If a beneficiary is enrolled in a MA-only PPO
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
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
Enrollees in HMO plans must use doctors, specialists, or hospitals in the plan’s network except in an emergency. Select one: True
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