Free Medical and Disability Plans Practice Questions

South Dakota Life, Accident & Health exam — 23 practice questions.

Subtopics: Point of service, Gatekeeper, Flexible spending account, Accidental death and dismemberment, Long-term disability, Group disability benefit, Capitation, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings account, Health reimbursement arrangement, Precertification, Basic hospital expense, Major medical

Sample questions & answers

1. A point-of-service (POS) plan is best described as one that:

Blends HMO features with the option to use out-of-network providers at higher cost

A POS plan combines HMO-style in-network care with the option to go out of network at a higher cost share.

2. In a gatekeeper HMO model, the primary care physician's role is to:

Coordinate care and authorize referrals to specialists

In a gatekeeper HMO, the primary care physician coordinates care and must authorize referrals to specialists.

3. A health flexible spending account (FSA) allows an employee to:

Set aside pre-tax dollars to pay qualified medical expenses

An FSA lets an employee set aside pre-tax dollars to pay qualified out-of-pocket medical expenses, subject to plan rules.

4. Accidental death and dismemberment (AD&D) coverage pays a specified benefit for:

Death or the loss of specified body parts or functions caused by an accident

AD&D pays a stated benefit for accidental death or for the loss of specified members or functions, such as a hand or sight.

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Practice: Medical and Disability 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.