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Free Medical Plans Practice Questions

Pennsylvania Accident & Health exam (series 16-02) — 58 practice questions.

Subtopics: Postpartum coverage, Mammography, Gynecological exams, Serious mental illness, Alcohol and drug abuse, Childhood immunizations, Newborn coverage, Adopted children, Adult dependent to 30, Orally administered chemotherapy, Mental health parity, Autism coverage, Diabetes coverage, Emergency services, OB-GYN access, Continuity of care, Grievance and external review, Colorectal screening, Prostate screening, Osteoporosis screening, Well-child care, Mastectomy stay, Fee-for-service, Deductible, Stop-loss, Major medical, HMO, PPO, POS, Gatekeeper, Preauthorization, Utilization review, Preventive care, Copayment, Coordination of benefits, Comprehensive major medical, HIPAA portability, HIPAA privacy, Dependent to age 26, Exclusive Provider Organization, High-deductible health plan, Capitation, Closed-panel HMO, Open-panel HMO, Concurrent review, Second surgical opinion, Case management, Out-of-network cost sharing, Essential health benefits, Metal tier levels, Guaranteed issue, Medical loss ratio, Annual and lifetime limit prohibition, Health insurance marketplace, Premium tax credit, Prescription drug formulary, Major medical cost-sharing, Out-of-pocket maximum

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Sample questions & answers

1. Pennsylvania requires group and individual policies to cover a minimum maternity hospital stay of at least:

48 hours for a vaginal delivery and 96 hours for a cesarean section

PA mandates minimum inpatient stays of 48 hours after vaginal delivery and 96 hours after cesarean, unless discharged earlier by agreement.

2. Pennsylvania law requires health policies to cover:

Mammographic screening for breast cancer

PA mandates coverage of mammographic screening for the detection of breast cancer.

3. Pennsylvania mandates that covered women have access to:

Annual gynecological examinations and routine pap smears

PA requires coverage of annual gynecological exams and routine pap smears for the detection of cervical cancer.

4. Pennsylvania's mandated benefit for serious mental illness requires covered plans to provide:

Coverage for designated serious mental illnesses at specified minimum levels

PA requires coverage for designated serious mental illnesses, with minimum inpatient days and outpatient visits.

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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.