With specific goals and objectives for the population it serves, each SNP is required to develop a: d. Model of Care

Special Needs Plans (SNPs) are either HMO or PPO plans which means all plans, regardless of type, include a contracted network of providers. Select one: True

A copayment is defined as: a. A fixed dollar amount

What extra benefits not covered by traditional Medicare MAY be provided by MA-PD plans? d. All of the above may be extra benefits provided by MA-PD plans

The Plan deductible always needs to be satisfied before preventive services are covered by the plan. False

For a beneficiary who enrolled in a MA-only plan during the Annual Election Period, they will not be able to enroll in a plan that offers prescription drug coverage until the following Annual Election Period; unless the beneficiary chooses to use their one-time election during the Open Enrollment Period or qualifies for a Special Election Period. … Read more

A PPO is a plan in which enrollees pay less if they use doctors, hospitals, and providers that belong to the network. Services obtained from doctors, hospitals and providers outside the network will result in additional costs to the member – unless the services are classified as an emergency. Select one: True