2019 Medicare Advantage Products Review

1

Medicare Advantage members sometimes have to pay an additional premium for their MAPD plan.

1

What plan allows a member to utilize participating out-of-area providers at the in-network cost share?

1

The Supplemental Dental plan options do not have an annual allowance.

1

No matter when a member enrolls, their coverage always becomes effective on January 1st.

1

What services are covered under the preventive dental benefit on all BCBSWNY Medicare Advantage plans?

1

When enrolling during AEP- when is coverage effective?

1

Which plan does not offer prescription drug coverage?

1

What are the cost sharing structures for our pharmacy networks? (check all that apply)

1

BCBSWNY HMO members do not have to obtain a referral to see a participating specialist.

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?

1

Emergency services are not covered for a Forever Blue PPO member when they are outside of the United States.

1

What services allow a Medicare Advantage member to receive a $20 Visa Reward Card? (select all that apply)

1

Many diabetic supplies (insulin pumps, lancets,test strips), are covered at a $0 copay for Medicare Advantage members.

1

Medicare Advantage members have to pay a copay when utilizing their hearing aid coverage with TruHearing.

1

Medigap plan F will pay up to what amount of the Medicare Fee Schedule?

1

What service is NOT considered a "Basic Benefit" under a Medigap plan?

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.

1

What is the cost of a Flue or Pnemonia vaccine on a BCBSWNY Medicare Advantage policy?

1

What is the only service covered at the In-Network level on an HMO Medicare Advantage plan?

1

2019 Medicare Advantage Products Review

Medicare Advantage members sometimes have to pay an additional premium for their MAPD plan.

What plan allows a member to utilize participating out-of-area providers at the in-network cost share?

The Supplemental Dental plan options do not have an annual allowance.

No matter when a member enrolls, their coverage always becomes effective on January 1st.

What services are covered under the preventive dental benefit on all BCBSWNY Medicare Advantage plans?

When enrolling during AEP- when is coverage effective?

Which plan does not offer prescription drug coverage?

What are the cost sharing structures for our pharmacy networks? (check all that apply)

BCBSWNY HMO members do not have to obtain a referral to see a participating specialist.

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?

Emergency services are not covered for a Forever Blue PPO member when they are outside of the United States.

What services allow a Medicare Advantage member to receive a $20 Visa Reward Card? (select all that apply)

Many diabetic supplies (insulin pumps, lancets,test strips), are covered at a $0 copay for Medicare Advantage members.

Medicare Advantage members have to pay a copay when utilizing their hearing aid coverage with TruHearing.

Medigap plan F will pay up to what amount of the Medicare Fee Schedule?

What service is NOT considered a "Basic Benefit" under a Medigap plan?

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.

What is the cost of a Flue or Pnemonia vaccine on a BCBSWNY Medicare Advantage policy?

What is the only service covered at the In-Network level on an HMO Medicare Advantage plan?

All Medicare Advantage plans offer preventive dental benefits with what cost share?

Medicare Advantage members sometimes have to pay an additional premium for their MAPD plan.

What plan allows a member to utilize participating out-of-area providers at the in-network cost share?

The Supplemental Dental plan options do not have an annual allowance.

No matter when a member enrolls, their coverage always becomes effective on January 1st.

What services are covered under the preventive dental benefit on all BCBSWNY Medicare Advantage plans?

When enrolling during AEP- when is coverage effective?

Which plan does not offer prescription drug coverage?

What are the cost sharing structures for our pharmacy networks? (check all that apply)

BCBSWNY HMO members do not have to obtain a referral to see a participating specialist.

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?

Emergency services are not covered for a Forever Blue PPO member when they are outside of the United States.

What services allow a Medicare Advantage member to receive a $20 Visa Reward Card? (select all that apply)

Many diabetic supplies (insulin pumps, lancets,test strips), are covered at a $0 copay for Medicare Advantage members.

Medicare Advantage members have to pay a copay when utilizing their hearing aid coverage with TruHearing.

Medigap plan F will pay up to what amount of the Medicare Fee Schedule?

What service is NOT considered a "Basic Benefit" under a Medigap plan?

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.

What is the cost of a Flue or Pnemonia vaccine on a BCBSWNY Medicare Advantage policy?

What is the only service covered at the In-Network level on an HMO Medicare Advantage plan?

All Medicare Advantage plans offer preventive dental benefits with what cost share?