Which of the following Medigap Plans provide foreign travel emergency health care coverage when you travel outside the U.S.
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
Foreign travel emergency coverage with Medigap policies has a lifetime limit of
Doctors and hospitals bill Medigap carriers directly.
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
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
PD plans included with Medicare Advantage Plans are similar to Medicare Part D plans.
The ___________ begins when the beneficiary is advised they will be losing group coverage.
HMO stands for?
Hospital Maintenance Organizations
Health Maintenance Organizations
Health Medicare Organizations
Medicare Part C is a
Prescription Drug Plan
Medicare Advantage Plan
A Standard Medicare Plan
It's illegal for anyone to sell you a Medigap policy if you have a Medicare Medical Savings Account (MSA) Plan or a MA
PPO Stands for
Preferred Policy Organization
Preferred Provider Organization
Private Provider Organization
Private Policy Organization
Medigap premiums may increase with a _____________ day advance notice
Other benefits may also be provided with some Medicare Advantage plans such as:
Private Fee for Service
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.
Medicare Cost plans provide additional coverage to _________to Original Medicare coverage, while Medicare Advantage plans provide __________ coverage that takes place of original medicare coverage.
add-on / replacement
replacement / add-on
replacement / stable
Universal / replacement
PPO Network Types Include
A Cost plan is
A Medigap Plan
A Medicare Advantage plan
Neither a Medicare Advantage plan or a Medigap Plan
A Special Needs Plan
What is the maximum deductible for Medicare Part D (2016)
To get out of the Coverage Gap the beneficiary must pay ____________ in true out of pocket expenses.
Formulary drugs must be
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
In most situations, a beneficiary must remain in their Part D Plan for a
__________ begins 3 months beofre the beneficiary turns 65.
A Medigap plan can be based on what three different pricing methodologies?
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
______________ begins October 15 and ends Dec 7 each year.
Initial Coverage Limit - Member pays 25% of drug cost after deductible is met and UNTIL the retail cost of the drugs equals
2015 Medicare Part B annual deductible is __________?
Medicare Part D will not cover Drugs covered by Medicare Part B.
What are three different plan structures with a Medigap plan?
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.
_____________ ends February 14
Beneficiaries who did not sign up for Part B when they were first eligible for Medicare may enroll in Part B during the __________.
Medicare Part A Deductible is ______________?
During the Coverage Gap, a beneficicary will pay _______ of the retail cost for generic medications, ________ of the retail cost for brand name medications.
65 / 45
58 / 45
45 / 65
25 / 45