2015 - Adp - Mapd/Pdp - Mv/Training
Please work alone. You must get 80% to pass.
- 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
Questions: 16 | Attempts: 40849 | Last updated: Jun 27, 2016
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