If aa acustomer awants ato akeep atheir astand aalone aprescription adrug aplan, awhat amay athe
acustomer awant ato aenroll ain? a- aCORRECT aANSWER-MA-only aPFFS aplan
What ais aa astand aalone adrug aplan acalled? a- aCORRECT aANSWER-PDP
WHat ais aPFFS? a- aCORRECT aANSWER-Private aFee afor aService a(PFFS) a- aPlans athat aallow ayou
ato ago ato aany adoctor aor ahospital athat aaccepts atheir aterms
If aa acustomer alives ain aa arural aarea, awhat atype aof aplan amay athey awant abecause ait agives
athem afreedom ato aaccess adoctors athat amay anot abe ain atheir anetwork? a- aCORRECT
aANSWER-PFFS aplan
Do aHMO's arequire areferals? a- aCORRECT aANSWER-Yes
Do aPPO's arequire aa areferal? a- aCORRECT aANSWER-No
When aa amember aenrolls ain aa aMA aplan, athey areceive atheir acoverage afrom amedicare aor
athe aMA aplan? a- aCORRECT aANSWER-MA aplan
When aa acustomer ais aenrolled ain aa aMA aplan, athey amust acontinue apaying atheir apremiums
afor awhat aother aplan? a- aCORRECT aANSWER-Part aB
MA aplans ahave aa amaxium aannual alimit aon aOOP acosts acalled aa? a- aCORRECT aANSWER-
MOOP aamount a( aMaxium aout aof apocket)
When aa amember ais aenrolled ain aa aMA aplan, athey aare aautomatically adisenrolled afrom aany
aother aMA aplan aor aPDP( aprescription adrug aplan) ain awhich athey aare aenrolled aas aof athe
anew aplans_____? a- aCORRECT aANSWER-effective adate
, An aexception aexisits afor aMA-only aPFFS aplans aas aa amember acan aalso abe aenrolled ain aa
awhat? a- aCORRECT aANSWER-Stand aalone aPDP
If aa amember aenrolls ain aa aMA aplan, awhat amust athe amember ado? a- aCORRECT aANSWER-
Cancel ain awriting atheir amedicare asupplement ainsurance apolicy awith athe acarrier aafter atheir
arequest ato aenroll ain aMA aplan ahas abeen aapproved.
when aa aclient aenrolls ain aa aMA aplan, awill ait aautomatically aterminate atheir aMA aplan? a-
aCORRECT aANSWER-NO
Can aa acustomer acall ato aterminate atheir aMed aSup aplan? a- aCORRECT aANSWER-no ait amust
abe adone ain awriting
What aare athe adifferent atypes aof aMA aplans? a- aCORRECT aANSWER-HMO, aPOS, aPPO, aRPPO,
aPFFS, aSNP, aand aMSA
For aan aHMO, athey acustomer amust aus aIN anetwork aproviders, awhat aare athe aexceptions ato
atheir arule? a- aCORRECT aANSWER-Emergencies, aUrgent acare, aand arenal adialysis aservices.
In aa aHMO aplan, adoes aa amember ahave ato achoose aa aPCP? aand ado athey arequire areferrals
ato asee aa aspecialist? a- aCORRECT aANSWER-Yes
In aa aPOS aplan, adoes aa amember aneed aa areferral afrom atheir aPCP ato asee aa aspecialist? a-
aCORRECT aANSWER-yes
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