2025 BCBS of Arkansas Medicare Certification ExamBy Brian Platte / August 22, 2024 How many counties will Arkansas Blue Medicare Premier & Independence HMO (H6158) and Saver Choice, Premier Choice and Freedom Giveback PPO (H3554) plans be offered in 2025? 50 55 60 65 Which counties will the H6158 HMO and H3554 PPO plans exit in 2025? Craighead, Pulaski & Washington Faulkner, Garland & Saline Baxter, Marion & Searcy Crawford, Johnson & Pope The BlueMedicare Freedom Giveback PPO plan features Part D coverage. True False Who will be the quarterly OTC benefit vendor in 2025? Medline Target Walgreens Walmart The 2025 Final Rule requires what types of calls to be recorded in 2025? All calls Service calls Marketing, sales and enrollment calls No calls What is the range of the annual limit for preventive and comprehensive dental benefits for our Medicare Advantage plans in 2025? $1,000 - $1,500 $2,000 - $2,500 $3,000 - $3,500 $4,000 - $4,500 The BlueMedicare Independence HMO plan is ideal for enrollees who receive Extra Help/LIS and will have most of their Part D deductible and cost sharing subsidized. True False If a member enrolls in the Medicare Prescription Payment Plan program, but fails to pay the monthly installments, they will be disenrolled from their MAPD or PDP plan. True False Every BlueMedicare plan that featured the Sapphire flex card in 2024 will feature the Sapphire flex card again in 2025. True False In 2025, our three existing PFFS MA-only plans will be consolidated into one PFFS MA-only plan, H4213-019. True False You do not have to read the Medicare pre-enrollment checklist word-for-word, but you are required to cover every topic on the checklist. True False For plan year 2025, non-Medicare eyewear and contacts are limited to two per year for our PPO and HMO plans. True False Cardiac rehabilition, intensive cardiac rehabilitation and diabetic supplies will no longer require a prior authorization (PA) in 2025. True False In-home support services visits will be performed in 8- to 10-hour increments in 2025. True False The in-network member cost share for comprehensive dental services will be what percentage in 2025? 50% 40% 30% 20% Signed scopes of appointment and business reply cards are valid up to how long? 30 Days 60 Days 6 Months 12 Months How much advance notice is required to schedule non-urgent appointments for the BlueMedicare Independence HMO plan's transportation benefit? 24 hours 48 hours 72 hours 96 hours In 2025, members will pay $0 for preferred diabetic supplies and continuous glucose monitors at network pharmacies. True False In 2025, insulin products will remain capped at $35 for a 30-day supply and deductibles will not apply. True False The transportation service offered through the Helper Bees benefit should NOT be sold or positioned as a non-medical transportation benefit. True False ResultsVote
