Medical Expense✓ Verified · outline & fact-checked · Sep 2026Difficulty 1/5
Group medical expense coverage may be delivered through which of the following care plan arrangements?
Select an option to reveal the answer and the full 3-part explanation — free, no signup.
Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
Group medical expense insurance may be delivered through managed care arrangements, including HMO, point-of-service (POS), PPO, and EPO plan designs, in addition to other funding structures. Employers select the delivery model based on cost, access, and member flexibility. The examination objectives list these care plans explicitly in the group coverage forms material under AH-III.B.1b, and recognizing the full menu of plan designs is a core group-market concept. The delivery form determines network rules, referrals, and cost-sharing for the members.
Why the other options are wrong
- B) Managed care designs, not just indemnity reimbursement, are common delivery forms for group coverage.
- C) Self-insured trusts are one funding mechanism, not the only delivery arrangement.
- D) Medicare Advantage is a senior product, not a group medical delivery option for private employers.
Memory hook
Group coverage comes in HMO, POS, PPO, and EPO forms.