A
C
B
D
E
100

What does LIS stand for? 

Low income subsidy- Extra Help

100

Original Medicare does NOT cover:

What is: prescription drugs, Routine dental services, routine eye exams, hearing aids, healthcare while traveling outside of the U.S, Chiropractic care, Part A and B deductibles/copays

100

These plans help pay some out-of-pocket costs not covered by Original Medicare Parts A and B.  These plans do not include prescription drug coverage

What is Medicare Supplement/ Medigap

100
What is guaranteed acceptance? 

Also known as the medigap open enrollment period.  The eligible beneficiary has 6 months after becoming active on part B to have guaranteed acceptance into a medigap policy.  

100

EGWP stands for:

What is Employer Group Waiver Plans

200

Begins 3 months before the individual's 65th birthday, includes the month they turn 65, and ends 3 months after the month they turn 65.

What is IEP(ICEP)

200


  1. Where will we see all the members' account information, claims info, benefits info, etc.  

Customer Connect

200

You can sign up for a stand-alone prescription drug plan only if you have BOTH Medicare parts A and B.

What is False  

200

Certain events allow you to make a change to your Med. Adv. coverage during the year.  For example, if you move outside of your plan's service area or lose your employer coverage you may be eligible for a:

What is Special enrollment period(SEP)

200

What does LEP stand for? 

Late enrollment penalty

300

This is Florida Blue's PPO plan with a $0 premium

What is Value PPO

300

The part a benefit period resets after how many days from being discharged from the hospital?

60 days

300

The amount you pay before your health insurance plan begins to pay its share of the cost.  

Deductible

300

This type of medicare advantage plan has a higher cost share but is richer in benefits

What is PPO

300

This plan has lower costs but requires members to go within the plan's provider network.  

What is HMO 

400

PPO members pay higher monthly premiums so they can go to in-network providers and out-of-network providers for the same cost.  

What is False

400

This type of plan does not need a valid enrollment period for disenrolling or enrolling into another plan.

What is Medicare Supplement

400

This part of Original Medicare usually comes with a $0 premium for most individuals.  

What is medicare part A

400

Physician services, X-rays, Preventative services, and Durable medical equipment are covered under original Medicare part:

What is medicare part B

400

Inpatient hospital services, Skilled Nursing Facilities, Emergency room services, and Hospice care fall under medicare part A.  Which of these does not belong?

What is Emergency room services

500

Members enrolling into a ___ plan must select a Primary care physician at the time of enrollment or one will be appointed to them.  

What is HMO

500

All of Florida blue's HMO and PPO plans offer Part d coverage.  T or F

What is False

500

In EWOC we will document our contact with members or Providers.  These records are called: 

Cases/ Tasks

500

Name two eligibility requirements for enrolling into a Florida blue part D plan

Living in the plan service area and being eligible for original Medicare parts a or b.

500

This is Florida Blue's dual-eligible special needs medicare plan.

What is Florida Blue Medicare complete HMO/ Total HMO