Free Medical Plans Practice Questions
Pennsylvania Accident & Health exam (series 16-02) — 104 practice questions.
Subtopics: Postpartum coverage, Mammography, Gynecological exams, Serious mental illness, Alcohol and drug abuse, Childhood immunizations, Newborn coverage, Adopted children, Adult dependent to 30, Orally administered chemotherapy, Mental health parity, Autism coverage, Diabetes coverage, Emergency services, OB-GYN access, Continuity of care, Grievance and external review, Colorectal screening, Supplemental breast imaging, Mastectomy stay, Mastectomy home visit, Diabetes types, Cancer therapy setting, Specialist referral, Continuity for pregnancy, Gag clauses, Financial incentives, Roman numeral - mandates, 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. Pennsylvania requires group and individual policies to cover a minimum maternity hospital stay of at least:
48 hours after a vaginal delivery, 96 after a cesarean
PA mandates minimum inpatient stays of 48 hours after vaginal delivery and 96 hours after cesarean, unless discharged earlier by agreement.
2. Pennsylvania law requires health policies to cover mammograms for covered persons age 40 and older:
Without cost sharing
Act 52 of 2025 requires mammograms (40 and older, or younger on a physician's recommendation) plus supplemental and diagnostic breast imaging when risk warrants, without cost sharing.
3. Pennsylvania mandates that covered women have access to:
Annual gynecological exams and routine pap smears
PA requires coverage of annual gynecological exams and routine pap smears for the detection of cervical cancer.
4. Pennsylvania's mandated benefit for serious mental illness requires covered plans to provide:
Coverage for listed serious mental illnesses at minimum levels
For groups of 50 or more, policies must cover at least 30 inpatient and 60 outpatient days per year for serious mental illnesses.
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.
