2025 McLaren Medicare Certification ExamBy Brian Platte / August 9, 2024 Once a beneficiary is enrolled in an MA plan and has paid his plan-specific monthly premium, he no longer needs to pay his Part B premium. True False Does original Medicare have an annual limit on out-of-pocket costs? Yes No Sales agents must complete Scope of Appointment (SOA) and wait 48 hours before an in-person meeting with a Medicare beneficiary. True False Which of the following statements describes the Medicare requirement for our MAPD population: Must have Medicare Part A only Must have Medicare Part A and Part B Must have Medicare Part A, B, and C McLaren Medicare MAPD members receive all benefits covered under traditional Medicare plus additional benefits. True False Transportation Services are covered under Original Medicare. True False Effective January 2025 McLaren Medicare is available to Medicare beneficiaries in ______ counties in MI. 83 68 61 58 Is COBRA considered creditable coverage once Medicare eligible? Yes No In Medicare Part D what does LIS stands for: Laboratory Information System Low Income Subsidy Low Income Surtax Lost in Space Hearing Aids are available through: Any audiologist TruHearing McLaren Hearing Services Beltone All McLaren Medicare Plans have transportation included: True False McLaren Medicare does not require a referral to see an in-network specialist True False EOC stand for Explanation of Coverage Extension of Care Evidence of Coverage Elimination of Cost EOB stand for Easy On Boarding Explanation of Benefits End of Billing Estimation of Benefits McLaren Medicare’s Dental Benefits use: Delta Dental PPO or Delta Dental Premier Networks McLaren Dental Network Medicare Dental Network Dental Network of America At an educational event, an agent is permitted to: Have business reply cards (BRC) available to receive the Medicare beneficiaries contact information. Accept a Scope of Appointment (SOA) and set up a future meeting with a Medicare beneficiary. Have plan specific CMS approved materials available. All of the above. The PCP copay on all McLaren Medicare plans is $30 $35 $0 $40 Original Medicare includes prescription drug coverage? True False In 2025 a member will reach the Part D catastrophic phase when their out-of-pocket costs reach: $5,030 $2,000 $8,000 $7,400 Generally, a Medicare beneficiary must actively enroll in Extra Help (LIS) if they have Medicare and/or Medicaid? True False ResultsVote
