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- Life, Accident & Health
- Medical Plans
Free Medical Plans Practice Questions
Arizona Life, Accident & Health exam — 21 practice questions.
Subtopics: Point of service, High-deductible plan, UCR charges, Stop-loss, Managed care network, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings account, Health reimbursement arrangement, Flexible spending account, Capitation, Precertification, Basic hospital expense, Major medical
Read the Medical Plans study guide
Sample questions & answers
1. A point-of-service (POS) plan generally combines features of:
An HMO and a PPO, letting members choose at the time of care
A POS plan blends HMO and PPO features, letting members decide in or out of network when care is needed.
2. A high-deductible health plan paired with an HSA features:
A higher deductible in exchange for HSA tax advantages
HDHPs carry higher deductibles and qualify the insured to contribute to a tax-advantaged HSA.
3. Usual, customary, and reasonable (UCR) charges are used by a health plan to:
Determine the allowable amount the plan will pay for a service
UCR benchmarks the allowable charge for a service based on what is typical for the area and procedure.
4. A stop-loss (out-of-pocket) feature in a health plan:
Limits the insured's total out-of-pocket cost for covered expenses
A stop-loss limit caps the insured's cost sharing, after which the plan pays covered charges in full.
All Life, Accident & Health topics
Practice: Medical Plans
Take a randomized, timed-style practice test. Answer choices are shuffled and your results are scored
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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.