MAPDs
Supplements
PDPs
HDrive
Terms/Acronyms
100

Medicare Advantage plans combine these two parts of Medicare

What is Part A and B

100

The percent that Medicare doesn't cover and the Supplement plan picks up

What is 20%?

100

The amount you must pay before your insurance starts

What is deductible?

100

The folder that holds provider lists for clients

What is 2021 Provider Lists

100

This is what OOPM stands for

What is out-of-pocket maximum?
200

The premiums on these plans are

What is low to $0?

200

These parts of the supplement are the same across all carriers

What is plan structure and enrollment process

200

This happens when you don't have creditable prescription drug coverage for over 63 days

What is a Late Enrollment Penalty (LEP)?

200

The types of documents found in the 2021 Misc Documents folder

ID cards, Copies of clients bills, Voided Checks, Fax confirmations, etc.

200

List of covered medications

What is Formulary?
300

The three most popular MAPD plan types

What is HMO, PPO, and DSNP

300

Medical questions you answer to switch supplements

What is underwriting?

300

This is the premium of AARP Medicare RX Saver Plus

What is $37.90?

300

The proper way to save client documents

What is Last Name First Name DOB Name of Document 2021

(Ex: Bond Bailey 072897 Chiropractors 2021)

300

The fixed amount you pay for a service

What is a copay?

400

This plan type only allows for in network coverage and the client must select a Primary Care Physician

What is a HMO?

400

This supplement plan covers everything but the Part B deductible 

What is Plan G?

400

On Anthem Mediblue Rx Plus, Discount Drug Mart pharmacy is a...

What is a preferred pharmacy?

400

The way to find Claude Hoy's POA

What is Client and Prospect Information -> 2021 POA -> H?

400

The area where a client must live to enroll on a plan

What is service area?

500

These are considered to be additional benefits on the plan (list 4)

What is Dental, Vision, Hearing, OTC allowance, fitness benefits (SilverSneakers or Renew Active), Transportation or Healthy meals?
500

The rate of a 70 year old female who lives in Hamilton County and wants to go onto an Anthem G supplement

What is $154.73

500

The copay of Atorvastatin Calcium on SilverScript Smart Rx at a preferred pharmacy is...

What is $0?

500

The primary selling region for Medical Mutual of Ohio (MMO)

What is Region 3?

500

A short outline of benefits on a clients plan

What is Summary of Benefits (SOB)?