2019 Medicare Advantage Products Review

Last updated over 6 years ago

20 questions

1

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

True

False

Senior Blue 651

Forever Blue 751

Blue Saver

Forever Blue Vale

True

False

True

False

2 oral exams per year

1 full  mouth x-ray

2 cleanings per year

All of the above

October 15th

January 1st

July 1st

First of the following month

Blue Saver HMO

Senior Blue 601

Forever Blue Value

Senior Blue Select

True

False

In-Network

Out-of-Network

True

False

True

False

True

False

100%

115%

125%

150%

Part A Coinsurance

Part B Coinsurance

Part B Deductible 

First Three Pints of Blood

True

False

PCP Copay

Not Covered

$0

$25 copay

Podiatry Visits

DME

Emergency Services

PET Scan

$0 copay per service

$10 copay per service

$100 deductible 

$25 copay per service

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

True

False

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

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

True

False

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

True

False

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

When enrolling during AEP- when is coverage effective?

October 15th

January 1st

July 1st

First of the following month

Which plan does not offer prescription drug coverage?

Blue Saver HMO

Senior Blue 601

Forever Blue Value

Senior Blue Select

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

Optimum

Preferred

Standard

Flexible

Non Participating 

Fantastic

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

True

False

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

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

True

False

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 

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

True

False

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

True

False

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

100%

115%

125%

150%

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

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

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

PCP Copay

Not Covered

$0

$25 copay

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

Podiatry Visits

DME

Emergency Services

PET Scan

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