2025 SummaCare Medicare Certification Exam

1. The SummaCare Medicare Advantage plan service area includes how many counties across Northern Ohio?

2. SummaCare is not adding additional plans for 2025.

3. Which SummaCare plan allows members the ability to chose their own supplemental benefits?

4. Amber, Topaz, Garnet, Jade and Ruby are HMO plans.

5. There are some SummaCare Medicare Advantage plans which have a copay for PCP visits.

6. All SummaCare Medicare Advantage plans offer visitor travel coverage for core medical services - which offers coverage at in-network rates through ANY Medicare-approved provider in the following states.

7. SummaCare’s Medicare Advantage Provider Network includes Summa Health, Cleveland Clinic, University Hospitals, Mercy Health System, Metro Health and many other northern Ohio health systems.

8. SummaCare’s OTC benefits are able to be accessed in the following ways:

9. Which SummaCare Medicare Advantage plans are HMO-POS plans that offer both in network and out of network coverage?

10. SummaCare’s Part D Prescription drug out-of-pocket costs are limited to $2,000 per calendar year.

11. Which of the following statements are true for the “Papa Pals” companion care services:

12. SummaCare members can elect to participate in the Medicare Prescription Payment Plan beginning in 2025.

13. All SummaCare plans offer a $0 copay on Tiers 1 generic drugs and Tier 6 vaccines including shingles.

14. The Amber (HMO) is an MA-only plan does not include Part D prescription drug coverage.

15. Members receive a SummaCare VISA card which they use to access OTC, preventive care rewards and applicable Jade supplemental benefits.

16. Embedded and supplemental dental benefits are provided through the Delta Dental networks.

17. The optional supplemental dental benefit includes _________________.

18. Optional supplemental benefits that can be selected on the Jade (HMO) plan include:

19. All SummaCare plans offer TeleDoc virtual visits for primary care, behavioral health and dermatology services at a $0 copay.

20. Members can go to any provider for supplemental vision hardware coverage.