2022 wellcare act mastery exam teleagent2022 wellcare act journey to a successful season teleagent and 2022 wellcare act know you product equals 2022 wellcar act mastery exam teleagent
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2022 Wellcare ACT Mastery Exam - Teleagent(2022
Wellcare ACT Journey to a successful season - teleagent -
AND - + 2022 Wellcare ACT know you product EQUALS =
2022 WELLCAR ACT MASTERY EXAM - TELEAGENT
/// This one! : )
deductible Correct Answer: Amount you must pay before you begin receiving any
benefits from your insurance company
Medicare Correct Answer: A national health insurance program in the United
States, begun in 1965 under the Social Security Administration and now
administered by the Centers for Medicare and Medicaid Services.
Medicare Advantage Correct Answer: Medicare plans other than the Original
Medicare Plan
Medicaid Correct Answer: A federal and state assistance program that pays for
health care services for people who cannot afford them.
Medicare requirements Correct Answer: -must be 65 or older, disabled, or have
end-stage renal disease
-have to be under a licensed physician
-home care recipients must also be homebound and in need of skilled nursing or
therapy services on an intermittent basis
Medigap Correct Answer: a private insurance policy that pays the difference
between the medical charge and the amount that Medicare pays
Medigap Eligibility and Enrollment Correct Answer: Unlike Part C which
'disenrolls' an individual from Parts A and Part B, a Medigap plan works with Part
A and Part B, requiring recipients to first enroll into the Original Medicare
program and then supplement it with a Medigap plan. Individuals who are enrolled
in Part C cannot also receive coverage from a Medigap plan and must re-enroll into
Parts A and B in order to purchased a Medigap plan. All Medigap insurers are
required to offer a one-time, 6-month enrollment period after turning age 65 for
individuals who have already enrolled in Medicare Part B that guarantees an
enrollee the right to purchase any part of a Medicare supplement insurance policy,
regardless of his or her health status. Beyond the initial enrollment period, an
, insurer can require a paramedical exam or an attending physician's statement if
needed to ensure the health of the enrollee.
End-stage renal disease Correct Answer: the final stage of chronic kidney disease
Medicare Coverage Correct Answer: Hospital services, some home health,
hospice, religiously-associated facilities
If a beneficiary requests to discuss other products not originally documented on the
SOA, must youdocument a second SOA for the additional product type before the
appointment may continue? Correct Answer:
Part A coverage Correct Answer: Inpatient hospital care, skilled nursing facility
care, home health care and hospice care
Medicare Part B Correct Answer: The part of the Medicare program that pays for
physician services, outpatient hospital services, durable medical equipment, and
other services and supplies.
Part C coverage Correct Answer: (medicare advantage) managed care alternative
to original medicare. provided through commercial insurers
Part D of Medicare Correct Answer: Prescription drug coverage
Original Medicare Correct Answer: Medicare Parts A and B providing only
hospital and medical coverage.
Employer Group Health Coverage Correct Answer: Employer Group Health
Coverage
AHIP, MUnder Original Medicare, the inpatient hospital co-payment is a flat per-
day amount that remains the same throughout the first 60 days of a beneficiary's
stay. After day 60 the amount gradually increases until day 90. After 90 days he
would pay the full amount of all costs. Correct Answer:
c. Correct Answer:
Under Original Medicare, if the inpatient hospital service is provided by a
participating Medicare provider, the co-payment is waived. Co-payments are only
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