2025 BCBS of Michigan Medicare Certification ExamBy Brian Platte / September 4, 2024 The Optional Supplemental buy-ups have coverage for dentures and bridges. True False BCBSM Medicare Advantage plans include online visits with a primary care provider (PCP) to get advice and treatment for minor health concerns with $0 copay. True False To verify if a member's dentist is in-network, you would reference the www.mibluedentist.com website. True False All Medicare Plus Blue PPO and BCN Advantage HMO-POS members can add enhanced dental and vision benefits to their existing plan by enrolling in an Optional Supplemental buy-up. True False Medicare Plus Blue PPO and BCN Advantage HMO/HMO-POS plans offer SilverSneakers at an additional cost to members. True False When traveling outside of Michigan, HMO-POS plan members have coverage for both routine and follow-up care with any doctor who participate in the Nationwide Network of Blue Plan Providers. True False Medicare Plus Blue PPO plan members can choose any doctor, specialist, or hospital in- or out-of-network without referrals. True False The BCN Advantage Local plan features a high quality, high value HMO network built around key providers, Ascension and Trinity True False The BCNA HMO-POS Elements plan does not include Part D drug coverage True False All Medicare Plus Blue and BCN Advantage plans provide worldwide urgent and emergent care. True False Provider plan participation can be verified through the BCBSM Find-A-Doctor tool on bcbsm.com True False All BCBSM Medicare Supplement Plans offer the Well Being program providing additional benefits to members. True False Members in Medicare Plus Blue PPO and BCN Advantage HMO/HMO-POS Optional Supplemental buy-up plans have coverage for dental implants. True False Beginning in 2025, unused Advantage Dollars will no longer roll-over from quarter to quarter within the same plan year. True False Beginning in 2025, there will be 2 formularies for all our plan offerings; Healthy Value and Core. True False Starting in 2025, the Medicare prescription payment plan (M3P) will be a new payment option to help members manage their out-of-pocket costs. True False The point of service (POS) cost share amounts for all HMO-POS plans apply to the medical maximum out of pocket (MOOP). True False POS is an acronym for Point of Service. True False Personal Emergency Response System (PERS) benefit is included in the BCN Advantage Classic & Prestige plan options True False The BCNA Prime Value plan is available in 70 Michigan counties True False Blue Cross Blue Shield of Michigan offers two stand-alone Prescription Blue PDP plans. True False Medicare Plus Blue PPO is available in every county in Michigan. True False Once enrolled in the Medicare Plus Blue Part B Credit Plan, members receive a credit in their monthly social security checks. True False A Blue Cross Blue Shield Medicare Supplement Guaranteed Issue beneficiary cannot be denied health coverage and is not required to answer health questions on the application. True False ResultsVote
