2025 CareFirst BCBS Medicare Certification ExamBy Brian Platte / September 20, 2024 1. The “Find a Doctor” feature is available on CareFirst.com True False 2. The Mission of CareFirst is to ____? 1. Provide affordable and accessible healthcare. 2. Transform, innovate, and expand business. 3. Meet consumers through all stages of their life and healthcare experience. above 3. For CareFirst BlueCross BlueShield Advantage PPO Plans, referrals are required for PCP to Specialist only. True False 4. The CareFirst BlueShield Medicare Advantage PPO product includes many supplemental benefits beyond Original Medicare, such as: 1. Dental, Vision, and Transportation 2. Hearing, Fitness, and Transportation 3. Dental, Hearing, and Vision only 4. Dental, Vision, Hearing and Fitness 5. Medicare Advantage plans that offer Part D prescription drug coverage is often referred to as MAPD plans. True False 6. The CareFirst BlueCross BlueShield Medicare Advantage PPO service area consists of only 9 counties. True False 7. The premium rate for the Salute plan is zero dollars. True False 8. What are some of the benefits of Medicare Advantage PPO? 1. Extensive Provider Networks and Hospitals 2. Consumer-friendly products that often combines Part A, B, and D coverage 3. Includes a plan curated for Military Veterans 4. All of the above 9. The premium rate for the Complete plan is ____ dollars? 1. $55 2. $59 3. $45 4. $49 10. The plans are MAPD (Medicare Advantage Prescription Drug) when they include Part D. True False 11. Rx copays for generics are $4.80 and $12.15. True False 12. What does DSNP stand for? 1. Dual Service Needy Plan 2. Dual Specified New Plan 3. Dual Special Needs Prime 4. Dual Special Needs Plan 13. Members in the DualPrime plan have Medicaid coverage, which covers their premium and benefit cost sharing. True False 14. Members will never have a copayment for their Part D prescription drug coverage. True False 15. Medicare Part C plans must include all of the same benefits and coverage as Original Medicare but may offer extra benefits to members. True False 16. The Flex Card Benefit is valued at ____ dollars monthly? 1. $100 2. $140 3. $125 4. $150 17. The 2025 Flex Card Benefit has a quarterly rollover. True False 18. The CareFirst Medicare Advantage DualPrime DSNP is available to residents of ALL of Maryland. True False 19. SafeRide provides 36 one-way rides to any health-related location. True False 20. The Flex Card Benefit applies to members who have a Chronic Physical Disability. True False ResultsVote
