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Wellcare ACT Mastery Exam-Teleagent Questions and Answers Verified Solutions 2024/2025
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Wellcare ACT Mastery Exam-Teleagent Questions and Answers Verified Solutions 2024/2025
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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
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,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
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