2015 - Adp - Mapd/Pdp - Mv/Training

10 Questions | By Bthorup | Updated: Mar 20, 2022 | Attempts: 701

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Questions and Answers

1.

Medicare Advantage plans use which type of Networks?
- A.
  
  PPOs
- B.
  
  HMOs
- C.
  
  PFFS
- D.
  
  All of the above
2.

Enrolling in Medicare Part D coverage is optional. However, if the customer chooses not to enroll when first eligible they will be penalized...
- A.
  
  10% of the national base beneficiary premium for each 12-month period they go without part D
- B.
  
  1% of the national base beneficiary premium for each month they go without Part D
- C.
  
  5% of the national base beneficiary premium for each 12-month period they go without Part D
- D.
  
  3% of the national base beneficiary premium for each month they go without Part D
3.

What does HMO stand for?
- A.
  
  Health Maintenance Organization
- B.
  
  Health Management Organization
- C.
  
  Holistic Medicine Organization
- D.
  
  Happy Management Organization
4.

What does PCP stand for?
- A.
  
  Premium Cost Plan
- B.
  
  Primary Care Physician
- C.
  
  Prior Cost Plan
- D.
  
  Prescription Cost Plan
5.

A Medicare Part D plan...
- A.
  
  Must meet the minimum standard set by Medicare
- B.
  
  Can provide lower coverage than Medicare
- C.
  
  Includes a deductible, initial coverage limit, donut hole and catastrophic coverage
- D.
  
  Both A & C
- E.
  
  All of the above
6.

What does a tier correspond to?
- A.
  
  The copayment or coinsurance amount
- B.
  
  The deductible
- C.
  
  The monthly premiums
- D.
  
  The Coverage Gap timeframes
7.

The TROOP or True Out-of-Pocket refers to...
- A.
  
  The total amount the customer has paid towards drug costs, including premiums
- B.
  
  The total amount the drug manufacturer has paid towards the customer's drug costs
- C.
  
  The total amount the customer has paid towards drug costs, including copays but excluding premiums
- D.
  
  Both B & C
8.

In order for a drug to be covered by a Medicare Part D plan, it has to be included in the carrier’s formulary list.
- A.
  
  True
- B.
  
  False
9.

Which of the following drugs is not covered by Part D?
- A.
  
  Symptom relief of cough or cold
- B.
  
  Weight loss or weight gain
- C.
  
  Erectile dysfunction
- D.
  
  Both A and C
- E.
  
  All of the above
10.

VA and TRICARE are Creditable Coverage.
- A.
  
  True
- B.
  
  False