Texas Statutes and Rules — HMOs — practice questions
2.3% of the exam ≈3 real questions 4 free questions here
HMO definitions, the evidence of coverage, cancellation, primary care assignment and out-of-network claims: 3 of the 130 scored questions.
Where people lose points
- An HMO may cancel only for nonpayment or a reason the commissioner's rules allow.
- Capitation is a fixed payment per enrollee, regardless of services used.
- An assigned primary care physician must be in the zip code nearest home or work.
- Selling HMO memberships requires the general life, accident and health license.
Drill: Texas Statutes and Rules — HMOs
4 free questions from this domain, each with an explanation and a cited source. Timed at real exam pace.
4 questions
Pass line: 70%, same as the real exam
See the answer and explanation right after each question.
Topics inside this domain
- Texas agent licensing: temporary license, appointment and renewal
- Texas HMO rules for the life and health exam