2025 Priority Health Medicare Certification ExamBy Brian Platte / August 16, 2024 The Vintage plan is the only plan for 2025 that offers a $0 premium and $0 in-network medical deductible and is only available in Regions 1, 2 & 5. True False Which plans offer the Galleri Cancer Screening Test? A. Thrive B. Thrive Plus C. Value D. Key E. A & B F. C & D Compass members will be cross walked to $0 Thrive PPO. True False Ideal members will be cross walked to Thrive Plus PPO. True False ONE plan members will be cross walked to the new Vintage plan. True False Select members will be cross walked to the Merit plan. True False D-SNP Advantage members will be cross walked to the statewide D-SNP plan. True False Vintage, Vital and Edge are the only plans that are NOT available statewide. True False Value and Thrive Plus have the richest dental coverage of all plans with a $2,000 maximum on comprehensive and preventive dental covered at 100%. True False In 2025, members on plans with OTC benefits will be able to: A. Order online at priorityhealth.com/shopotc, plus Krogers.com, Albertsons.com and Walgreens.com B. Purchase in store at CVS, Kroger, Walgreens, Walmart, Family Dollar, and Dollar General C. Call Priority Health directly for OTC service support D. Pay up to 30% less on items than they did in 2024 E. Receive a new card F. All of the above Which of the following does NOT apply to a medical deductible with Priority Health Medicare? A. Primary care and specialist visits B. Physical therapy/occupational therapy/speech therapy C. Outpatient labs and tests D. ER/Urgent Care/Observation E. Ambulance F. All of the above The Vital plan offers a $35 Part B buyback. True False The lowest copay for physical therapy is $15 and is on the Value and Thrive Plus plans. True False All plans have a $0 PCP copay. True False The D-SNP plan has a $0 copay for Rx for ALL tiers with LIS. True False All Priority Health MAPD plans do NOT have the same formulary. True False Vintage and D-SNP have embedded transportation, up to 100 miles one way, and also allows for drivers to be reimbursed for travel. True False Priority Health Medigap members have: A. A separate rate for males and females B. A 6.5% new member discount C. A 12% household discount D. A bonus program E. All of the above Beneficiaries in Regions 3 & 4 can choose from Key, Thrive, and all premium plans. True False Priority Health Medicare has award winning, local customer service. True False ResultsVote
