3021770
Beschreibung
Quiz von Blkstr3600, aktualisiert more than 1 year ago
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Erstellt von Blkstr3600
vor fast 9 Jahre
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Frage 1
Frage
Which of the following Medigap Plans provide foreign travel emergency health care coverage when you travel outside the U.S.
Antworten
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A, B, C, F, and N
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B, C, D, F, G, and N
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F, K, L, and N
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C, D, F, G, M, and N
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B, C, D, F, and N
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C, D, E, F, G, H, I, J, M, and N
Frage 2
Frage
Foreign travel emergency coverage with Medigap policies has a lifetime limit of
Antworten
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$45,000
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$70,000
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$40,000
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$50,000
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$60,000
Frage 3
Frage
Doctors and hospitals bill Medigap carriers directly.
Antworten
- True
- False
Frage 4
Frage
Which Medigap plans pay 80% of the billed charges for certain medically necessary emergency care outside the U.S. after you meet a $250 deductible for the year
Antworten
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Plans C, A, D, E, F, G, H, I, J, M, and N
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Plans C, D, E, F, G, H, I, J, and N
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Plans C, D, E, F, G, H, I, J, M, and N
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Plans C, D, E, H, I, J, M, and N
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Plans C, D, E, F, G, J, M, and N
Frage 5
Frage
PD plans included with Medicare Advantage Plans are similar to Medicare Part D plans.
Antworten
- True
- False
Frage 6
Frage
The ___________ begins when the beneficiary is advised they will be losing group coverage.
Antworten
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GEP
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ICEP
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AEP
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SEP
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GDP
Frage 7
Frage
HMO stands for?
Antworten
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Hospital Maintenance Organizations
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Health Maintenance Organizations
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Health Medicare Organizations
Frage 8
Frage
Medicare Part C is a
Antworten
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Medigap Plan
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Prescription Drug Plan
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Medicare Advantage Plan
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A Standard Medicare Plan
Frage 9
Frage
It's illegal for anyone to sell you a Medigap policy if you have a Medicare Medical Savings Account (MSA) Plan or a MA
Antworten
- True
- False
Frage 10
Frage
PPO Stands for
Antworten
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Preferred Policy Organization
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Preferred Provider Organization
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Private Provider Organization
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Private Policy Organization
Frage 11
Frage
Medigap premiums may increase with a _____________ day advance notice
Antworten
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20
-
25
-
35
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30
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26
-
40
Frage 12
Frage
Other benefits may also be provided with some Medicare Advantage plans such as:
Antworten
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Dental
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Accident
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Hearing
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Health
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Vision
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Fitness
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Silver Sneakers
Frage 13
Frage
Private Fee for Service
Antworten
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Requires the beneficiary to select an in network primary care physician.
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Requires the beneficiary to select a primary care physician from the POS Network.
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Have a network of doctors who have agreed to accept the plan.
Frage 14
Frage
Medicare Cost plans provide additional coverage to _________to Original Medicare coverage, while Medicare Advantage plans provide __________ coverage that takes place of original medicare coverage.
Antworten
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add-on / replacement
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replacement / add-on
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replacement / stable
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Universal / replacement
Frage 15
Frage
PPO Network Types Include
Antworten
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National PPO
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Regional PPO
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Area PPO
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District PPO
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Local PPO
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Circuit PPO
Frage 16
Frage
A Cost plan is
Antworten
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A Medigap Plan
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A Medicare Advantage plan
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Neither a Medicare Advantage plan or a Medigap Plan
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A Special Needs Plan
Frage 17
Frage
What is the maximum deductible for Medicare Part D (2016)
Antworten
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260
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360
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460
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480
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380
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560
Frage 18
Frage
To get out of the Coverage Gap the beneficiary must pay ____________ in true out of pocket expenses.
Antworten
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$4050
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$4850
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$4950
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$4750
Frage 19
Frage
Formulary drugs must be
Antworten
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Avaiable by prescription
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Approved by the FDA
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Used and sold in the U.S.
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Used for a medically-accepted purpose
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Approved by DOI
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Approved by CMS
Frage 20
Frage
In most situations, a beneficiary must remain in their Part D Plan for a
Antworten
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Month
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Rolling Year
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Fiscal Year
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Calendar Year
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Rolling Month
Frage 21
Frage
__________ begins 3 months beofre the beneficiary turns 65.
Antworten
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ICEP
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AEP
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ADP
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ADT
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ICP
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ABE
Frage 22
Frage
A Medigap plan can be based on what three different pricing methodologies?
Antworten
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Attained Age, Age-in, and Communal Age Rated
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Community, Issue Age, and Attained Age Rated
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Attained Age, Issue Age, Communal Age Rated
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None of The Above
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Community, Standard Age, and Attained Age Rated
Frage 23
Frage
______________ begins October 15 and ends Dec 7 each year.
Antworten
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GDP
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AEP
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GOP
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ADP
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ICEP
Frage 24
Frage
Initial Coverage Limit - Member pays 25% of drug cost after deductible is met and UNTIL the retail cost of the drugs equals
Antworten
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$3210
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$3310
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$3410
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$4850
Frage 25
Frage
2015 Medicare Part B annual deductible is __________?
Antworten
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$137
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$187
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$147
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$157.50
Frage 26
Frage
Medicare Part D will not cover Drugs covered by Medicare Part B.
Antworten
- True
- False
Frage 27
Frage
What are three different plan structures with a Medigap plan?
Antworten
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A Standard, Select, and Low Deductible plan.
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A Standard, Select, and High Deductible plan.
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A Select, Superior, High Deductible plan.
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A Deductible, Superior, and Select plan.
Frage 28
Frage
_____________ ends February 14
Antworten
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ADT
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ADP
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DOI
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ACP
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GEP
Frage 29
Frage
Beneficiaries who did not sign up for Part B when they were first eligible for Medicare may enroll in Part B during the __________.
Antworten
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GOP
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AEP
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GEP
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ADP
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ICEP
Frage 30
Frage
Medicare Part A Deductible is ______________?
Antworten
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$1270
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$1260
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$1360
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$147
Frage 31
Frage
During the Coverage Gap, a beneficicary will pay _______ of the retail cost for generic medications, ________ of the retail cost for brand name medications.
Antworten
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65 / 45
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58 / 45
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45 / 65
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25 / 45
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