Medicare advantage plans - Study guides, Class notes & Summaries

AHIP 2024 FINAL EXAM/ 50+ QUESTIONS AND ANSWERS ALL CORRECT/ 2023/2024. AHIP 2024 final exam 1. Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs. Park that might be of assistance?: She should contact her state Medicaid agency to see if she qualifies forprograms that can help with Medicare costs for which she is responsible. 2. Madeline Martinez was widowed several years ago. Her husband worked for many years and contributed into the Medicare sy...

Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern? - Medicare is a program for people 65 or older and those under the age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig's disease so she will be eligible for Medicare. Mr. Schmidt would like to pla...

DEVOTED HEALTH AGENT CERTIFICATION EXAM (2024/2025) WITH VERIFIED ANSWERS. What type of events must an agent report to UnitedHealthcare? - ANSWEROnly the marketing/sales events, both formal and informal. (WRONG) While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the consumer does not have an email address. What should Jeff do? - ANSWERLeave any field requesting a consumer email address blank. Which election period occurs from October 15 to December 7?...

2024 Ethics and Compliance Assessment UHC written exam with already passed questions and answers Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her Initial Election Period (IEP), when can she submit an application for a Medicare Advantage or Prescription Drug plan? - Answer April 1 through October 31 Which of the following statements is true about using a five star special enrollment period (SEP)? - Answer It can be used once from...

When you market Medicare Advantage and Part D plans, what may you offer as a gift to induce enrollment in a plan? You may provide gifts or prizes to all potential enrollees during an event that does not exceed $15 in retail value. By contacting plans available in your area, you have learned that the plan you represent has a significantly lower monthly premium than the others. Furthermore, you see that the plan you represent has a unique benefits package. What should you do to make sure yo...

Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? A) PDP plan B) HMO plan C) PPO plan D) ESRD plan - B) HMO Which plan type allows members to see preferred doctors in network, doctors out of network and does not require referrals to a specialist? A) PDP plan B) Cost plan C) PPO plan D) HMO plan - C) PPO Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are called M...

What are collection agency fees based on? A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? Case rates What customer service improvements might improve the patient accounts department? Holding staff accountable for customer service during performance revi...

UHC Ethics And Compliance Assessment 2024 Questions And Answers. On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective November 1. Which statement is true for Aries? -He can use the Annual Election Period that runs from October 15 to December 7 and select November 1 as his plan effective date. -There are no rules governing how often he can change plans during the year. -He may be able to use a Special Election Pe...

Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him?correct answersHe may sign-up for Medicare at any time however coverage usually begins on the fourth month after dialysis treatments start. Juan Perez, who is turning age 65 next month, intends to work for several more years at Smallcap, Incorporated. Smallcap has a workforce of15 emplo...

2023-2024 Wellcare ACT Mastery Exam-Teleagent with Complete Questions and Answers 100% Correct2023-2024 Wellcare ACT Mastery Exam-Teleagent with Complete Questions and Answers 100% Correct2023-2024 Wellcare ACT Mastery Exam-Teleagent with Complete Questions and Answers 100% Correctdeductible - ANSWER-Amount you must pay before you begin receiving any benefits from your insurance company Medicare - ANSWER-A national health insurance program in the United States, begun in 1965 under the Social ...