Free Medical Plans Practice Questions
Nevada Life, Accident & Health exam — 68 practice questions.
Subtopics: Indemnity plan, Major medical, Health reimbursement arrangement, Usual customary and reasonable, Capitation, Flexible spending account, Precertification, Gatekeeper, Prompt claim payment, Late payment interest, Additional information, Newborn coverage, Adopted children, Preventive services, Mental health parity, Substance use disorder, Reconstructive surgery, Hospice care, Home health care, Telehealth, Silver State Exchange, HMO certificate of authority, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings account, 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 traditional fee-for-service health plan that reimburses providers or insureds for each covered service is a(n):
Indemnity plan
A traditional indemnity (fee-for-service) plan pays for each covered service, generally letting the insured choose any provider.
2. A health plan feature that provides broad coverage for large medical expenses, subject to a deductible and coinsurance, is:
Major medical coverage
Major medical coverage provides broad protection against large medical expenses, applying a deductible and coinsurance.
3. An employer-funded account that reimburses employees for qualified medical expenses under terms the employer sets is a:
Health reimbursement arrangement
A health reimbursement arrangement is funded solely by the employer to reimburse employees for qualified medical expenses, on terms the employer sets.
4. Many indemnity plans limit payment for a procedure to the usual, customary, and reasonable charge, meaning the insurer pays based on:
The prevailing fee for that service in the geographic area
A usual, customary, and reasonable limit ties payment to the prevailing charge for similar services in the same geographic area.
All Life, Accident & Health topics
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.
