Dental Insurance Exam Questions Solved Accurately
Under which plan does preventative dental treatment not apply toward the deductible?
AProvisional
BLimited
CNonscheduled
DFocused - CORRECT ANSWER✅✅✅c
Under nonscheduled plans, routine examinations and preventative care generally do not apply
toward the deductible.
Most scheduled plans provide first-dollar benefits without
ACoinsurance and deductibles.
BPremiums
CCopays.
DExclusions and conditions. - CORRECT ANSWER✅✅✅a
Scheduled/basic plans pay benefits from a list of procedures up to the amount shown in the
schedule. Most plans provide first-dollar benefits without coinsurance or deductibles.
Which of the following is NOT considered to be a basic service, under a nonscheduled plan?
AFillings
BDentures
CEndodontics
DOral surgery - CORRECT ANSWER✅✅✅b
There are two types of services under nonscheduled plans: basic and major. Basic services
include treatments such as fillings, oral surgery, periodontics, and endodontics, while major
services include treatments such as inlays, crowns, dentures and orthodontics.
An insured does not have to pay coinsurance or deductibles on a full-series mouth x-ray, but
does have to pay a deductible to get his cavities filled. Which dental plan does he have?
AProcedure-based
, BScheduled
CNonscheduled
DLimited - CORRECT ANSWER✅✅✅c
Diagnostic and preventative services are generally not subject to coinsurance or deductibles in
nonscheduled plans, but basic and major services are.
Which type of service under a nonscheduled plan typically has large deductibles and pays around
50% for the services provided?
AMinor service
BRepair service
CMajor service
DBasic service - CORRECT ANSWER✅✅✅c
Major services under nonscheduled plans, which cover treatments such as inlays, crowns,
dentures and orthodontics, either have large deductibles or the insured pays 50% of the costs.
An insured is scheduled to have two cavities filled. He knows in advance what benefits will be
paid for the procedure. Which clause is responsible for the advanced notification?
AScheduled Benefits
BAdvanced Benefit Notification
CPrior authorization
DFixed Rate - CORRECT ANSWER✅✅✅c
The Predetermination of Benefits Clause, also known as "precertification" and "prior
authorization", allows both the insured and dentist to know in advance which benefits will be
paid. This clause is found in most dental plans.
Which clause allows both the insured and dentist to know in advance which benefits will be
paid?
APreadmission
BAdvanced Benefit Notification
CFixed Rate
Under which plan does preventative dental treatment not apply toward the deductible?
AProvisional
BLimited
CNonscheduled
DFocused - CORRECT ANSWER✅✅✅c
Under nonscheduled plans, routine examinations and preventative care generally do not apply
toward the deductible.
Most scheduled plans provide first-dollar benefits without
ACoinsurance and deductibles.
BPremiums
CCopays.
DExclusions and conditions. - CORRECT ANSWER✅✅✅a
Scheduled/basic plans pay benefits from a list of procedures up to the amount shown in the
schedule. Most plans provide first-dollar benefits without coinsurance or deductibles.
Which of the following is NOT considered to be a basic service, under a nonscheduled plan?
AFillings
BDentures
CEndodontics
DOral surgery - CORRECT ANSWER✅✅✅b
There are two types of services under nonscheduled plans: basic and major. Basic services
include treatments such as fillings, oral surgery, periodontics, and endodontics, while major
services include treatments such as inlays, crowns, dentures and orthodontics.
An insured does not have to pay coinsurance or deductibles on a full-series mouth x-ray, but
does have to pay a deductible to get his cavities filled. Which dental plan does he have?
AProcedure-based
, BScheduled
CNonscheduled
DLimited - CORRECT ANSWER✅✅✅c
Diagnostic and preventative services are generally not subject to coinsurance or deductibles in
nonscheduled plans, but basic and major services are.
Which type of service under a nonscheduled plan typically has large deductibles and pays around
50% for the services provided?
AMinor service
BRepair service
CMajor service
DBasic service - CORRECT ANSWER✅✅✅c
Major services under nonscheduled plans, which cover treatments such as inlays, crowns,
dentures and orthodontics, either have large deductibles or the insured pays 50% of the costs.
An insured is scheduled to have two cavities filled. He knows in advance what benefits will be
paid for the procedure. Which clause is responsible for the advanced notification?
AScheduled Benefits
BAdvanced Benefit Notification
CPrior authorization
DFixed Rate - CORRECT ANSWER✅✅✅c
The Predetermination of Benefits Clause, also known as "precertification" and "prior
authorization", allows both the insured and dentist to know in advance which benefits will be
paid. This clause is found in most dental plans.
Which clause allows both the insured and dentist to know in advance which benefits will be
paid?
APreadmission
BAdvanced Benefit Notification
CFixed Rate
