1.
CDPHP’s Medicare Advantage plans have a yearly deductible.
A. 
Yes – members must pay $147 each year
B. 
No – There are no deductibles on any CDPHP individual Medicare Advantage plans
2.
On the 2015 Basic RX (HMO) Plan, the inpatient hospital copay is __________:
A. 
B. 
$275/day (Days 1-5) & $0/day (Days 6+)
C. 
D. 
3.
The premium for Core RX (PPO) is _______:
A. 
B. 
C. 
D. 
4.
A person on Choice Rx (HMO) undergoing therapeutic radiology treatments will pay what amount for each treatment?
A. 
B. 
C. 
D. 
5.
If a member goes to an out-of-network specialist on the Core RX (PPO) plan the copay is ________:
A. 
B. 
C. 
D. 
6.
The emergency room copay for Choice RX (HMO) is _______?
A. 
B. 
C. 
D. 
7.
Included in CDPHP’s Health and Wellness Programs are:
A. 
Complementary & Alternative Medicine (CAM)
B. 
C. 
D. 
8.
The premium for CDPHP’s Basic RX (HMO) Plan is ________?
A. 
B. 
C. 
D. 
9.
The Choice (HMO) Plan is the only CDPHP Medicare Advantage (HMO/PPO) plan without drug coverage?
10.
The premium for Prime Rx (PPO) is ________:
A. 
B. 
C. 
D. 
11.
The copay for ambulance services on the Basic Rx (HMO) plan is _______:
A. 
B. 
C. 
D. 
12.
The monthly premium for Choice (HMO) is _______:
A. 
B. 
C. 
D. 
13.
On the Choice Rx (HMO) plan the member will pay how much for a Part B drug:
A. 
B. 
C. 
D. 
14.
The copay for an x-ray on the Value RX (HMO) plan is _______:
A. 
B. 
C. 
D. 
15.
The inpatient hospital out-of-network copay for Classic Rx (PPO )is ________:
A. 
B. 
C. 
D. 
16.
The urgent care copay for Prime Rx (PPO) is ________:
A. 
B. 
C. 
D. 
17.
On the Core Rx (PPO) plan, the in-network copay for chiropractic services is _________:
A. 
B. 
C. 
D. 
18.
The copay for an outpatient surgery performed in an ambulatory surgical center under the Choice Rx (HMO) plan would be:
A. 
B. 
C. 
D. 
19.
What will a member pay for a routine hearing exam under the Basic RX (HMO) plan?
A. 
B. 
C. 
D. 
20.
Senior Fit is a no-cost program that includes access to the Silver Sneakers program for all of our Medicare Advantage members.
21.
The initial coverage level for Part D prescription drug coverage is _______:
A. 
B. 
C. 
D. 
22.
On the Choice Rx (HMO) plan a member will pay what amount for a 30-day supply of a Tier 3 Preferred Brand drug in the Initial Coverage Level?
A. 
B. 
C. 
D. 
23.
On the Core Rx (PPO) plan a member will pay what amount for a 90-day supply of a Tier 4 Non-Preferred Brand drug in the coverage gap or donut hole?
A. 
B. 
C. 
45% of retail cost of the drug
D. 
65% of retail cost of the drug
24.
When a member reaches Catastrophic coverage, in any of CDPHP’s Medicare Advantage plans, what amount will they pay for a generic or multi-source drug?
A. 
B. 
5% or $2.65 whichever is less
C. 
5% or $2.65 whichever is greater
D. 
25.
On the Prime Rx (PPO) plan, what will the member pay for a 90-day supply purchased through mail order for a Tier 2 Non-Preferred generic drug while in the coverage gap?
A. 
B. 
C. 
D.