NAVIGATOR ASSESSMENT QUESTIONS
WITH CORRECT ANSWERS
Describe the core tenets of the navigators role overview - ANSWER-Ensure patients are
well taken care of, let them know about resources, help patients get better support to
manage their health, check for needs such as balancing & test results & medication,
provide an extra set of hands to the clinic
fee-for-service - ANSWER-Providers are paid for each medical service they perform
Value Based Care - ANSWER-Providers are paid for patient outcomes rather than
inputs
Premium - ANSWER-How much you pay automatically each month
Copayment - ANSWER-A fixed fee you pay out of pocket
Coinsurance - ANSWER-A fixed percentage you pay out of pocket
Deductible - ANSWER-Amount you have to pay before coverage kicks in
Out-of-pocket maximum - ANSWER-Maximum you spend before the plan covers 100%
of your costs
Coverage - ANSWER-The hospitals, doctors, and drugs that your insurance plan will
pay towards
additional benefits - ANSWER-Dental, vision, hearing aids, etc.
Network - ANSWER-List of doctors and pharmacies that accept your insurance
Drug coverage - ANSWER-The part of health insurance that covers prescribed
medications
(IEP) Initial Enrollment Period - ANSWER-When you first become eligible for Medicare
AEP - Annual Enrollment Period - ANSWER-From October 15-December 7 each year,
you can join, switch, or drop a plan
OEP (Open Enrollment Period) - ANSWER-From January 1-March 31 each year, if your
enrolled in a Medicare Advantage Plan, you can switch to a different Medicare
Advantage Plan or switch to Original Medicare
WITH CORRECT ANSWERS
Describe the core tenets of the navigators role overview - ANSWER-Ensure patients are
well taken care of, let them know about resources, help patients get better support to
manage their health, check for needs such as balancing & test results & medication,
provide an extra set of hands to the clinic
fee-for-service - ANSWER-Providers are paid for each medical service they perform
Value Based Care - ANSWER-Providers are paid for patient outcomes rather than
inputs
Premium - ANSWER-How much you pay automatically each month
Copayment - ANSWER-A fixed fee you pay out of pocket
Coinsurance - ANSWER-A fixed percentage you pay out of pocket
Deductible - ANSWER-Amount you have to pay before coverage kicks in
Out-of-pocket maximum - ANSWER-Maximum you spend before the plan covers 100%
of your costs
Coverage - ANSWER-The hospitals, doctors, and drugs that your insurance plan will
pay towards
additional benefits - ANSWER-Dental, vision, hearing aids, etc.
Network - ANSWER-List of doctors and pharmacies that accept your insurance
Drug coverage - ANSWER-The part of health insurance that covers prescribed
medications
(IEP) Initial Enrollment Period - ANSWER-When you first become eligible for Medicare
AEP - Annual Enrollment Period - ANSWER-From October 15-December 7 each year,
you can join, switch, or drop a plan
OEP (Open Enrollment Period) - ANSWER-From January 1-March 31 each year, if your
enrolled in a Medicare Advantage Plan, you can switch to a different Medicare
Advantage Plan or switch to Original Medicare
