrangement, an HMO pays a network physician:
A fixed amount per member per period
Capitation pays providers a set amount per enrolled member per period, shifting some utilization risk to the provider.
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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.
