Free Medical Plans Practice Questions
New York Accident & Health exam (series 17-52) — 106 practice questions.
Subtopics: Maternity stay, Mammography, Mental health parity, Autism coverage, Contraceptive coverage, Age 29 dependent, Newborn coverage, Community rating, External appeal, Emergency services, Infertility coverage, Step therapy override, Direct access OB/GYN, Cancer screening mandate, Standing referral, HMO regulation, Prompt pay, Prompt pay paper claims, External appeal timing, Expedited external appeal, External appeal cost, Utilization review timing, Internal appeal window, Specialist as coordinator, Out-of-network referral, Maternity home visit, IVF cycles, Mental health providers, Healthy NY, Healthy NY participation, Healthy NY prior coverage, Marketplace, Child Health Plus, Fee-for-service, Deductible, Stop-loss, Major medical, HMO, PPO, POS, Gatekeeper, Preauthorization, Utilization review, Preventive care, Copayment, Coordination of benefits, Comprehensive major medical, HIPAA portability, HIPAA privacy, Dependent to age 26, Exclusive Provider Organization, High-deductible health plan, Capitation, Closed-panel HMO, Open-panel HMO, Concurrent review, Second surgical opinion, Case management, Out-of-network cost sharing, Essential health benefits, Metal tier levels, Guaranteed issue, Medical loss ratio, Annual and lifetime limit prohibition, Health insurance marketplace, Premium tax credit, Prescription drug formulary, Major medical cost-sharing, Out-of-pocket maximum, Plan concepts, Consumer-driven plans, HDHP and HSA, Cost containment, Grievances and appeals, ACA, Children's coverage, Prescription drugs
Read the Medical Plans study guide
Sample questions & answers
1. New York requires health policies to cover an inpatient maternity hospital stay of at least:
48 hours after a vaginal delivery and 96 hours after a cesarean section
New York mandates minimum inpatient stays of 48 hours after a vaginal delivery and 96 hours after a cesarean, unless an earlier discharge is agreed.
2. New York law requires accident and health policies to cover:
Mammography screening for breast cancer
New York mandates coverage of mammographic screening for the early detection of breast cancer.
3. New York's mental health parity mandate (Timothy's Law) requires covered plans to provide mental health benefits:
On terms no less favorable (at parity) with medical and surgical benefits
New York requires comparable (parity) coverage for mental health conditions under Timothy's Law.
4. New York requires health policies to provide coverage for the screening, diagnosis, and treatment of:
Autism spectrum disorder
New York mandates coverage for the screening, diagnosis, and treatment of autism spectrum disorder.
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.
