Dual enrollment - Study guides, Class notes & Summaries

2024 AHIP Module 5 Questions and Answers 100% Pass | Verified and Updated Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first time in November. She would like to meet and discuss plan choices with you. What advice should you give her? - Correct Answer ️️ -Tell her to wait until October to discuss plan choices with you so that you can share plan benefits for the current year as well as any changes for the following year that may impact her ch...

Module 5 AHIP Prep Exam Frequent Questions With100% Verified Answers | LATEST UPDATE Mr. White has Medicare Parts A and B with a Part D plan. Last year, he received a notice that his plan sponsor identified him as a "potential at-risk" beneficiary. This month, he started receiving assistance from Medicaid. He wants to find a different Part D plan that's more suitable to his current prescription drug needs. He believes he's entitled to a SEP since he is now a dual eligible. Is ...

2024 AHIP Module 1–5 Exam || All Questions & Answers (100% Verified) 2024 AHIP Module 1–5 Exam || All Questions & Answers (100% Verified) Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first time in November. She would like to meet and discuss plan choices with you. What advice should you give her? - ANSWER - Tell her to wait until October to discuss plan choices with you so that you can share plan benefits for the current year as well as any c...

SOA - Scope of Appointment MMP - Medicaid Medicare Plan TE - Telephonic Enrollment MMOP - Molina Medicare Options Plus IMA - Individual Member Appointment SFDC - Salesforce Dot Com NBA - National Benefit Advisor MSA - Medical Savings Account LTSS - Long Term Services and Supports D-SNP - Dual Special Needs Plan HMO - Health Maintenance Organization PPO - Preferred Provider Organization COC - Continuity of CareMAPD - Medicare Advantage Plan Plus Part D ANOC - Annual Notice of Change ...

Module 5 AHIP Prep Exam Frequent Questions With100% Verified Answers | LATEST UPDATE Mr. White has Medicare Parts A and B with a Part D plan. Last year, he received a notice that his plan sponsor identified him as a "potential at-risk" beneficiary. This month, he started receiving assistance from Medicaid. He wants to find a different Part D plan that's more suitable to his current prescription drug needs. He believes he's entitled to a SEP since he is now a dual eligible. Is ...

Mrs. Schmidt is moving and a friend told her she might qualify for a "Special election period" to enroll in a new Medicare Advantage plan. She contacted you to ask what a special election period is. What could you tell her? - It is a period, outside of the Annual Election Period, when a Medicare beneficiary can select a new or different Medicare Advantage and/or Part D prescription drug plan. Typically, the Special election period is beneficiary specific and results from events, such as ...

By selecting the correct provider during the enrollment process, you can: -  ANSWER All of the above A grievance request, or any evidence concerning a grievance, must be fi led orally or in writing no later than _____ calendar days from the date of the event or the date the member is made aware of the issue. –  ANSWER 60 The Single Sign-On Portal provides access to several applications, including Centene Workbench. –  ANSWER True Failure to inform a beneficiary that a t...

1. Types of Medicare Advantage Plans: PPO, HMO, MSA, Cost Plan, PFFS 2. Medicare-Medicaid plans: Serve both Medicare and Medicaid individuals. In- clude Part D coverage. Individuals sometimes referred to as dual eligibles 3. Medicare Cost Plan: Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new members. A non network provider will can charge higher coinsurances and deuctibles. Different enrollment/disenrollment periods apply. Can get Part D Rx covera...

WellCare ACT Mastery Exam (Latest 2023/ 2024 Update) Version 5 | Questions and Verified Answers| Grade A| 100% Correct Q: Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? Answer: All of these Q: Dual-eligible and LIS beneficiaries that are not at-risk may use a Dual-Eligible SEP once per each of the ______ calendar quarters only. (Select all that apply.) Answer: a. First b. Second c. Third Q: An...

AHIP Final Exam Questions with 100% Correct Answers Types of Medicare Advantage Plans - Correct Answer ️️ -PPO, HMO, MSA, Cost Plan, PFFS Medicare-Medicaid plans - Correct Answer ️️ -Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles Medicare Cost Plan - Correct Answer ️️ -Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new members. A non network provider will can ch...