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- Medical Plans
Free Medical Plans Practice Questions
Nevada Life, Accident & Health exam — 24 practice questions.
Subtopics: Indemnity plan, Major medical, Health reimbursement arrangement, Usual customary and reasonable, Capitation, Flexible spending account, Precertification, Gatekeeper, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings account, Basic hospital expense
Read the Medical Plans study guide
Sample questions & answers
1. A traditional fee-for-service health plan that reimburses providers or insureds for each covered service is a(n):
Indemnity plan
A traditional indemnity (fee-for-service) plan pays for each covered service, generally letting the insured choose any provider.
2. A health plan feature that provides broad coverage for large medical expenses, subject to a deductible and coinsurance, is:
Major medical coverage
Major medical coverage provides broad protection against large medical expenses, applying a deductible and coinsurance.
3. An employer-funded account that reimburses employees for qualified medical expenses under terms the employer sets is a:
Health reimbursement arrangement
A health reimbursement arrangement is funded solely by the employer to reimburse employees for qualified medical expenses, on terms the employer sets.
4. Many indemnity plans limit payment for a procedure to the usual, customary, and reasonable charge, meaning the insurer pays based on:
The prevailing fee for that service in the geographic area
A usual, customary, and reasonable limit ties payment to the prevailing charge for similar services in the same geographic area.
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.