Mrs. Quinn recently turned 66 and decided after many years of work to begin receiving Social Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her that she has been automatically enrolled in Medicare Part B. She wants to understand what this means. What should you tell Mr...
Medicare Course Home Course (2020 Module 2: Plans) Transcript Module 2 - Final Review Review of attempt 1 Finish review Started on Wednesday, June 10, 2020, 09:32 AM Completed on Wednesday, June 10, 2020, 0 9:42 AM Time taken 9 mins 45 secs Grade 9 out of a maximum of 10 ( 90%) Feedback You have completed this Knowledge Check. To proceed, please return to the training dashboard and select the next available se ction. Question 1 Marks: 1 Dr. Elizabeth Brennan does not contract with the PFFS plan but accepts the plan’s terms and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge? Choose one answer. a. Dr. Brennan can charge Mary no more than the cost sharing specified in the PFFS plan’s terms and conditions of payment which may include balance billing up to 25 percent of the Medicare rate. b. Dr. Brennan can charge the beneficiary the same costsharing as Original Medicare as long as she sends the claim to Medicare and not the plan. c. Dr. Brennan can charge Mary Rodgers more than the cost sharing specified in the PFFS plan’s terms and condition s as long as she treats all beneficiaries the same. d. Dr. Brennan can charge Mary Rogers no more than the cost sharing specified in the PFFS plan’s terms and condition of payment which may include balance billing up to 15 percent of the Medicare rate. Correct Marks for this submission: 1/1. Question 2 Marks: 1 Mrs. Davenport enrolled in the ABC Medicare Advantage (MA) plan several years ago. Her doctor recently confirmed a diagnosis of end-stage renal disease (E SRD). What options does Mrs. Davenport have in regard to her MA plan during the next open enrollment season? Choose one answer. a. She must immediately drop her ABC MA plan and enroll in a Special Needs Plan (SNP) for individuals suffering from ESRD if one is available in her area. b. She may remain in her ABC MA plan or enroll in a Special Needs Plan (SNP) for individuals suffering from ESRD if one is available in her area. c. She must remain enrolled in her ABC MA plan unless the plan terminates. d. She must immediately drop her ABC MA plan and enroll in Original Medicare. Correct Marks for this submission: 1/1. Question 3 Marks: 1 Mrs. Lyons is in good health, uses a single prescription, and lives independently in her own home. She is attracted by the idea of maintaining control over a Medical Savings Account (MSA) but is not sure if the pla n associated with the account will fit her needs. What specific piece of information about a Medicare MSA plan would it be important for her to know, prior to enrolling in suc h a plan? Choose one answer. a. All MSAs cover Part A and Part B benefits, but not Part D prescription drug benefits, which could be obtained by also enrolling in a separate prescription drug plan. b. For enrollees in an MSA, after the annual deductible is met, the MSA plan generally pays 75% of covered services. c. MSA enrollees may only receive covered health care services from a limited panel of network providers because otherwise some providers may charge more than Original Medicare rates. d. All beneficiaries enrolled in an MSA pay a plan premium in addition to their Part B premium. Incorrect Marks for this submission: 0/1. Question 4 Marks: 1 Mr. Sinclair has diabe tes and heart trouble and is generally satisfied with the care he has received under Original Medicare, but he would like to know more about Medicare Advantage Special Needs Plans (SNPs). What could you tell him? Choose one answer. a. SNPs are essentially the same as Original Medicare and are not likely to have a noticeable impact on how Mr. Sinclair receives his care. b. SNPs have special programs for enrollees with chronic con ditions, like Mr. Sinclair, and they provide prescription drug coverage that could be very helpful as well. c. Since SNPs don’t cover prescription drugs Mr. Sinclair should consider a different option. d. SNPs offer care from any doctor or hospital Mr. Sinclair would like to use and his costs will always be lower than in Original Medicare. Correct Marks for this submission: 1/1. Question 5 Marks: 1 Mr. Wells is trying to understand the difference between Original Medicare and Medicare Advantage. What would be the correct description? Choose one answer. a. Medicare Advantage is a new name for the Original Medicare program. b. Medicare Advantage is a way of covering all the Original Medicare benefits through private health insurance companies.
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