Exam (elaborations)
Wellcare ACT Mastery Exam-Teleagent Questions and Answers Verified Solutions 2024/2025
- Course
- Institution
Wellcare ACT Mastery Exam-Teleagent Questions and Answers Verified Solutions 2024/2025
[Show more]
Content preview
Wellcare ACT Mastery Exam-Teleagent.pdf file:///C:/Users/HP/Desktop/New%20Conver/Wellcare%20ACT%20MWellcare ACT Mastery Exam-Teleagent
1. deductible: Amount you must pay before you begin receiving any benefits fromyour
insurance company
2. Medicare: A national health insurance program in the United States, begun in 1965 under
the Social Security Administration and now administered by the Centersfor Medicare and
Medicaid Services.
3. Medicare Advantage: Medicare plans other than the Original Medicare Plan
4. Medicaid: A federal and state assistance program that pays for health careservices for
people who cannot afford them.
5. Medicare requirements: -must be 65 or older, disabled, or have end-stage renaldisease
-have to be under a licensed physician
-home care recipients must also be homebound and in need of skilled nursing ortherapy services
on an intermittent basis
6. Medigap: a private insurance policy that pays the difference between the medicalcharge and
the amount that Medicare pays
7. Medigap Eligibility and Enrollment: Unlike Part C which 'disenrolls' an individ-ual from
1/6
1 of 14 9/18/2024, 11:27
,Wellcare ACT Mastery Exam-Teleagent.pdf file:///C:/Users/HP/Desktop/New%20Conver/Wellcare%20ACT%20M
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 receivecoverage
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 anypart of a Medicare supplement insurance policy,
regardless of his or her health status. Beyond the initial enrollment period, an insurer can
require a paramedicalexam or an attending physician's statement if needed to ensure the
health of the enrollee.
8. End-stage renal disease: the final stage of chronic kidney disease
9. Medicare Coverage: Hospital services, some home health, hospice, religious-ly-associated
facilities
10. If a beneficiary requests to discuss other products not originally doc- umented on
the SOA, must youdocument a second SOA for the additionalproduct type before the
appointment may continue?:
11. Part A coverage: Inpatient hospital care, skilled nursing facility care, homehealth care
and hospice care
2/6
2 of 14 9/18/2024, 11:27
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller NurseFerian. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now