1. A point-of-service (POS) health plan is best described as one that:

blends HMO features with an out-of-network option chosen at the time of service

A POS plan combines HMO features with an out-of-network choice made when care is needed.

2. A health plan's formulary is:

the list of prescription drugs the plan covers

A formulary is the list of prescription drugs a plan covers.

3. Requiring approval before a non-emergency hospital admission is an example of:

precertification (utilization review)

Requiring approval before non-emergency admission is precertification or utilization review.

4. The usual, customary, and reasonable (UCR) standard is used to:

determine the allowable amount the plan will pay for a service

UCR sets the allowable amount a plan will pay for a given service.