UPMC - 2025 INSURANCE CERTIFICATIONS WITH ALL
CORRECT & 100% VERIFIED ANSWERS|ALREADY
GRADED A+
1. How many segments are there for PPO Rx Choice (H5533 015)? ✔Correct Answer-5
True or False. Members with the Flex Spend Card Benefits can use it for their Part D prescription drug
copays. ✔Correct Answer-False
How much will members pay for their Part D prescription drugs in the Catastrophic Coverage Stage?
✔Correct Answer-Nothing
Some plans are eligible to receive a $0 nebulizer and drugs. What condition qualifies members for
this additional benefit? ✔Correct Answer-COPD
HMO and PPO members have a post-discharge meals benefit. What conditions do they need to have
to qualify? ✔Correct Answer-COPD, CHF and Diabetes
True or False. PPO members have the Travel Concierge Benefit. ✔Correct Answer-False
How many Segments are there for HMO Rx Choice (H3907 057)? ✔Correct Answer-5
True or False. Plans that have segments, their premium and benefits can change in each region
(segment) based on product strategy. ✔Correct Answer-True
True or False. All plans with Part D coverage have a $0 copay for Tier 2 drugs when filled at preferred
retail and mail-ordered pharmacies. ✔Correct Answer-True
Plans with the Transportation Benefits can use it to go to which of the following locations.
✔Correct Answer-All of the above:
Fitness Centers
Grocery Stores
Doctor's Appointments
True or False. Members must use our hearing aid vendor, Amplifon, to take advantage of this benefit.
✔Correct Answer-True
How often can DSNP members receive a health and wellness kit? ✔Correct Answer-Every 6 months
True or False. Plans with the Flex Spend Card have one allowance to use on dental, vision, hearing,
OTC, medical service cost, fitness and home safety products. ✔Correct Answer-False
True or False. For HMOD and PPOD plans that have a Part D Deductible, it will only apply to tiers 3, 4,
and 5. ✔Correct Answer-True
True or False. UPMC for Life Complete Care (DSNP) members can no longer use their Shop Healthy
Card on pet supplies, household items and pest control. ✔Correct Answer-True
CORRECT & 100% VERIFIED ANSWERS|ALREADY
GRADED A+
1. How many segments are there for PPO Rx Choice (H5533 015)? ✔Correct Answer-5
True or False. Members with the Flex Spend Card Benefits can use it for their Part D prescription drug
copays. ✔Correct Answer-False
How much will members pay for their Part D prescription drugs in the Catastrophic Coverage Stage?
✔Correct Answer-Nothing
Some plans are eligible to receive a $0 nebulizer and drugs. What condition qualifies members for
this additional benefit? ✔Correct Answer-COPD
HMO and PPO members have a post-discharge meals benefit. What conditions do they need to have
to qualify? ✔Correct Answer-COPD, CHF and Diabetes
True or False. PPO members have the Travel Concierge Benefit. ✔Correct Answer-False
How many Segments are there for HMO Rx Choice (H3907 057)? ✔Correct Answer-5
True or False. Plans that have segments, their premium and benefits can change in each region
(segment) based on product strategy. ✔Correct Answer-True
True or False. All plans with Part D coverage have a $0 copay for Tier 2 drugs when filled at preferred
retail and mail-ordered pharmacies. ✔Correct Answer-True
Plans with the Transportation Benefits can use it to go to which of the following locations.
✔Correct Answer-All of the above:
Fitness Centers
Grocery Stores
Doctor's Appointments
True or False. Members must use our hearing aid vendor, Amplifon, to take advantage of this benefit.
✔Correct Answer-True
How often can DSNP members receive a health and wellness kit? ✔Correct Answer-Every 6 months
True or False. Plans with the Flex Spend Card have one allowance to use on dental, vision, hearing,
OTC, medical service cost, fitness and home safety products. ✔Correct Answer-False
True or False. For HMOD and PPOD plans that have a Part D Deductible, it will only apply to tiers 3, 4,
and 5. ✔Correct Answer-True
True or False. UPMC for Life Complete Care (DSNP) members can no longer use their Shop Healthy
Card on pet supplies, household items and pest control. ✔Correct Answer-True
