EXAMFX Health Insurance 3

Question 1

Which of the following best describes a Point-of-Service (POS) plan?

Accepted Answer

A managed care plan that allows members to use out-of-network providers at a higher cost

Answer

A POS plan blends HMO and PPO features, offering lower costs for in-network care but allowing out-of-network use with higher cost-sharing.

Question 2

The 'elimination period' in a disability income policy is most analogous to which feature in a health insurance policy?

Accepted Answer

Deductible

Answer

Like a deductible requires the insured to absorb initial costs, an elimination period requires the insured to wait a specified time before benefits begin.

Question 3

A health savings account (HSA) can only be paired with which type of health plan?

Accepted Answer

A High-Deductible Health Plan (HDHP)

Answer

HSAs are only available to individuals enrolled in an IRS-qualified High-Deductible Health Plan.

Question 4

Under the ACA, preventive care services must be covered by non-grandfathered plans:

Accepted Answer

With no cost-sharing to the insured

Answer

The ACA requires non-grandfathered plans to cover USPSTF-recommended preventive services at no cost to the patient.

Question 5

In health insurance, 'subrogation' means the insurer has the right to:

Accepted Answer

Seek reimbursement from a liable third party after paying the insured's claim

Answer

Subrogation allows the insurer to step into the insured's shoes and recover claim costs from a negligent third party.

(EXAMFX) Exam FX Insurance Practice Test

(EXAMFX) Exam FX Insurance Practice Test

EXAMFX Health Insurance 3