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. 
B. 
C. 
D. 
2.
What is the copayment for diabetic monitoring supplies on all plans in 2015?
A. 
B. 
C. 
D. 
E. 
3.
Anyone can sell the BlueCHiP for Medicare Select plan to new clients in 2015?
4.
Which plan(s) below have a $0 monthly premium?A. ValueB. CoreC. PlusD. Select
A. 
B. 
C. 
D. 
5.
The copayment for Lab for BlueChip for Medicare Value, Core, Select & Standard with Drugs is $10 perday?
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. 
C. 
Have had a successful kidney transplant if they have ESRD.
D. 
7.
Which of the following is NOT a benefit of the Value Plan?
A. 
B. 
C. 
Skilled Nursing Facility.
D. 
8.
What is the Outpatient surgery copayment for the Extra plan?
A. 
B. 
C. 
D. 
9.
What is the Vision hardware allowance for the Extra plan?
A. 
B. 
C. 
D. 
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. 
11.
What is cost sharing for prescription drugs on the Value plan?
A. 
B. 
$0/$45/$95/30% $100 Brand Deductible
C. 
$2/$45/$95/30% $320 Brand Deductible
D. 
12.
What is the cost sharing for prescription drugs on the Select plan?
A. 
$0/$24/$52/25% $320 brand deductible
B. 
C. 
$0/$45/$95/28% $200 brand deductible
D. 
13.
All BlueCHiP for Medicare options offer vision hardware.
14.
A member who utilizes the Living Fit benefit pays a $5 copayment per month and can enroll in multiplehealth clubs at a time?
15.
What is the Maximum Out‐of‐Pocket (MOOP) for the Value plan?
A. 
B. 
C. 
D. 
16.
There is a $65 copayment for Emergency Visits for all BlueCHiP for Medicare Advantage plans?
17.
Blue Cross Blue Shield of Rhode Island pharmacy Benefit Manager is Catamaran?
18.
In the Select Network, a member will not be able to see any Specialist of their choice?
19.
How many Skilled Nursing Facilities are part of the Select Network?
A. 
B. 
C. 
D. 
20.
Which hospital is not included in the Select Network?
A. 
B. 
C. 
D. 
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. 
B. 
C. 
D. 
22.
Does the Select plan have a Point‐of‐Service (POS) benefit?
23.
What is the inpatient hospital stay for days 1‐5 for the Extra plan?
A. 
B. 
C. 
D. 
24.
What is the prescription drug deductible for the Extra plan?
A. 
B. 
C. 
D. 
25.
Are hearing aids covered on the Extra plan?