- Exam Prep
- South Carolina
- Life, Accident & Health
- Medical Plans
Free Medical Plans Practice Questions
South Carolina Life, Accident & Health exam — 24 practice questions.
Subtopics: Gatekeeper, Capitation, Point of service, Preventive care, Network discounts, Basic hospital expense, Surgical schedule, Comprehensive major medical, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings account, Health reimbursement arrangement, Flexible spending account, Precertification, Major medical
Read the Medical Plans study guide
Sample questions & answers
1. In a managed care plan that uses a gatekeeper, the primary care physician:
Coordinates care and authorizes referrals to specialists
In a gatekeeper model, the primary care physician coordinates care and must authorize referrals to specialists.
2. Under a capitation arrangement, a provider is paid:
A fixed amount per member per period regardless of services used
Capitation pays the provider a set amount per enrolled member per period, regardless of the volume of services used.
3. A point-of-service (POS) plan combines features of:
An HMO and a PPO, with the choice made at the time of service
A POS plan blends HMO and PPO features, letting the member decide in-network or out-of-network care at the point of service.
4. Many medical plans cover preventive services such as immunizations:
Often with little or no cost sharing
Preventive services such as immunizations and screenings are commonly covered with little or no cost sharing; specifics vary by plan.
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 Pennsylvania Insurance Department and the exam administrator before relying on it.