Exam Sim Federal Patient Protection and Affordable Care Act - Practice Exam

According to the PPACA metal levels classification, if a health plan is expected to cover 90% of the cost for an average population, and the participants would cover the remaining 10%, what type of plan is that?

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a. Platinum

b. Bronze

c. Silver

d. Gold

a

Which of the following individuals will be eligible for coverage on the Health Insurance Marketplace?

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a. A permanent resident lawfully present in the U.S.

b. Someone who has Medicare coverage

c. A U.S. citizen who is incarcerated

d. A U.S. citizen living abroad

a

Under the Affordable Care Act, what percentage of preventive care must be covered without cost sharing?

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a. 25%

b. 50%

c. 80%

d. 100% 

d

According to the Medical Loss Ratio (MLR), what is the minimum percentage of health coverage premium that must be applied to actual medical care in an individual health plan?

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a. 25%

b. 50%

c. 80%

d. 90%

c

A woman obtains health coverage through the Marketplace on October 1. Two weeks later she finds out that she is 3 months pregnant. Which of the following is true about coverage for pregnancy?

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a. Pregnancy will be covered immediately.

b. Pregnancy will only be covered if additional premium is paid.

c. Pregnancy will not be covered as a pre-existing condition.

d. Pregnancy may be covered with the insurer's special approval.

a

According to the Medical Loss Ratio (MLR), what is the minimum percentage of health coverage premium that must be applied to actual medical care in a large group health plan?

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a. 50%

b. 75%

c. 80%

d. 85%

d

Under the Affordable Care Act, which classification applies to health plans based on the amount of covered costs?

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a. Risk classification

b. Metal level classification

c. Guaranteed and nonguaranteed

d. Grandfathered and nongrandfathered

b

The Patient Protection and Affordable Care Act includes all of the following provisions EXCEPT

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a. Right to appeal.

b. No lifetime dollar limits.

c. Coverage for preventive benefits.

d. Individual tax deduction for premiums paid.

d

Under the Affordable Care Act, a special enrollment period allows an individual to enroll in a qualified health plan within how many days of a qualifying event?

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a. 10 days

b. 30 days

c. 60 days

d. 90 days

c

The Patient Protection and Affordable Care Act mandates that insurers provide coverage for adult children of the insured up to the age of

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a. 19.

b. 21.

c. 26

d. 30

c

According to the PPACA rules, what percentage of health care costs will be covered under a bronze plan?

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a. 10%

b. 30%

c. 40% 

d. 60%

d

What is the maximum age for qualifying for a catastrophic plan?

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a. 26 

b. 30

c. 45

d. 62

b

Which of the following is NOT a metal level of coverage offered under the Patient Protection and Affordable Care Act?

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a. Bronze

b. Iron

c. Gold

d. Silver

b

When is the annual open enrollment for state insurance exchanges?

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a. January 1 through February 28

b. December 1 through March 1

c. November 1 through January 31

d. December 1 through December 31

c

All of the following are essential benefits required to be included in all health plans purchased in the Marketplace EXCEPT

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a. Hospitalization.

b. Maternity care.

c. Pediatric vision care.

d. Adult dental care.

d

To be eligible for tax credits under the ACA, individuals must have income that is what percent of the Federal Poverty Level?

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a. Higher than 300%

b. Less than 10%

c. Between 10% and 100%

d. Between 100% and 400%

d