Free Medical Plans Practice Questions
Montana Life, Accident & Health exam — 50 practice questions.
Subtopics: Point-of-service plan, Formulary, Precertification, Usual customary reasonable, Flexible spending account, Exclusive provider organization, Major medical, Health reimbursement arrangement, Provider choice, Mental health, State institutions, HMOs, Usual and customary, Types, Cost sharing, Cost containment, Health savings account, Capitation, Basic hospital expense, 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) health plan is best described as one that:
Mixes HMO features with an out-of-network option
A POS plan combines HMO features with an out-of-network choice made when care is needed.
2. A health plan's formulary is:
The list of drugs the plan covers
A formulary is the list of prescription drugs a plan covers.
3. Requiring approval before a non-emergency hospital admission is an example of:
Precertification (utilization review)
Requiring approval before non-emergency admission is precertification or utilization review.
4. The usual, customary, and reasonable (UCR) standard is used to:
Determine the amount the plan allows for a service
UCR sets the allowable amount a plan will pay for a given service.
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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.
