Enrollment Specialists study material EXAM
2025 UPDATE Verified Questions And
Answers | Guaranteed Success!!
FSA - CORRECT ANSWERS Flexible Spending Account
HSA - CORRECT ANSWERS Health Savings Account
Chips, Medicare, Medicaid - CORRECT ANSWERS 3 programs that allow 60 days for qualifying
events:
FOC - CORRECT ANSWERS Freedom of Choice; Dental name for Aetna
Managed Choice Point of Service - CORRECT ANSWERS Combines characteristics of HMO and
PPO; Smaller network than PPO.
Health Network Only - CORRECT ANSWERS Regionalized, open referral; In and out of network;
Lower premiums and copays.
Health Maintenance Organization - CORRECT ANSWERS Regionalized; Needs
referral/Gatekeeper; No out of network coverage.
High Deductible Health Plan - CORRECT ANSWERS National Network; Aggregate deductibles;
Can be paired with GAP and FSA or paired with HSA, GAP or FSA by itself; The deductible has to be met
before the EE pays any out of pocket expense.
, Preferred Provider Organization - CORRECT ANSWERS National network of providers; In and
out of Network, out of network costs more with this plan; Offered only when the MCPOS is not
available.
EPO - CORRECT ANSWERS Exclusive Provider Organization
Exclusive Provider Organization - CORRECT ANSWERS Small network of networks (offered only
in NY, NJ, and CT); No out of Network benefits; Plan comes with higher discounts on overall costs of
care; Open access;
Indemnity - CORRECT ANSWERS Open access (National network of providers - Freedom of
Choice for providers); Higher premiums and out-of-pocket costs; Only offered if the MCPOS and PPO is
not available.
MEC - CORRECT ANSWERS Minimum Essential Coverage
Minimum Essential Coverage - CORRECT ANSWERS Preventative only; Does not meet MA
requirements
Aetna, Tufts, Kaiser Permanente, Anthem (BCBS), Empire (BCBS), HMSA (BCBS of HI) - CORRECT
ANSWERS Health plans available by state to Oasis____________.
Aetna and MetLife - CORRECT ANSWERS What two Dental plans does Oasis offer?
Flexible Spending Account - CORRECT ANSWERS This supplemental benefit can be used with
any medical plan; Use it or lose it.
Health Savings Account - CORRECT ANSWERS Requires enrollment in HDHP plan; Funds that
are not used can carry over to the next year. EE owned
2025 UPDATE Verified Questions And
Answers | Guaranteed Success!!
FSA - CORRECT ANSWERS Flexible Spending Account
HSA - CORRECT ANSWERS Health Savings Account
Chips, Medicare, Medicaid - CORRECT ANSWERS 3 programs that allow 60 days for qualifying
events:
FOC - CORRECT ANSWERS Freedom of Choice; Dental name for Aetna
Managed Choice Point of Service - CORRECT ANSWERS Combines characteristics of HMO and
PPO; Smaller network than PPO.
Health Network Only - CORRECT ANSWERS Regionalized, open referral; In and out of network;
Lower premiums and copays.
Health Maintenance Organization - CORRECT ANSWERS Regionalized; Needs
referral/Gatekeeper; No out of network coverage.
High Deductible Health Plan - CORRECT ANSWERS National Network; Aggregate deductibles;
Can be paired with GAP and FSA or paired with HSA, GAP or FSA by itself; The deductible has to be met
before the EE pays any out of pocket expense.
, Preferred Provider Organization - CORRECT ANSWERS National network of providers; In and
out of Network, out of network costs more with this plan; Offered only when the MCPOS is not
available.
EPO - CORRECT ANSWERS Exclusive Provider Organization
Exclusive Provider Organization - CORRECT ANSWERS Small network of networks (offered only
in NY, NJ, and CT); No out of Network benefits; Plan comes with higher discounts on overall costs of
care; Open access;
Indemnity - CORRECT ANSWERS Open access (National network of providers - Freedom of
Choice for providers); Higher premiums and out-of-pocket costs; Only offered if the MCPOS and PPO is
not available.
MEC - CORRECT ANSWERS Minimum Essential Coverage
Minimum Essential Coverage - CORRECT ANSWERS Preventative only; Does not meet MA
requirements
Aetna, Tufts, Kaiser Permanente, Anthem (BCBS), Empire (BCBS), HMSA (BCBS of HI) - CORRECT
ANSWERS Health plans available by state to Oasis____________.
Aetna and MetLife - CORRECT ANSWERS What two Dental plans does Oasis offer?
Flexible Spending Account - CORRECT ANSWERS This supplemental benefit can be used with
any medical plan; Use it or lose it.
Health Savings Account - CORRECT ANSWERS Requires enrollment in HDHP plan; Funds that
are not used can carry over to the next year. EE owned
