Priority Health 2025 Product
Certification Exam 2024/2025 Exam
Questions and Answers | 100% Solved
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
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
1
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, 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 in-network benefit level for any Medicare
participating provider AND with MultiPlan Medicare providers - 🧠ANSWER
✔✔True
All 9 Priority Health Standard MAPD plans (non D-SNP) include "Assist
America" emergency travel assistance. - 🧠ANSWER ✔✔True
Priority Health optional enhanced Dental and Vision now includes which of
the following? - 🧠ANSWER ✔✔All of the above
Priority Health MAPD plans offer in-home health assessments at no cost to
the member. - 🧠ANSWER ✔✔True
The PriorityMedicare Edge PPO plan is ONLY available to beneficiaries
residing in Region 5 - 🧠ANSWER ✔✔False
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
2
PRIVACY STATEMENT. ALL RIGHTS RESERVED
Certification Exam 2024/2025 Exam
Questions and Answers | 100% Solved
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
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
1
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, 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 in-network benefit level for any Medicare
participating provider AND with MultiPlan Medicare providers - 🧠ANSWER
✔✔True
All 9 Priority Health Standard MAPD plans (non D-SNP) include "Assist
America" emergency travel assistance. - 🧠ANSWER ✔✔True
Priority Health optional enhanced Dental and Vision now includes which of
the following? - 🧠ANSWER ✔✔All of the above
Priority Health MAPD plans offer in-home health assessments at no cost to
the member. - 🧠ANSWER ✔✔True
The PriorityMedicare Edge PPO plan is ONLY available to beneficiaries
residing in Region 5 - 🧠ANSWER ✔✔False
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
2
PRIVACY STATEMENT. ALL RIGHTS RESERVED
