Florida Blue - 2026 Certifications
Study online at https://quizlet.com/_hm4kvk
1. Pick the plan that best suits Connie's needs.
Connie Jones is a 65-year-old female. She lives off of her investments with
approximately 35K in annual income. She has no chronic conditions and takes
only a few generic drugs. She does not travel often but wants emergency
coverage when needed.: Classic HMO
2. Which plan is best for Jim?
Jim Green is a 65-year-old male. He has a limited income, needs broad drug
coverage, and cannot afford a high premium. He is interested in working with
providers focused on patient outcomes who will help him manage his chronic
conditions.: Preferred HMO
3. Pick the plan that best suits Tom's needs.
Tom Cunningham is a 76-year-old male on a fixed income. He has several
prescriptions and chronic conditions. Since he doesn't have transportation, he
needs home delivery options. He prefers to stay with his in-network PCP, that
is Medicare-focused.: Premier HMO
4. The Classic plan is intended for relatively healthy individuals.: True
5. Which HMO plan is intended for members with chronic or more complex
medical conditions?: Premier HMO
6. Which HMO plan has the most limited PCP Network?: Premier HMO
7. Which plan is best for Sidney?
Sidney Love is a 69-year-old male who is on a fixed income, lives in Broward
County, and does not want to pay a premium. He has a few prescriptions and
sees a specialist every few months. Sidney also wants the freedom to see any
doctor or specialist he chooses.: Value PPO
8. Pick the plan that best suits Greta's needs.
Greta McDowell is a 66-year-old female who has Rx coverage with Tricare
through her former employer. She wants a PPO plan that she can use when she
is traveling outside of the state. Greta does not have any major illnesses.: Patriot
PPO
9. The Value PPO plan is intended for relatively healthy individuals?: True
10. Which PPO plan does not include Rx coverage and helps beneficiaries to
reduce their Part B costs?: Patriot PPO
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Study online at https://quizlet.com/_hm4kvk
1. Pick the plan that best suits Connie's needs.
Connie Jones is a 65-year-old female. She lives off of her investments with
approximately 35K in annual income. She has no chronic conditions and takes
only a few generic drugs. She does not travel often but wants emergency
coverage when needed.: Classic HMO
2. Which plan is best for Jim?
Jim Green is a 65-year-old male. He has a limited income, needs broad drug
coverage, and cannot afford a high premium. He is interested in working with
providers focused on patient outcomes who will help him manage his chronic
conditions.: Preferred HMO
3. Pick the plan that best suits Tom's needs.
Tom Cunningham is a 76-year-old male on a fixed income. He has several
prescriptions and chronic conditions. Since he doesn't have transportation, he
needs home delivery options. He prefers to stay with his in-network PCP, that
is Medicare-focused.: Premier HMO
4. The Classic plan is intended for relatively healthy individuals.: True
5. Which HMO plan is intended for members with chronic or more complex
medical conditions?: Premier HMO
6. Which HMO plan has the most limited PCP Network?: Premier HMO
7. Which plan is best for Sidney?
Sidney Love is a 69-year-old male who is on a fixed income, lives in Broward
County, and does not want to pay a premium. He has a few prescriptions and
sees a specialist every few months. Sidney also wants the freedom to see any
doctor or specialist he chooses.: Value PPO
8. Pick the plan that best suits Greta's needs.
Greta McDowell is a 66-year-old female who has Rx coverage with Tricare
through her former employer. She wants a PPO plan that she can use when she
is traveling outside of the state. Greta does not have any major illnesses.: Patriot
PPO
9. The Value PPO plan is intended for relatively healthy individuals?: True
10. Which PPO plan does not include Rx coverage and helps beneficiaries to
reduce their Part B costs?: Patriot PPO
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