2015 Bcbs Of Ri
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- 1.All of the following services apply towards Out‐of‐Pocket Maximum in 2015 except:a) Hospital Copayment.b) Physician Office Visit copayment.c) Part D Prescription Copayment.d) Skilled Nursing Copayment .e) Dental
- A.
Both A & E
- B.
Both B & C
- C.
B,D & E
- D.
Both C& E
- 2.What is the copayment for diabetic monitoring supplies on all plans in 2015?
- A.
$40
- B.
20%
- C.
$15
- D.
15%
- E.
$0
- 3.Anyone can sell the BlueCHiP for Medicare Select plan to new clients in 2015?
- A.
True
- B.
False
- 4.Which plan(s) below have a $0 monthly premium?A. ValueB. CoreC. PlusD. Select
- A.
Both A & D
- B.
Both B & C
- C.
A Only
- D.
A, B & D
- 5.The copayment for Lab for BlueChip for Medicare Value, Core, Select & Standard with Drugs is $10 perday?
- A.
True
- B.
False
- 6.An individual is eligible for BCBSRI’s Medicare plans if they?
- A.
Have Medicare Part A and Part B and continue to pay premiums for A and B where applicable.
- B.
Live in Rhode Island.
- C.
Have had a successful kidney transplant if they have ESRD.
- D.
All of the above.
- 7.Which of the following is NOT a benefit of the Value Plan?
- A.
Dental
- B.
Vision Hardware.
- C.
Skilled Nursing Facility.
- D.
Routine Vision Exam
- 8.What is the Outpatient surgery copayment for the Extra plan?
- A.
$125
- B.
$150
- C.
$175
- D.
$200
- 9.What is the Vision hardware allowance for the Extra plan?
- A.
$100
- B.
$125
- C.
$150
- D.
There isn’t any
- 10.Which of the following demonstrates the correct copayment amounts for the Select Plan?
- A.
Hospital $285/day 1‐5; SNF 1‐20 days $0; Days 21‐45 $150; Days 46‐100 $0
- B.
Hospital $345/day 1‐5; SNF 1‐20 days $0; Days 21‐45 $155; Days 46‐100 $0
- C.
Hospital $500 per admission; SNF 1‐20 days $30; Days 21‐35 $150; Days 36‐100 $0
- D.
Hospital $750 per admission; SNF 1‐20 days $30; Days 21‐35 $150; Days 36‐100 $0
- E.
None of the above.
- 11.What is cost sharing for prescription drugs on the Value plan?
- A.
$4/$45/$95/33%
- B.
$0/$45/$95/30% $100 Brand Deductible
- C.
$2/$45/$95/30% $320 Brand Deductible
- D.
$6/$20/$50/25%
- 12.What is the cost sharing for prescription drugs on the Select plan?
- A.
$0/$24/$52/25% $320 brand deductible
- B.
$3/$10/$45/$95/33%
- C.
$0/$45/$95/28% $200 brand deductible
- D.
$20/$60/$130/25%
- 13.All BlueCHiP for Medicare options offer vision hardware.
- A.
True
- B.
False
- 14.A member who utilizes the Living Fit benefit pays a $5 copayment per month and can enroll in multiplehealth clubs at a time?
- A.
True
- B.
False
- 15.What is the Maximum Out‐of‐Pocket (MOOP) for the Value plan?
- A.
$4,950
- B.
$4,450
- C.
$4,250
- D.
$5,000
- 16.There is a $65 copayment for Emergency Visits for all BlueCHiP for Medicare Advantage plans?
- A.
True
- B.
False
- 17.Blue Cross Blue Shield of Rhode Island pharmacy Benefit Manager is Catamaran?
- A.
True
- B.
False
- 18.In the Select Network, a member will not be able to see any Specialist of their choice?
- A.
True
- B.
False
- 19.How many Skilled Nursing Facilities are part of the Select Network?
- A.
77
- B.
7
- C.
11
- D.
80
- 20.Which hospital is not included in the Select Network?
- A.
South County
- B.
Memorial
- C.
Landmark
- D.
Miriam
- 21.Which Primary Care Physician Groups are part of the Select Network?a) University Medicine Groupb) Rhode Island Primary Physicians Corp.c) Coastal Medical Groupd) Care New Englande) Orthopedic Group of RI
- A.
A, B, C
- B.
B and D
- C.
B and E
- D.
B, C, and D
- 22.Does the Select plan have a Point‐of‐Service (POS) benefit?
- A.
True
- B.
False
- 23.What is the inpatient hospital stay for days 1‐5 for the Extra plan?
- A.
$190
- B.
$285
- C.
$350
- D.
$275
- 24.What is the prescription drug deductible for the Extra plan?
- A.
$200
- B.
$320
- C.
$100
- D.
None
- 25.Are hearing aids covered on the Extra plan?
- A.
True
- B.
False
- 26.What is the outpatient surgery cost‐sharing for the Value plan?
- A.
$150
- B.
$175
- C.
20%
- D.
35%
- 27.What is the inpatient hospital stay for days 1‐5 for the Select plan?
- A.
$275
- B.
$345
- C.
$180
- D.
$285
- 28.What is the Maximum Out‐of‐Pocket (MOOP) for the Extra?
- A.
$5,000
- B.
$2,800
- C.
$4,250
- D.
$3,750
- 29.Which plan has prescription drug coverage through the Gap?
- A.
Extra
- B.
Preferred
- C.
Plus
- D.
Select
- 30.If a member sees a primary care physician outside of the Select network, they would pay a $0 copayment.
- A.
True
- B.
False
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