Part D
What is the Part D penalty percentage?
1%
$144.60
What does MooP stand for?
Maximum Out Of Pocket
What is the Part A coinsurance for day 91 and beyond for 2020?
$704
What tier is this labele for?
- medium copayment: preferred, brand-name prescription
Tier 2
What is the national base premium for Part D in 2020?
$32.74
If you didn't get Part B when you're first eligible, your monthly premium may go up ____% for each 12-month period you could've had Part B, but didn't sign up.
10%
What does Troop stand for?
True-Out-Of-Pocket
What is the inpatient mental stay coinsurance for days 61-90?
$352.00
The __________________________________ says generic drugs are copies of brand-name drugs and are the same as those brand-name drugs
Food and Drug Administration (FDA)
What is the national base premium for Part D in 2021?
$33.06
Your Initial Enrollment Period ended December 2016. You waited to sign up for Part B until March 2019 during the General Enrollment Period. Your coverage starts July 1, 2019. Your Part B premium penalty is ____% of the standard premium, and you’ll have to pay this penalty for as long as you have Part B.
20%
What does GI stand for?
Guaranteed Issue
If you file a joint tax return with a value of $137,000 what can you expect to pay in addition to your plan premium for Part D?
$50.70
For safety and cost reasons, plans may limit the amount of prescription drugs they cover over a certain period of time. For example, most people prescribed heartburn medication take 1 tablet per day for 4 weeks. Therefore, a plan may cover only an initial 30-day supply of the heartburn medication. (Name the Term)
Quantity Limits
What out of pocket cost needs to be met before entering catastrophic coverage?
$6,350
What is the Part B deductible in 2020?
$198
What does HMO and PPO stand for?
Health Maintenace Organization
Preferred Provider Organization
No Medicare drug plan may have a deductible more than $____ in 2020.
$435
S______ T_____ is a type of prior authorization. In most cases, you must first try a certain, less expensive drug on the plan’s formulary that’s been proven effective for most people with your condition before you can move up
Step Therapy
Once you reach the coverage gap, you'll pay no more than _____% of the cost for your plan's covered brand-name prescription drugs.
25%
If you filed an individual tax return with an amount of $137,000. How much would your Part B premium be?
$376.00
What does QDWI stand for?
Qualified Disabled and Working Individuals
Once you and your plan spend $_______ combined on drugs (including deductible), you’ll pay no more than 25% of the cost for prescription drugs until your out-of-pocket spending is $6,550,
$4,130
Are Ambulance Services a Part A coverage or Part B coverage?
Part B Coverage