Extra Benefits
Devoted Plans
HMO/PPO
DME
100

This is the cost for the Medical Alert Device

$0 Copay for device and service

100

To enroll in a Prime HMO plan, the beneficiary must have this to be eligible

LIS or Medicaid

100

This plan does NOT include Part D coverage

Liberty

100

DME stands for

Durable Medical Equipment

200

This company/companies handle our Transportation Benefits

Alivi - FL, OH, TX   Kaizen - AZ, IL

200

For members with LIS who enroll in Prime HMO, which level of subsidy is required to have premium reduced to $0?

100%

200

$0 PPO is offered in all states in 2023 except

North Carolina

200

This is your source of truth/details

Guru Card/EOC

300

This store is where members can use their OTC benefits - online, over the phone and in store.

CVS

300

These plans are available in the Illinois market for 2023

Core, Essentials (Giveback), PPO

300

Low monthly premium with 100% allocated to Part D premium with continuous open enrollment

Premium (C-SNP HMO)

300

These are the 3 categories

Basic, Advanced , Bathroom Safety Equipment

400

This is where you find what extra benefits are in the plan

SOB - Summary of Benefitts

400

An individual is eligible to enroll if they meet these 3 requirements

Must live in the plan's service area

Must be eligible for Part A and Enrolled in Part B

Must have a qualifying election period 

400

4.5 stars received on our plans in 2022 in these 2 states

Florida & Texas

400

This is where you find the authorization codes for DME

Orinoco

500

This extra benefit vendor is Solutran, received by the member when they qualify.

Healthy Food Cards

500

2022 Comprehensive dental benefit will cover this___ but not _____

2 word answer

Bridges, Implants

500

This plan only offers a Full Dual plan

Colorado

500

Some plans do not cover this benefit but can be found under extra benefits

Bathroom Safety Equipment

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