Free Medical Plans Practice Questions
Minnesota Life, Accident & Health exam — 63 practice questions.
Subtopics: Point of service plan, Gatekeeper, Formulary, Flexible spending account, Basic versus major medical, Health reimbursement arrangement, Capitation, Exclusive provider organization, HMO right to cancel, Newborn coverage, Cleft lip and palate, Disabled children, Emotionally disabled children, Mental health parity, Mental health visits, HMO regulator, HMO defined, Comprehensive health maintenance services, Nonprofit health service plans, Agent of record, Provider incentives, Health risk avoidance, MNsure, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings account, 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
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Sample questions & answers
1. A point of service (POS) plan combines features of which two arrangements?
An HMO and a PPO
A POS plan blends HMO and PPO features, letting members choose in-network coordinated care or out-of-network care at higher cost.
2. In a managed care plan the primary care physician who coordinates referrals is often called the what?
The gatekeeper
The primary care physician who manages and authorizes referrals to specialists is commonly called the gatekeeper.
3. A health plan's formulary is best described as what?
A list of preferred covered prescription drugs
A formulary is the plan's list of preferred covered prescription drugs, which can affect the member's cost for medications.
4. A health flexible spending account (FSA) generally allows an employee to do what?
Set aside pretax dollars for qualified medical expenses
An FSA lets an employee set aside pretax dollars to pay for qualified medical expenses during the plan year.
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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.
