Priority Health Product Certification Exam 2024

Priority Health 2023 Product Certification Exam 2024 All 10 Priority Health MAPD plans have no in-network medical deductibles - answer-True The Priority Health MAPD network, for the 9 standard plans (non D-SNP), includes: - answer-All of the above The "Free to Talk" benefit means a member will not have an office copay for an annual physical exam, even when a diagnostic issue arises during the visit. - answer-True The "Flat Fee" for observation means a member will only pay the E.R. copay even if held for observation and other services are rendered. - answer-True The Over the Counter (OTC) allowance is available on which of the following plans: - answer-Key, Edge, Ideal, Compass, Vital, Value and D-SNP To receive the OTC benefit, Members will need to call and request the dollar amount allowance each quarter. - answer-False All 9 standard Priority Health MAPD plans (non D-SNP) include Dental, Vision and Hearing embedded benefits in the medical plan. - answer-True All 9 standard Priority Health MAPD plans (non D-SNP) will cover claims outside of Michigan at the innetwork benefit level for any Medicare participating provider AND with MultiPlan Medicare providers - answer-True