2015 Bcbs Of Ri

The cost sharing for prescription drugs on the Select plan is $0 for generic drugs, $45 for preferred brand drugs, $95 for non-preferred brand drugs, and 28% for specialty drugs. There is also a $200 brand deductible.

The statement is false because not all BlueCHiP for Medicare options offer vision hardware. Some options may include vision hardware benefits, while others may not. Therefore, it cannot be said that all options offer vision hardware.

The statement says that a member who utilizes the Living Fit benefit pays a $5 copayment per month and can enroll in multiple health clubs at a time. However, the correct answer is False because it contradicts the statement. If the member can enroll in multiple health clubs at a time, it means they can join more than one club simultaneously, but the statement says they can only enroll in one club and pay a $5 copayment per month. Therefore, the answer is False.

The Maximum Out-of-Pocket (MOOP) for the Value plan is $5,000. This means that once an individual or family reaches this amount in medical expenses, the insurance plan will cover 100% of any additional costs for the rest of the coverage period.

The given statement is true. BlueCHiP for Medicare Advantage plans require a $65 copayment for Emergency Visits. This means that if a person with this plan needs to visit the emergency room, they will be responsible for paying a copayment of $65.

Blue Cross Blue Shield of Rhode Island pharmacy Benefit Manager is Catamaran. This statement is true. Catamaran is a pharmacy benefit management company that provides services to various health insurance organizations, including Blue Cross Blue Shield of Rhode Island. As a pharmacy benefit manager, Catamaran helps to manage and administer prescription drug benefits for Blue Cross Blue Shield of Rhode Island members.

In the Select Network, a member will be able to see any Specialist of their choice. This means that they have the freedom to choose from a variety of specialists based on their preferences and needs.

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Miriam hospital is not included in the Select Network.

The correct answer is B and D. This means that the Primary Care Physician Groups that are part of the Select Network are Rhode Island Primary Physicians Corp. and Care New England.

The Select plan does not have a Point-of-Service (POS) benefit.

The inpatient hospital stay for days 1-5 for the Extra plan is $275.

The prescription drug deductible for the Extra plan is None. This means that there is no deductible amount that needs to be paid before the plan starts covering the cost of prescription drugs.

Hearing aids are not covered on the Extra plan.

The outpatient surgery cost-sharing for the Value plan is 20%. This means that the plan will cover 80% of the cost of the surgery, while the individual will be responsible for paying the remaining 20%.

The inpatient hospital stay for days 1-5 for the Select plan is $285.

The Maximum Out-of-Pocket (MOOP) for the Extra is $3,750. This means that once an individual has spent $3,750 on covered medical expenses, their insurance plan will cover 100% of any additional costs for the rest of the year.

The correct answer is Both C& E. In 2015, all of the following services apply towards the Out-of-Pocket Maximum except for Part D Prescription Copayment and Dental services. This means that the costs associated with hospital copayments, physician office visit copayments, and skilled nursing copayments will contribute towards reaching the Out-of-Pocket Maximum, but the costs for Part D Prescription Copayments and Dental services will not.

Preferred plan has prescription drug coverage through the Gap.

If a member sees a primary care physician outside of the Select network, they would not pay a $0 copayment. This means that there would be some form of payment required if they choose to see a primary care physician outside of the network.

In 2015, the copayment for diabetic monitoring supplies on all plans was $0. This means that individuals with diabetes did not have to pay any out-of-pocket cost for their monitoring supplies, such as glucose meters, test strips, and lancets. This was likely done to ensure that individuals with diabetes have access to the necessary tools for managing their condition without facing financial barriers.

Not anyone can sell the BlueCHiP for Medicare Select plan to new clients in 2015. Only authorized agents or brokers who are licensed and appointed by BlueCHiP can sell this plan to new clients.

The plans that have a $0 monthly premium are A, B, and D. This means that individuals who choose these plans will not have to pay any monthly fees.

The statement is false because the copayment for Lab for BlueChip for Medicare Value, Core, Select & Standard with Drugs is not $10 per day. The question does not provide any information about the actual copayment amount, so it cannot be determined from the given information.

The correct answer is "All of the above" because eligibility for BCBSRI's Medicare plans requires having Medicare Part A and Part B and continuing to pay premiums for A and B where applicable, living in Rhode Island, and having had a successful kidney transplant if the individual has ESRD.

The Value Plan offers several benefits, including dental coverage, skilled nursing facility coverage, and routine vision exams. However, it does not provide coverage for vision hardware such as glasses or contact lenses. Therefore, Vision Hardware is not a benefit of the Value Plan.

The correct answer for the Outpatient surgery copayment for the Extra plan is $175. This means that for each outpatient surgery, the plan holder will need to pay a copayment of $175.

The Vision hardware allowance for the Extra plan is $125.

The correct answer demonstrates the correct copayment amounts for the Select Plan. For hospital stays, the copayment is $285 per day for the first 1-5 days. For skilled nursing facility (SNF) stays, there is no copayment for the first 1-20 days. From days 21-45, the copayment is $150 per day. From days 46-100, there is no copayment. This is the only option that matches these copayment amounts.

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