Which of the following is NOT a correct statement about in-network provider services? HMO-POS Plans only cover in-network services.

Member Doug enrolled in a Health Maintenance Organization (HMO) MA Plan. He saw an out-of-network provider and received a bill for the entire cost of the visit. Doug called Medicare to complain and stated he was never told about these types of costs. What should the agent have explained better to Doug when he was … Read more

Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) An MA Plan is part of Medicare and is also called Part C. An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part B) and often includes Medicare prescription drug coverage (Part D). An MA Plan is a health … Read more

Which of the following consumers are eligible for Medicare if other eligibility requirements are met?   Consumers age 65 or older, consumers under 65 years of age with certain disabilities for more than 24 months and consumers of all ages with ESRD or ALS

Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? The consumer must be in a valid MA election or disenrollment period.

There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. c. four

All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. Select one: True