2019 Medicare Advantage Products Review
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by Emily Adams
| 20 Questions
1
1
Medicare Advantage members sometimes have to pay an additional premium for their MAPD plan.
True
False
2
1
What plan allows a member to utilize participating out-of-area providers at the in-network cost share?
Senior Blue 651
Forever Blue 751
Blue Saver
Forever Blue Vale
3
1
The Supplemental Dental plan options do not have an annual allowance.
True
False
4
1
No matter when a member enrolls, their coverage always becomes effective on January 1st.
True
False
5
1
What services are covered under the preventive dental benefit on all BCBSWNY Medicare Advantage plans?
2 oral exams per year
1 full mouth x-ray
2 cleanings per year
All of the above
6
1
When enrolling during AEP- when is coverage effective?
October 15th
January 1st
July 1st
First of the following month
7
1
Which plan does not offer prescription drug coverage?
Blue Saver HMO
Senior Blue 601
Forever Blue Value
Senior Blue Select
8
1
What are the cost sharing structures for our pharmacy networks? (check all that apply)
Optimum
Preferred
Standard
Flexible
Non Participating
Fantastic
9
1
BCBSWNY HMO members do not have to obtain a referral to see a participating specialist.
True
False
10
1
A Forever Blue 751 plan member would like to see a participating specialist in Georgia. Would this be covered in-network or out-of-network?
In-Network
Out-of-Network
11
1
Emergency services are not covered for a Forever Blue PPO member when they are outside of the United States.
True
False
12
1
What services allow a Medicare Advantage member to receive a $20 Visa Reward Card? (select all that apply)
Breast Cancer Screening
Flu Vaccination
Annual Wellness Visit
Colorectal Screening
Routine Podiatry Visit
13
1
Many diabetic supplies (insulin pumps, lancets,test strips), are covered at a $0 copay for Medicare Advantage members.
True
False
14
1
Medicare Advantage members have to pay a copay when utilizing their hearing aid coverage with TruHearing.
True
False
15
1
Medigap plan F will pay up to what amount of the Medicare Fee Schedule?
100%
115%
125%
150%
16
1
What service is NOT considered a "Basic Benefit" under a Medigap plan?
Part A Coinsurance
Part B Coinsurance
Part B Deductible
First Three Pints of Blood
17
1
A member can stay enrolled in their MA plan when outside of their service area for up to 12 months with the Visitor/Traveler benefit.
True
False
18
1
What is the cost of a Flue or Pnemonia vaccine on a BCBSWNY Medicare Advantage policy?
PCP Copay
Not Covered
$0
$25 copay
19
1
What is the only service covered at the In-Network level on an HMO Medicare Advantage plan?
Podiatry Visits
DME
Emergency Services
PET Scan
20
1
All Medicare Advantage plans offer preventive dental benefits with what cost share?
$0 copay per service
$10 copay per service
$100 deductible
$25 copay per service
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