Free Medical Plans Practice Questions
Georgia Life, Accident & Health exam (series 12-GA-05) — 51 practice questions.
Subtopics: Point of service, Copayment, Major medical, Flexible spending account, Stop-loss, UCR, Disabled dependents, Newborn coverage, Adopted children, Prompt payment, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings account, Health reimbursement arrangement, Capitation, Precertification, 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) plan:
mixes HMO and PPO features
A POS plan combines HMO and PPO characteristics, allowing members to decide whether to use network or out-of-network care when they need it.
2. A copayment in a medical plan is:
a fixed dollar amount per service
A copayment is a set dollar amount the insured pays for a specific covered service, such as an office visit.
3. Major medical coverage is designed to:
broad coverage with high limits
Major medical provides broad coverage subject to deductibles and coinsurance with high maximum limits for serious expenses.
4. A health flexible spending account (FSA) generally:
set aside pre-tax pay for medical costs
An FSA allows employees to set aside pre-tax dollars for qualified medical expenses, typically subject to a use-it-or-lose-it rule.
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.
