Queenie

Which of the following statements regarding eligibility criteria for Medicare Advantage PPO plans is true? d. All of the above statements are true.

If a beneficiary is enrolled in a MA-only PPO and they also sign up for a PDP plan, they will be automatically dropped from their MA plan. Select one: True

Coinsurance is defined as: b. A percentage

Once a member reaches their annual maximum out of pocket, they are still subject to pay their medical care copayments for the remainder of the calendar year. False

A medical ­­­­­­­­­­­__________ is defined as “when you believe that your health is in serious danger.” b. Emergency

If a beneficiary is enrolled in a MA-only HMO and they also sign up for a PDP plan, they will be automatically dropped from their MA plan. Select one: True

The Medicare Advantage (MA) Program, sometimes called “Part C”, combines coverage for Parts A & B benefits and is administered by private health plans. Select one: True