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2019 Medicare Advantage Products Review

Last updated over 6 years ago

20 questions

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Question 1

1.

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

True

False

Question 2

2.

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

Question 3

3.

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

True

False

Question 4

4.

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

True

False

Question 5

5.

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

Question 6

6.

When enrolling during AEP- when is coverage effective?

October 15th

January 1st

July 1st

First of the following month

Question 7

7.

Which plan does not offer prescription drug coverage?

Blue Saver HMO

Senior Blue 601

Forever Blue Value

Senior Blue Select

Question 8

8.

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

Question 9

9.

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

True

False

Question 10

10.

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

Question 11

11.

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

True

False

Question 12

12.

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

Breast Cancer Screening

Flu Vaccination

Question 13

13.

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

True

False

Question 14

14.

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

True

False

Question 15

15.

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

100%

115%

125%

150%

Question 16

16.

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

Question 17

17.

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

Question 18

18.

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

PCP Copay

Not Covered

$0

$25 copay

Question 19

19.

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

Podiatry Visits

DME

Emergency Services

PET Scan

Question 20

20.

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

Optimum

Preferred

Standard

Flexible

Non Participating 

Fantastic

Annual Wellness Visit

Colorectal Screening 

Routine Podiatry Visit 