2027 Actual Complete Real Exam Questions And Correct
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which of the following defines a medical advantage MA plan
select two - ANSWER -MA plans or health plan options
approved by Medicare and offered by the Centers for Medicare
and Medicaid Services CMS
MA plans provide Medicare hospital and medical insurance and
often include Medicare prescription drug coverage
member Doug enrolled in a health maintenance organization
HMO MA plan he saw an out of network doctor and received a
bill for the entire cost of the visit Doug called Medicare to
complain and stated that he was never told about these types
of costs what should the agent and explain better to Doug
when he was enrolled in the plan select three - ANSWER -that
dog must receive coverage services from contract in network
providers
that in most cases Doug will pay the entire cost of the service if
he sees an out of network provider that exceptions to the
provider network requirement are emergency visits urgent care
and rental dialysis services which can be obtained from out of
network providers
, a consumer with original Medicare might be interested in an MA
plan because -
ANSWER -MA plans typically provide additional coverage
beyond original
Medicare and often have established copayments for
some benefits
a government program offered only through a private insurance
company or other private company approved by Medicare that
provides prescription drug coverage describes which of the
following - ANSWER -Medicare Part D
aside from a Medicare Advantage plan or other health plan that
includes prescription drug coverage how else could a medicare
eligible consumer get Part D prescription drug coverage -
ANSWER -they can enroll on a standalone Medicare
prescription drug plan PDP
In what order do the four prescription drug coverage stages
occur - ANSWER -
deductible initial coverage coverage gap
catastrophic coverage
which of the following options or drug utilization management
UM rules select
three - ANSWER -
quantity limit
prior
authorization