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- Medical Plans
Free Medical Plans Practice Questions
Nebraska Life, Accident & Health exam — 24 practice questions.
Subtopics: Major medical, Hospital indemnity, Capitation, Fee-for-service, Preauthorization, Formulary, Exclusive provider organization, Flexible spending account, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings account, Health reimbursement arrangement, Precertification, Basic hospital expense
Read the Medical Plans study guide
Sample questions & answers
1. A health plan offering broad coverage with high limits for a wide range of medical expenses is:
Major medical coverage
Major medical coverage provides broad benefits with high limits across a wide range of medical expenses.
2. A plan paying a flat daily amount for each day the insured is hospitalized, regardless of actual charges, is:
A hospital indemnity (fixed-rate) plan
A hospital indemnity plan pays a fixed dollar amount per day of confinement regardless of actual charges.
3. An HMO arrangement that pays a provider a fixed amount per member per month regardless of services used is:
Capitation
Under capitation, the provider receives a set amount per member each month regardless of services rendered.
4. A traditional plan that lets the insured choose any provider and pays a portion of each covered charge is a:
Fee-for-service (indemnity) plan
A fee-for-service or indemnity plan reimburses a portion of each covered charge and allows free provider choice.
All Life, Accident & Health topics
Practice: Medical Plans
Take a randomized, timed-style practice test. Answer choices are shuffled and your results are scored
instantly with an explanation for every question.
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.