Florida Blue Policy
Member's are consider dual enrolled when they maintain which two Florida Blue Medicare products?
Original Medicare
Medicare Adv.
Medicare Part D
Medicare Supp.
Medicare Supp. & Medicare Part D
Which pharmacies are preferred for Florida Blue Part D coverage?
Walgreens
CVS
Winn Dixie
Publix
Publix, Winn Dixie, Walgreens
If you need to review a previous service request for a member, where in customer connect would you go to locate a SR?
The Mbr history screen
The Mbrs card
The Enrollment node
The Touchpoint node
The Touchpoint node
What Medicare Supplement contract is currently available for sales?
BlueMedicare HMO Lifetime
Advantage65 Select Plan E
BlueMedicare Supplement Select M
Complimentary Coverage Plan
BlueMedicare Supplement Select M
Why are Medicare Supplement Select plans less expensive than the non-select plans?
Select Plans are no longer on marketed
Select plans don't include Part A benefits
Select plans have a provider/hospital network
Select plans don't include Part B benefits
Select plans have a provider/hospital network
Which of the following are covered under Medicare Part D?
Medication provided to mbrs while they are an inpatient in hospital
Medical equipment, such as a wheelchair for patients with ambulatory needs
Medical supplies, such as syringes for diabetic patients
Medication prescribed as a result of doctors visit, outpatient care or preventive services
Medical supplies, such as syringes for diabetic patients
Medication prescribed as a result of doctors visit, outpatient care or preventive services
Which of the following are cost shares for Florida Blue Medicare members?
Deductible
Premium
Copayment
Coinsurance
Copayment
Coinsurance
Deductible
Premium
Which type of plan is being described? Offered by private insurance company they are often known as replacement plan Mbr must be eligible for Part A & enrolled in Part B
Medicare Supp
Medicare Part D
Original Medicare
Medicare Adv.
Medicare Adv.
Which of these is rate factor used to determine the monthly premium for Medicare Supplement? Select all that apply:
Tobacco use
Age
Gender
County of Residence
Tobacco use
Age
County of Residence
Which of the following are advantages of Florida Blue HMO Medicare health plan?
Mbr's use PCP & Collaborative Care Model to prompt wellness
Mbr's can use any doctors they want but have a lower cost sharing use INN provider
Plan includes dental, vision etc. in all counties
HMO plans are typically cheaper than PPO plans
Mbr's use PCP & Collaborative Care Model to prompt wellness & HMO plans are typically cheaper than PPO plans
Which type of plan is being described? Offered by private insurance company Considered a secondary coverage members must be enrolled in Medicare Part A & B?
Medicare Adv
Original Medicare
Medicare Supplement
Medicare Part D
Medicare Supplement
Who is eligible for Medicare?
Individual who are 65 years or older
Individual who have End Stage Renal Disease(ESRD)
Under 65 who are on disability
All of the above
All of the above
What are the advantages of BlueMedicare PPO plan?
PPO plans are typically cheaper than the HMO plans
Mbr's can use any doctors they want but have a lower cost sharing use INN provider
Mbr's use PCP & Collaborative Care Model to prompt wellness
Mbr's can use any doctors they want but have a lower cost sharing use INN provider
Which type of plan is being described? Offered by private insurance company covers prescription drugs Member must be eligible for Part A or enrolled in Part B?
Medicare Part D
Original Medicare
Medicare Adv
Medicare Supplement
Medicare Part D
Which of the following statements about the Income-Related Monthly Adjustment Amount ( IRMA) is true?
The additional premium payments are paid directly to Medicare and not to the insurance company
IRMA is an additional premium amount added to the monthly Medicare Part D premium for those with adj. gross income that exceed threshold amount
Individuals with high incomes may be subject to IRMA
About ten percent of Medicare recipients are subject to IRMA
The additional premium payments are paid directly to Medicare and not to the insurance company
IRMA is an additional premium amount added to the monthly Medicare Part D premium for those with adj. gross income that exceed threshold amount
Individuals with high incomes may be subject to IRMA