3021770
Descrição
Quiz por Blkstr3600, atualizado more than 1 year ago
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Criado por Blkstr3600
quase 9 anos atrás
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Questão 1
Questão
Which of the following Medigap Plans provide foreign travel emergency health care coverage when you travel outside the U.S.
Responda
-
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
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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
Questão 2
Questão
Foreign travel emergency coverage with Medigap policies has a lifetime limit of
Responda
-
$45,000
-
$70,000
-
$40,000
-
$50,000
-
$60,000
Questão 3
Questão
Doctors and hospitals bill Medigap carriers directly.
Responda
- True
- False
Questão 4
Questão
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
Responda
-
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
Questão 5
Questão
PD plans included with Medicare Advantage Plans are similar to Medicare Part D plans.
Responda
- True
- False
Questão 6
Questão
The ___________ begins when the beneficiary is advised they will be losing group coverage.
Responda
-
GEP
-
ICEP
-
AEP
-
SEP
-
GDP
Questão 7
Questão
HMO stands for?
Responda
-
Hospital Maintenance Organizations
-
Health Maintenance Organizations
-
Health Medicare Organizations
Questão 8
Questão
Medicare Part C is a
Responda
-
Medigap Plan
-
Prescription Drug Plan
-
Medicare Advantage Plan
-
A Standard Medicare Plan
Questão 9
Questão
It's illegal for anyone to sell you a Medigap policy if you have a Medicare Medical Savings Account (MSA) Plan or a MA
Responda
- True
- False
Questão 10
Questão
PPO Stands for
Responda
-
Preferred Policy Organization
-
Preferred Provider Organization
-
Private Provider Organization
-
Private Policy Organization
Questão 11
Questão
Medigap premiums may increase with a _____________ day advance notice
Responda
-
20
-
25
-
35
-
30
-
26
-
40
Questão 12
Questão
Other benefits may also be provided with some Medicare Advantage plans such as:
Responda
-
Dental
-
Accident
-
Hearing
-
Health
-
Vision
-
Fitness
-
Silver Sneakers
Questão 13
Questão
Private Fee for Service
Responda
-
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.
Questão 14
Questão
Medicare Cost plans provide additional coverage to _________to Original Medicare coverage, while Medicare Advantage plans provide __________ coverage that takes place of original medicare coverage.
Responda
-
add-on / replacement
-
replacement / add-on
-
replacement / stable
-
Universal / replacement
Questão 15
Questão
PPO Network Types Include
Responda
-
National PPO
-
Regional PPO
-
Area PPO
-
District PPO
-
Local PPO
-
Circuit PPO
Questão 16
Questão
A Cost plan is
Responda
-
A Medigap Plan
-
A Medicare Advantage plan
-
Neither a Medicare Advantage plan or a Medigap Plan
-
A Special Needs Plan
Questão 17
Questão
What is the maximum deductible for Medicare Part D (2016)
Responda
-
260
-
360
-
460
-
480
-
380
-
560
Questão 18
Questão
To get out of the Coverage Gap the beneficiary must pay ____________ in true out of pocket expenses.
Responda
-
$4050
-
$4850
-
$4950
-
$4750
Questão 19
Questão
Formulary drugs must be
Responda
-
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
Questão 20
Questão
In most situations, a beneficiary must remain in their Part D Plan for a
Responda
-
Month
-
Rolling Year
-
Fiscal Year
-
Calendar Year
-
Rolling Month
Questão 21
Questão
__________ begins 3 months beofre the beneficiary turns 65.
Responda
-
ICEP
-
AEP
-
ADP
-
ADT
-
ICP
-
ABE
Questão 22
Questão
A Medigap plan can be based on what three different pricing methodologies?
Responda
-
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
Questão 23
Questão
______________ begins October 15 and ends Dec 7 each year.
Responda
-
GDP
-
AEP
-
GOP
-
ADP
-
ICEP
Questão 24
Questão
Initial Coverage Limit - Member pays 25% of drug cost after deductible is met and UNTIL the retail cost of the drugs equals
Responda
-
$3210
-
$3310
-
$3410
-
$4850
Questão 25
Questão
2015 Medicare Part B annual deductible is __________?
Responda
-
$137
-
$187
-
$147
-
$157.50
Questão 26
Questão
Medicare Part D will not cover Drugs covered by Medicare Part B.
Responda
- True
- False
Questão 27
Questão
What are three different plan structures with a Medigap plan?
Responda
-
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.
Questão 28
Questão
_____________ ends February 14
Responda
-
ADT
-
ADP
-
DOI
-
ACP
-
GEP
Questão 29
Questão
Beneficiaries who did not sign up for Part B when they were first eligible for Medicare may enroll in Part B during the __________.
Responda
-
GOP
-
AEP
-
GEP
-
ADP
-
ICEP
Questão 30
Questão
Medicare Part A Deductible is ______________?
Responda
-
$1270
-
$1260
-
$1360
-
$147
Questão 31
Questão
During the Coverage Gap, a beneficicary will pay _______ of the retail cost for generic medications, ________ of the retail cost for brand name medications.
Responda
-
65 / 45
-
58 / 45
-
45 / 65
-
25 / 45
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