Medicare advantage plans Study guides, Class notes & Summaries

Dual special needs plans are defined as? Medicare advantage plans uniquely designed for consumers enrolled in both Medicare and Medicaid. Meredith a d- snp member loses Medicaid eligibility. What impact does this have on her D-SNP enrollment? She will enter a grace period during which she is responsible for plan, cost sharing and she will be disenrolled at the end of the grace. If she does not re-establish Medicaid eligibility. Brainpower Read More Previous Play Next Rewin...

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...

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...

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 ...

1. Milton is retiring on his 65th birthday. He is eligible for Medicare and already receives Social Security benefits. How does he enroll in Original Medicare? -He can only sign up for Medicare Parts A and/or B at his local Social Security office. -He can sign up for Medicare Parts A and/or B with any licensed insurance agent. -His enrollment in Medicare Parts A and B is generally automatic if he meets all eligibility requirements -He must enroll in Medicare Parts A and B through his current...

Aetna MA/MAPD/DSNP Mastery Test with 100% Correct Answers 2023-2024. 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 - Correct answer-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 - Correct answer-C) PPO Most ...

The value proposition for the AARP brand is seen in what kinds of benefits for the members? (Select 3) - ANSWERSQuality of products offered. Efforts to improve the lives of members. Security and reputation of the AARP name. Which of the following must you ensure a consumer who is making a plan change understands? (Select 2) - ANSWERSI must make sure the consumer understands the benefits, costs, and limitations of the new plan I must make sure the consumer understands what they are givi...

UHC 2024 AHIP - Medicare Basics Assessment (Medicare Advantage [non-SNP], Prescription Drug and Medicare Supplement Plans) Test With Verified Answers