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Medical Expense Practice Questions — Page 7 of 15

702 free medical expense questions for the California Life & Health insurance license exam. Pick any question — answer it and get the full 3-part explanation, no signup required.

  1. 301.The primary legislative purpose of the Patient Protection and Affordable Care Act (PPACA) is to:
    Difficulty 1/5
  2. 302.Under the ACA, cost-sharing reductions (CSR) are available to eligible enrollees who:
    Difficulty 2/5
  3. 303.Which of the following qualifies as minimum essential coverage (MEC) under the ACA's individual responsibil…
    Difficulty 2/5
  4. 304.A Qualified Health Plan (QHP) is best defined as a health plan that:
    Difficulty 1/5
  5. 305.Under the ACA's guaranteed issue requirement, health insurers must:
    Difficulty 2/5
  6. 306.A qualified health plan (QHP) is a health plan that:
    Difficulty 2/5
  7. 307.Under Medicare Part B, which beneficiaries pay higher monthly premiums than the standard amount?
    Difficulty 2/5
  8. 308.Which of the following counts as minimum essential coverage (MEC) for purposes of PPACA?
    Difficulty 2/5
  9. 309.A Qualified Health Plan (QHP) is best defined as a health plan that:
    Difficulty 1/5
  10. 310.A Medicare Advantage plan may offer enrollees benefits that Original Medicare does not cover. Which stateme…
    Difficulty 2/5
  11. 311.Under Medicare Part D, what formulary requirement must a prescription drug plan meet?
    Difficulty 2/5
  12. 312.Which Medicare enrollment requirement must a beneficiary satisfy before enrolling in a stand-alone Part D p…
    Difficulty 1/5
  13. 313.Under the ACA, 'essential health benefits' (EHB) refers to:
    Difficulty 2/5
  14. 314.Under the guaranteed issue requirements of the ACA, health insurers offering individual coverage must:
    Difficulty 1/5
  15. 315.Which statement correctly distinguishes a Qualified Health Plan (QHP) from a plan that provides only Minimu…
    Difficulty 3/5
  16. 316.Under PPACA, cost-sharing reductions (CSR) that lower deductibles and copays are available to eligible mark…
    Difficulty 2/5
  17. 317.Which service is NOT one of the ten categories of essential health benefits (EHBs) that individual and smal…
    Difficulty 2/5
  18. 318.Which of the following is an essential health benefit (EHB) category that individual and small group plans …
    Difficulty 2/5
  19. 319.Which of the following is among the ten essential health benefit (EHB) categories that QHPs must cover?
    Difficulty 2/5
  20. 320.The Family and Medical Leave Act (FMLA) generally provides eligible employees with:
    Difficulty 1/5
  21. 321.A qualified health plan (QHP) is best defined as a health plan that:
    Difficulty 1/5
  22. 322.Cost Sharing Reductions (CSRs) under the ACA are available to eligible consumers with household income betw…
    Difficulty 2/5
  23. 323.A physician who is a participating provider with Medicare has agreed to:
    Difficulty 2/5
  24. 324.A consumer whose household income is between 138% and 250% of the federal poverty level may qualify for cos…
    Difficulty 3/5
  25. 325.A primary purpose of the Patient Protection and Affordable Care Act (ACA) is to:
    Difficulty 1/5
  26. 326.What is the purpose of the Medicare Summary Notice (MSN)?
    Difficulty 1/5
  27. 327.Which of the following counts as minimum essential coverage (MEC) under the ACA?
    Difficulty 1/5
  28. 328.Which statement correctly defines a qualified health plan (QHP)?
    Difficulty 1/5
  29. 329.The ACA guaranteed issue requirement means that health insurers must:
    Difficulty 1/5
  30. 330.Which of the following is one of the ten categories of Essential Health Benefits (EHB) that ACA-compliant p…
    Difficulty 2/5
  31. 331.Which item is NOT covered by Original Medicare (Parts A and B)?
    Difficulty 1/5
  32. 332.The ACA 'guaranteed issue' requirement means that health insurers must:
    Difficulty 2/5
  33. 333.Which statement correctly describes the relationship between a qualified health plan (QHP) and minimum esse…
    Difficulty 2/5
  34. 334.Under COBRA, a dependent child who loses group health coverage because of reaching the plan's maximum depen…
    Difficulty 2/5
  35. 335.A dependent child who ages out of a parent's group health plan at age 26 and loses coverage may continue co…
    Difficulty 2/5
  36. 336.When a dependent child loses coverage under a parent's group plan because the child exceeds the plan's maxi…
    Difficulty 2/5
  37. 337.Which feature is characteristic of an HMO (health maintenance organization) plan?
    Difficulty 1/5
  38. 338.A Qualified Health Plan (QHP) differs from other Minimum Essential Coverage (MEC) because a QHP:
    Difficulty 3/5
  39. 339.Which of the following best describes minimum essential coverage (MEC) under the ACA?
    Difficulty 1/5
  40. 340.A child covered under a parent's employer group health plan ages out of dependent coverage at age 26. Under…
    Difficulty 2/5
  41. 341.An ACA grandfathered health plan is best described as a plan that:
    Difficulty 3/5
  42. 342.A Qualified Health Plan (QHP) under the ACA is a health plan that:
    Difficulty 1/5
  43. 343.Which statement correctly describes a PPO (preferred provider organization) plan?
    Difficulty 1/5
  44. 344.A person who delays enrolling in Medicare Part A without other coverage may face a late enrollment penalty …
    Difficulty 3/5
  45. 345.A person qualifies for premium Part A but delays enrollment for three years after first becoming eligible, …
    Difficulty 3/5
  46. 346.To enroll in a Medicare Advantage plan, a beneficiary must generally:
    Difficulty 1/5
  47. 347.Under federal COBRA, a dependent child who loses eligibility under a group plan because of 'aging out' of d…
    Difficulty 2/5
  48. 348.A dependent child loses eligibility under a parent's employer group plan because the child has exceeded the…
    Difficulty 2/5
  49. 349.Under PPACA, an individual health insurer may NOT:
    Difficulty 1/5
  50. 350.Regarding Medicare Part A, an individual who has earned 30 to 39 quarters of Medicare-covered employment:
    Difficulty 2/5