PRIORITY HEALTH 2022 PRODUCT CERTIFICATION EXAM
QUESTIONS AND ANSWERS
All 10 Priority Health MAPD plans have no in-network medical deductibles - CORRECT ANSWER✅✅True
The Priority Health MAPD network, for the 9 standard plans (non D-SNP), includes: - CORRECT
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. - CORRECT 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. - CORRECT ANSWER✅✅True
The Over the Counter (OTC) allowance is available on which of the following plans: - CORRECT
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. - CORRECT ANSWER✅✅False
All 9 standard Priority Health MAPD plans (non D-SNP) include Dental, Vision and Hearing embedded
benefits in the medical plan. - CORRECT 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 -
CORRECT ANSWER✅✅True
All 9 Priority Health Standard MAPD plans (non D-SNP) include "Assist America" emergency travel
assistance. - CORRECT ANSWER✅✅True
Priority Health optional enhanced Dental and Vision now includes which of the following? - CORRECT
ANSWER✅✅All of the above
QUESTIONS AND ANSWERS
All 10 Priority Health MAPD plans have no in-network medical deductibles - CORRECT ANSWER✅✅True
The Priority Health MAPD network, for the 9 standard plans (non D-SNP), includes: - CORRECT
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. - CORRECT 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. - CORRECT ANSWER✅✅True
The Over the Counter (OTC) allowance is available on which of the following plans: - CORRECT
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. - CORRECT ANSWER✅✅False
All 9 standard Priority Health MAPD plans (non D-SNP) include Dental, Vision and Hearing embedded
benefits in the medical plan. - CORRECT 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 -
CORRECT ANSWER✅✅True
All 9 Priority Health Standard MAPD plans (non D-SNP) include "Assist America" emergency travel
assistance. - CORRECT ANSWER✅✅True
Priority Health optional enhanced Dental and Vision now includes which of the following? - CORRECT
ANSWER✅✅All of the above
