SummaCare Dental Insurance! Trivia Questions Quiz

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| By Bthorup

Bthorup

Community Contributor

Quizzes Created: 40 | Total Attempts: 28,522

Questions: 10 | Attempts: 595 | Updated: Mar 19, 2023

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Questions and Answers

1.

A member enrolled in a SummaCare Medicare Advantage Individual plan is eligible to purchase the optional supplemental dental benefit through Delta Dental.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
A member enrolled in a SummaCare Medicare Advantage Individual plan is eligible to purchase the optional supplemental dental benefit through Delta Dental. This means that if someone has a SummaCare Medicare Advantage Individual plan, they have the option to add on a dental benefit through Delta Dental. This additional dental coverage is not automatically included in the plan and must be purchased separately.

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2.

There is only one Delta Dental plan option available to SummaCare Medicare Advantage members.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The given statement is true because it states that there is only one Delta Dental plan option available to SummaCare Medicare Advantage members. This means that these members do not have multiple options to choose from when it comes to Delta Dental plans.

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3.

The Delta Dental monthly plan premium of $25 is in addition to the SummaCare Medicare Advantage member's medical premium, if one applies.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The statement is stating that the Delta Dental monthly plan premium of $25 is an additional cost that needs to be paid on top of the SummaCare Medicare Advantage member's medical premium if they apply. This means that if someone wants to have the Delta Dental monthly plan, they will need to pay an extra $25 per month in addition to their regular medical premium. Therefore, the statement is true.

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4.

Delta Dental enrollment is available for 30 days from the new enrollee's effective date.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Delta Dental enrollment is available for a period of 30 days starting from the effective date of the new enrollee. This means that individuals who are eligible to enroll in Delta Dental can do so within this 30-day window. After this period, the opportunity to enroll may no longer be available. Therefore, the statement is true.

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5.

The Delta Dental plan premium is $____ per month.
- A.
  
  $25
- B.
  
  $65
- C.
  
  $0
Correct Answer
A. $25

Explanation
The correct answer is $25. This is the monthly premium for the Delta Dental plan. It means that in order to have this dental insurance, the individual would need to pay $25 per month.

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6.

The Delta Dental plan is a __ plan.
- A.
  
  PPO
- B.
  
  HMO
- C.
  
  HMO-POS
Correct Answer
A. PPO

Explanation
The Delta Dental plan is a PPO plan. PPO stands for Preferred Provider Organization. In a PPO plan, members have the freedom to choose their dental care providers, whether they are in-network or out-of-network. However, members usually receive greater benefits and lower out-of-pocket costs when they visit dentists within the PPO network. PPO plans also do not require referrals for specialists.

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7.

There is no deductible under the Delta Dental plan.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The statement is stating that there is no deductible under the Delta Dental plan. This means that individuals who have this plan do not have to pay any out-of-pocket expenses before their dental coverage kicks in. Therefore, the correct answer is true, indicating that there is indeed no deductible under the Delta Dental plan.

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8.

Services rendered by a non-participating dentist will usually result in more out-of-pocket cost to the member.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
When a member receives services from a non-participating dentist, it means that the dentist is not part of the insurance network. As a result, the insurance plan may not cover the full cost of the services provided, leading to higher out-of-pocket expenses for the member. This is because non-participating dentists may charge higher fees or not adhere to the insurance plan's negotiated rates. Therefore, it is true that services rendered by a non-participating dentist will usually result in more out-of-pocket costs for the member.

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9.

Under the Delta Dental plan, a member may be balanced billed when seeing a non-participating dentist.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Under the Delta Dental plan, if a member chooses to see a dentist who is not part of the network or is a non-participating dentist, they may be balanced billed. This means that the dentist may charge the member for the difference between their usual fee and the amount covered by the Delta Dental plan. Therefore, the statement "a member may be balanced billed when seeing a non-participating dentist" is true.

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10.

The maximum payment made by Delta Dental is $1,000 per member per benefit year and this maximum applies to all services covered under the plan.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The explanation for the correct answer, which is True, is that Delta Dental has a maximum payment limit of $1,000 per member per benefit year for all services covered under the plan. This means that regardless of the type of service, the maximum amount that Delta Dental will pay for any individual member in a year is $1,000.

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Current Version
Mar 19, 2023

Quiz Edited by
ProProfs Editorial Team
Apr 14, 2015

Quiz Created by
Bthorup

Summacare Dental Insurance! Trivia Questions Quiz

A member enrolled in a SummaCare Medicare Advantage Individual plan is eligible to purchase the optional supplemental dental benefit through Delta Dental.

There is only one Delta Dental plan option available to SummaCare Medicare Advantage members.

The Delta Dental monthly plan premium of $25 is in addition to the SummaCare Medicare Advantage member's medical premium, if one applies.

Delta Dental enrollment is available for 30 days from the new enrollee's effective date.

The Delta Dental plan premium is $____ per month.

The Delta Dental plan is a __ plan.

There is no deductible under the Delta Dental plan.

Services rendered by a non-participating dentist will usually result in more out-of-pocket cost to the member.

Under the Delta Dental plan, a member may be balanced billed when seeing a non-participating dentist.

The maximum payment made by Delta Dental is $1,000 per member per benefit year and this maximum applies to all services covered under the plan.