2015 - Adp - Mapd/Pdp - Mv/Training

10 Questions | Total Attempts: 653

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Training Quizzes & Trivia

Please work alone. You must get 80% to pass.


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

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