Ok-Life-Accident-and-Health-or-Sickness-Producer 試験問題を無料オンラインアクセス

Unlike HMO plans, PPO plan members MOST often

• A.must designate a primary care physician.
• B.receive no medical benefits while traveling to other states.
• C.have more choices of doctors and medical service providers.
• D.can see a physician on a walk-in basis.

Under the unpaid premium Uniform Optional Provision, if there is an unpaid premium at the time a health claim becomes payable, then the

• A.claim is delayed until payment of the premium.
• B.claim is denied.
• C.policy is cancelled.
• D.premium is deducted from the claim.

In addition to the actual policy, an entire contract includes which of the following?

• A.The application.
• B.Credit report.
• C.Clauses.
• D.Provisions.

Any person entitled to reimbursement for expenses of health care services and procedures under an Accident and Health Insurance Policy issued by an insurer is

• A.an insured.
• B.an insurer.
• C.a Preferred Provider Organization.
• D.a practitioner.

Benefits required under the child immunization coverage shall NOT be subject to

• A.a prior authorization.
• B.an annual maximum number of immunizations.
• C.a deductible.
• D.a set immunization schedule.