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

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

If the member obtains preventive care and screening tests from out-of-network providers, neither Medicare nor the HMO plan will be responsible for the costs.  The member will be responsible for the costs in this case. Select one: True