What offers lower monthly premiums MADP or supplement? -
CORRECT ANSWER ; MADP
do MAP's have a annual maximum OOP maximum that limits the
amount of money a member must spend every year for covered services?
- CORRECT ANSWER ; YES
MA plans integrate what type of additonal coverage? - CORRECT
ANSWER ; part D prescription drug coverage
If a customer wants to keep their stand alone prescription drug plan,
what may the customer want to enroll in? - CORRECT ANSWER ;
MA-only PFFS plan
What is a stand alone drug plan called? - CORRECT ANSWER ; PDP
WHat is PFFS? - CORRECT ANSWER ; Private Fee for Service
(PFFS) - Plans that allow you to go to any doctor or hospital that accepts
their terms
If a customer lives in a rural area, what type of plan may they want
because it gives them freedom to access doctors that may not be in their
network? - CORRECT ANSWER ; PFFS plan
, Do HMO's require referals? - CORRECT ANSWER ; Yes
Do PPO's require a referal? - CORRECT ANSWER ; No
When a member enrolls in a MA plan, they receive their coverage from
medicare or the MA plan? - CORRECT ANSWER ; MA plan
When a customer is enrolled in a MA plan, they must continue paying
their premiums for what other plan? - CORRECT ANSWER ; Part B
MA plans have a maxium annual limit on OOP costs called a? -
CORRECT ANSWER ; MOOP amount ( Maxium out of pocket)
When a member is enrolled in a MA plan, they are automatically
disenrolled from any other MA plan or PDP( prescription drug plan) in
which they are enrolled as of the new plans_____? - CORRECT
ANSWER ; effective date
An exception exisits for MA-only PFFS plans as a member can also be
enrolled in a what? - CORRECT ANSWER ; Stand alone PDP
If a member enrolls in a MA plan, what must the member do? -
CORRECT ANSWER ; Cancel in writing their medicare supplement
insurance policy with the carrier after their request to enroll in MA plan
has been approved.
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