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- Medical Plans
Free Medical Plans Practice Questions
Virginia Life, Accident & Health exam — 24 practice questions.
Subtopics: Deductible, Coinsurance, HMO, PPO, Copayment, Out-of-pocket maximum, Coordination of benefits, Preexisting condition, Types, Cost sharing, Cost containment, Point-of-service plan, Health savings account, Health reimbursement arrangement, Flexible spending account, Capitation, Precertification, Basic hospital expense, Major medical
Read the Medical Plans study guide
Sample questions & answers
1. A deductible in a medical plan is the amount the insured:
Pays before the plan begins to pay
The deductible must be paid by the insured before the plan starts covering expenses.
2. Coinsurance means the insured and insurer:
Share covered costs by an agreed percentage
Coinsurance splits covered costs by percentage after the deductible is met.
3. An HMO typically delivers care through:
A network with emphasis on a primary care physician
HMOs use a contracted network and often coordinate care through a primary care physician.
4. A PPO differs from an HMO because it:
Allows out-of-network care at higher cost
PPOs let members use out-of-network providers, usually at higher cost than in-network.
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 Insurance Department and the exam administrator before relying on it.