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