Priority Health Medicare Certification Exam 2024By Brian Platte / December 26, 2023 Priority Health Medigap Plans include: Fast Track, simplified underwriting for applicants within 3 years of Part B enrollment 12% household discount 12 Month rate guarantee Hearing Aid co-pays through TruHearing All of the above The PriorityMedicare Edge Plan: Is available in regions 1, 2 & 5 Includes Priority Care with 48 hours of Priority Care (Papa Care) annually Includes an OTC allowance Is a PPO Plan All of the above The Priority Medicare ONE plan includes the following benefits: 30 one-way trips annually to any doctor appointment within 40 miles of home 72 hours of Priority Care (Papa Care) annually OTC Plus Card All of the above The Priority Medicare Compass Plan includes Priority Care (Papa Care) with 36 hours of companion care annually and an OTC allowance. True False All Priority Health MAPD Plans use the same provider network. True False Which Priority Health MAPD plan does NOT include Enhanced Embedded Dental Coverage? Select Key Vital Advantage All Priority MAPD Plans, including D-SNP Plans, include embedded Dental, Vision and Hearing benefits. True False The Priority Medicare ONE Plan requires members to use only Beaumont and Spectrum hospitals and doctors. True False The Priority D-SNP plan is available to beneficiaries residing in all the lower peninsula counties of Michigan. True False The PriorityMedicare D-SNP plan includes the following benefits: 100 hours per year of Priority Care (Papa Care), enhanced dental including dentures with a $2,500 annual True False The Priority Medicare ONE Plan is available to beneficiaries residing in the following counties: Kent, Macomb, Oakland, Ottawa and Wayne. True False All Priority MAPD Plans, including D-SNP Plans, have a $0 co-pay for a 90-day supply of Tier 1 RX at preferred retail pharmacies. True False All 13 Priority Health MAPD plans, HMO-POS, PPO and D-SNP, include up to two weeks of meals following an inpatient hospital stay, (Mom’s Meals). True False PriorityMedicare D-SNP and PriorityMedicare D-SNP Advantage Plans include a Flex Card (PriorityFlex). The following expenses can be paid for with the PriorityFlex card: OTC Healthy food and produce Water, sewer, trash, septic, gas, electric, internet, phone Pest control services All of the above The PriorityMedicare Edge Plan: Is available in regions 1, 2 & 5 Includes Priority Care with 48 hours of Priority Care (Papa Care) annually Includes an OTC allowance Is a PPO Plan All of the above All 11 standard Priority Health MAPD plans (non- DSNP), both HMO-POS and PPO plans do not require a PCP referral to see an in-network specialist. True False The PriorityMedicare Thrive includes the following benefits: OTC Plus Card usable at all participating stores Embedded Enhanced Dental $0 co-pay for 90-day supply of Tier 1 RX at preferred retail pharmacies $200 annual embedded vision allowance All of the above The PriorityMedicare Vital Plan includes the following: $30 per month Part B Premium Reduction Enhanced embedded dental coverage OTC Plus Card $0 co-pay on advanced hearing aids (one per ear, per year) All of the above The PriorityMedicare D-SNP Advantage Plan includes the following benefits: Priority Care with 100 hours per year of Companion Care 30 one-way trips to any doctor within 40 miles of home Dental, including dentures with a $4000 benefit max Flex Card (Priority Flex) All of the above The PriorityMedicare Compass Plan is available in regions 1 & 2 True False The PriorityMedicare + Kroger plan has been renamed PriorityMedicare Thrive and is available to beneficiaries residing in all of Region 5, (15 counties). True False The PriorityMedicare D-SNP + Kroger Plan has been renamed PriorityMedicare D-SNP Advantage and is available to beneficiaries residing in all of Region 5 (15 counties). True False The PriorityMedicare Key Plan has the same OTC dollar amount allowance in all regions. True False The PriorityMedicare Key Plan now has a $2500 annual maximum on enhanced, embedded dental coverage. True False Enhanced Embedded Dental adds the following to the embedded (included) dental coverage: 100% coverage of fillings 100% coverage of crown repairs 100% coverage of simple extractions Higher annual benefit maximum on the enhancements All of the above The Provider Network for all 11 standard (non D-SNP) MAPD plans includes: Over 90% of Lower Penninsula providers and ALL hospitals in the Lower Penninsula An out-of-state network that encompasses all Medicare Participating providers AND the Multi-Plan Medicare network (Travel Pass) Unlimited, worldwide emergency and urgent care Assist America All of the Above Optional Dental & Vision plans can be added to our D-SNP Plans. True False Optional Dental & Vision plans cost the same premium when added to any MAPD plan. True False Optional Dental & Vision Plans now cover Dentures at 50% up to a $2,500 annual benefit max for dental benefits and $150 additional eyewear allowance per year. True False For all Non – D-SNP MAPD plans, services in the Upper Peninsula of Michigan will be covered as in-network as part of our Travel Pass coverage. True False For the Compass, Thrive and Vital Plans, out-of-network benefits are covered at the same level as in-network benefits. This is called "Open Network" PPO plans. True False ResultsVote
