Page | 1
FL HEALTH AGENT 240 EXAM BRAND NEW
ACTUAL EXAM WITH VERIFIED ANSWERS.
1. All of the following are differences between a PPO plan and an
HMO, EXCEPT: - correct answer -It is a managed care plan
2. Basic health plans provide "first dollar" coverage, which means:
- correct answer -Benefits are payable starting with the first
dollar of expenses incurred up to a stated maximum benefit
and without a deductible
3. When payment under a Medical Expense policy is based on
the average fee charged by all doctors in a given geographical
area, and the balance of any overcharges or costs of any
disallowed services are the insured's responsibility, the
payment is known as: - correct answer -sual, customary,
reasonable (UCR) payment
, Page | 2
4. If an insured dies under the AD&D policy, which of the following
will provide benefit payouts to the beneficiary: - correct answer
-Principal sum
5. is a cost sharing feature and is stated as a
percentage of sharing between the insurer and the insured,
such as 80/20. - correct answer -Coinsurance
6. Which policy utilizes a Corridor Deductible after Basic Medical
Expense Coverage benefits have been exhausted and before
Major Medical benefits begin? - correct answer -Supplementary
Major Medical
7. H has an individual standalone vision plan, in addition to his
health insurance. During an annual examination, it is
discovered that H has cataracts. Which plan will cover the cost
of the treatment for cataracts? - correct answer -Medical
expense insurance
8. Coverage of dependent children will continue under federal law
until the child reaches the limiting age of: - correct answer -26
, Page | 3
9. Which is NOT typically covered under HMOs? - correct answer
-Private hospital rooms
10. Upon joining an HMO, the plan will require the subscriber to
select a: - correct answer -Primary Care Physician, also known
as a Gatekeeper.
11. Which of the following types of coverage has a corridor
deductible? - correct answer -Supplemental major medical
12. J purchased a policy that includes a carryover provision,
common accident and family deductible. J owns a
policy. - correct answer -Major Medical
13. Sylvia is a participant in a Preferred Provider Organization
and finds that if she opts to use a provider outside the network:
- correct answer -Her PPO will pay a reduced amount with
Sylvia paying the balance
FL HEALTH AGENT 240 EXAM BRAND NEW
ACTUAL EXAM WITH VERIFIED ANSWERS.
1. All of the following are differences between a PPO plan and an
HMO, EXCEPT: - correct answer -It is a managed care plan
2. Basic health plans provide "first dollar" coverage, which means:
- correct answer -Benefits are payable starting with the first
dollar of expenses incurred up to a stated maximum benefit
and without a deductible
3. When payment under a Medical Expense policy is based on
the average fee charged by all doctors in a given geographical
area, and the balance of any overcharges or costs of any
disallowed services are the insured's responsibility, the
payment is known as: - correct answer -sual, customary,
reasonable (UCR) payment
, Page | 2
4. If an insured dies under the AD&D policy, which of the following
will provide benefit payouts to the beneficiary: - correct answer
-Principal sum
5. is a cost sharing feature and is stated as a
percentage of sharing between the insurer and the insured,
such as 80/20. - correct answer -Coinsurance
6. Which policy utilizes a Corridor Deductible after Basic Medical
Expense Coverage benefits have been exhausted and before
Major Medical benefits begin? - correct answer -Supplementary
Major Medical
7. H has an individual standalone vision plan, in addition to his
health insurance. During an annual examination, it is
discovered that H has cataracts. Which plan will cover the cost
of the treatment for cataracts? - correct answer -Medical
expense insurance
8. Coverage of dependent children will continue under federal law
until the child reaches the limiting age of: - correct answer -26
, Page | 3
9. Which is NOT typically covered under HMOs? - correct answer
-Private hospital rooms
10. Upon joining an HMO, the plan will require the subscriber to
select a: - correct answer -Primary Care Physician, also known
as a Gatekeeper.
11. Which of the following types of coverage has a corridor
deductible? - correct answer -Supplemental major medical
12. J purchased a policy that includes a carryover provision,
common accident and family deductible. J owns a
policy. - correct answer -Major Medical
13. Sylvia is a participant in a Preferred Provider Organization
and finds that if she opts to use a provider outside the network:
- correct answer -Her PPO will pay a reduced amount with
Sylvia paying the balance
