Free Medical Plans Practice Questions
Hawaii Life, Accident & Health exam — 57 practice questions.
Subtopics: Basic hospital expense, Major medical, Capitation, Formulary, Flexible spending account, Usual customary and reasonable, Stop-loss, Network providers, Child health supervision, Child health visits, Mammography, Mammogram referrals, Optometric services, In vitro fertilization, Adopted newborns, Genetic information, Medical foods, Diabetes coverage, Autism coverage, Autism ABA limit, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings account, Health reimbursement arrangement, Precertification, 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. Basic hospital expense coverage typically pays for:
Hospital room and board and miscellaneous hospital charges
Basic hospital expense coverage pays for room and board and miscellaneous hospital charges up to stated limits.
2. Major medical coverage is designed primarily to:
Provide broad coverage for large medical expenses
Major medical provides broad, high-limit coverage for significant medical expenses after a deductible.
3. Under capitation, an HMO compensates a provider by paying:
A fixed amount per member per period regardless of services used
Capitation pays the provider a set amount per enrolled member per period regardless of utilization.
4. A prescription drug formulary is best described as:
A list of covered drugs, often arranged in tiers
A formulary is the plan's list of covered medications, frequently organized into cost tiers.
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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.
