Kaiser Permanente Questions and Answers New (2024/2025) Solved 100% Correct
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Module
Kaiser Permanente
Institution
Kaiser Permanente
You are looking up the cost sharing for a member's prescription. After finding the drug
tier level in the formulary, you will look up the cost in the: - ️️Summary of benefits
KPSA and MA members are expected to obtain their health care: - ️️Only at a
Kaiser Permanente or contracted healt...
Kaiser Permanente
You are looking up the cost sharing for a member's prescription. After finding the drug
tier level in the formulary, you will look up the cost in the: - ✔️✔️Summary of benefits
KPSA and MA members are expected to obtain their health care: - ✔️✔️Only at a
Kaiser Permanente or contracted health care facilities or pharmacies (except for certain
urgent care and emergency-related services)
Fill in the blank. Kaiser Permanente Senior Advantage is a _ plan. - ✔️✔️MAPD
Kaiser Permanente Washington and Mid-Atlantic States offer which Medicare
Advantage plans? - ✔️✔️Both Medicare Advantage with and without Prescription Drug
coverage.
Advantage plus is an optional supplemental plan that - at an additional monthly
premium. - ✔️✔️Provides extra benefits (such as vision, dental, and/or hearing
coverage)
In CA, this plan is named the Medicare Medi-Cal plan. Senior Advantage Special Needs
Plan members who lose their Medicaid Status can maintain their KP membership by
submitting an abbreviated election for for enrollment into the Senior Advantage
Individual Plan.
The form must be submitted within - days. - ✔️✔️120
To be eligible for the Senior Advantage Special Needs plan, an individual must already
have -. - ✔️✔️Both Medicare Part A, Part B, and Medicaid
True or False: Kaiser Permanente offers a Medicare Senior Advantage and Medicare
Advantage plan. Both plans provide members with a comprehensive set of benefits.
These plan offerings are based on the Kaiser Permanente Market service area. -
✔️✔️True
Individuals with Medicare and Medi-Cal qualifies for a Special Election Period and can
enroll or disenroll -. - ✔️✔️Once per quarter during the first 3 quarters of the year.
At Kaiser Permanente, -- apply to the MOOP (max out of pocket) - ✔️✔️all Medicare
covered services (Parts A&B)
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