PDP'S
What is the primary purpose of a PDP?
What is to provide coverage for prescription drugs?
What does MAPD stand for?
What is Medicare Advantage Prescription Drug plans?
What are some common extra benefits offered by MAPDs?
What are dental, vision, hearing, & OTC benefits?
What are the two main parts of Original Medicare?
What are Part A (hospital insurance) and Part B (medical insurance)?
What is a common objection a client might have about Medicare Advantage plans?
What is concern over provider networks?
Which factors can affect the cost of a PDP?
What are premiums, deductibles, copayments, and the formulary?
How do MAPDs differ from traditional Medicare?
What is they provide additional benefits beyond Original Medicare, including drug coverage?
What is the maximum out-of-pocket (MOOP) limit in MAPD plans?
What is the most a member would pay for covered services in a year?
What is the difference between Medicare Advantage and Original Medicare?
What is Medicare Advantage is offered by private companies and may include additional benefits, while Original Medicare is provided by the federal government?
What is an effective rebuttal to the concern about provider networks?
What is explaining that many plans offer a wide range of network providers and that clients can check their provider's status easily?
Name one eligibility requirement for enrolling in a PDP.
What is being enrolled in Medicare Part A and/or Part B?
What is the enrollment periods for MAPDs?
Can MAPD plans offer coverage for non-emergency transportation?
What is yes, many plans offer transportation services for medical appointments?
What does the term "dual eligible" refer to?
What is individuals who qualify for both Medicare and Medicaid?
How can you address a client's fear of losing their current coverage?
What is assuring them that they can compare their current plan with the new options and that they can switch back if needed?
How often can a beneficiary change their PDP?
What is during the Annual Enrollment Period (AEP) or special enrollment periods?
What type of services might MAPDs cover that Original Medicare does not?
What are vision, dental, and hearing services?
What is an example of a wellness program?
What are fitness memberships or preventive health screenings?
What is the purpose of Medicare?
What is to provide health insurance to individuals aged 65 and older and certain younger people with disabilities?
What is a good rebuttal to concerns about potential out-of-pocket expenses?
What is explaining the maximum out-of-pocket limit and how it protects them financially?
What is a formulary exception?
What is a request to cover a drug that is not listed on the formulary?
Can you use an MAPD plan outside of the service area?
What is it may offer limited coverage or no coverage outside the service area?
What should members do if they want to understand their benefits fully?
What is review the Summary of Benefits provided by their MAPD plan?
What is the difference between Part D and Part B coverage?
What is Part D covers prescription drugs, while Part B covers outpatient medical services and preventive care?
How can you address a client's uncertainty about switching plans?
What is offering to walk them through the comparison process to help them make an informed decision?