Priority Health 2024 Product Certification Exam Already Passed

Priority Health 2024 Product Certification Exam Already Passed All 10 Priority Health MAPD plans have no in-network medical deductibles True The Priority Health MAPD network, for the 9 standard plans (non D-SNP), includes: All of the above The "Free to Talk" benefit means a member will not have an office copay for an annual physical exam, even when a diagnostic issue arises during the visit. True The "Flat Fee" for observation means a member will only pay the E.R. copay even if held for observation and other services are rendered. True The Over the Counter (OTC) allowance is available on which of the following plans: Key, Edge, Ideal, Compass, Vital, Value and D-SNP To receive the OTC benefit, Members will need to call and request the dollar amount allowance each quarter. False All 9 standard Priority Health MAPD plans (non D-SNP) include Dental, Vision and Hearing embedded benefits in the medical plan. True All 9 standard Priority Health MAPD plans (non D-SNP) will cover claims outside of Michigan at the in-network benefit level for any Medicare participating provider AND with MultiPlan Medicare providers True All 9 Priority Health Standard MAPD plans (non D-SNP) include "Assist America" emergency travel assistance. True Priority Health optional enhanced Dental and Vision now includes which of the following? All of the above Priority Health MAPD plans offer in-home health assessments at no cost to the member. True The PriorityMedicare Edge PPO plan is ONLY available to beneficiaries residing in Region 5 False All 9 standard Priority Health MAPD plans (non D-SNP) include $0 copay for tier 1&2 90 day supply of mail order drugs. True All 9 standard Priority Health MAPD plans (non D-SNP) include preferred pharmacy copays. True All 10 Priority Health MAPD plans, HMO-POS, PPO and D-SNP, use the same Medicare Advantage Network in Michigan. True All 9 standard Priority Health MAPD plans (non D-SNP) both HMO-POS and PPO plans do NOT require a PCP referral to see an in-network Specialist True Priority Health MAPD Plans Edge, Key, Compass, Vital and Ideal cover 12 routine chiropractic visits per year. True Which of the following is true about the optional Dental/Vision benefit: All of the above Priority Health Medicare D-SNP (HMO) plan includes: All of the above Priority Health Medicare D-SNP (HMO) plan: All of the above Priority Health Medigap plans allow "Fast Track" simplified underwriting for applicants within 3 years of Part B Medicare enrollment. True PriorityMedicare members have in-network benefits, when out of state, when seeing Medicare providers in the MultiPlan Medicare network, or with any Medicare participating provider. True Which plans include Companion Care powered by PAPA? PriorityMedicare Edge, PrioirtyMedicare Compass Plan, PriorityMedicare Ideal and D-SNP only Signify Health provides PriorityMedicare members with a free in-home health assessment for what reason(s)? All of the above Priority MAPD members are eligible for a hearing benefit which includes $0 copay routine hearing exam and tiered copay options for hearing aids. The members can visit any hearing provider to obtain these benefits. False PriorityMedicare has partnered with myStrength, the "health club for your mind" to provide free online access to the following mental wellness tools: All of the Above Acupuncture covers for all Priority Health Medicare members with a $20 copay per session and $0 copay for PriorityMedicare D-SNP members for up to 20 visits for chronic lower back and 6 visits other conditions. True PriorityMedicare Edge plan is a great choice for newly aging-in members and those who want a PPO for a $0 premium in regions 1, 2 & 5. True PriorityMedicare Key plan is a great choice state-wide for newly aging-in members and those who want more embedded dental and insulin coverage in the gap on a $0 premium plan. True PriorityMedicare Vital is geared for people who are on Original Medicare who want extras and a safety net, featuring a 20% coinsurance on most benefits. True The PriorityMedicare Vital (PPO) plan includes a $30 Part B monthly premium reduction ($360/year) True The PriorityMedicare Key plan was enhanced to include which of the following benefits? All of the Above All 10 Priority Health MAPD Plans, HMO-POS, PPO, and D-SNP include up to two weeks of meals following an inpatient hospital stay. True Priority Health D-SNP (HMO) now includes which of the following benefits? All of the Above Priority Health D-SNP (HMO) now includes which of the following embedded comprehensive dental benefits? All of the Above