Free Medical Plans Practice Questions
Ohio Life, Accident & Health exam (series 11-35) — 63 practice questions.
Subtopics: Basic medical, Out-of-pocket maximum, Copayment, In-network savings, Capitation, FSA, Dependent to age 26, Disabled dependent, Newborn coverage, Newborn notice, Adopted children, Mammography, Supplemental breast screening, Prior authorization, External review, External review effect, Health insuring corporations, HIC basic services, Closed panel plan, HIC nonrenewal, Unfair discrimination, Child health supervision, HIC identification card, HIC evidence of coverage, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings account, Health reimbursement arrangement, Flexible spending account, Precertification, Basic hospital expense, Major medical, 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
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Sample questions & answers
1. Coverage that pays first-dollar benefits for specific services like hospital room and board is:
Basic medical expense coverage
Basic medical expense coverage pays first-dollar benefits for specified services.
2. After the insured meets the out-of-pocket maximum, a major medical plan generally:
Pays 100% of remaining covered charges
Once the out-of-pocket maximum is met the plan pays 100% of covered charges.
3. A flat dollar amount the member pays at the time of a doctor visit is a:
Copayment
A copayment is a flat amount paid at the time of service.
4. Using an in-network provider in a PPO typically results in:
Lower out-of-pocket cost for the member
In-network providers generally cost the member less.
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.
