C snp - Study guides, Class notes & Summaries
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AETNA 2024/25 MA/MAPD/DSNP QUESTIONS AND ANSWERS 100% SOLVED
- Exam (elaborations) • 8 pages • 2024
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AETNA 2024/25 MA/MAPD/DSNP 
QUESTIONS AND ANSWERS 100% 
SOLVED 
Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a 
person to use only network providers? (Excluding emergency or urgently needed services) a. 
PDP plan 
b. 
HMO plan 
c. 
PPO plan 
d. 
ESRD plan b. 
HMO plan 
What is a Special Needs Plan (SNP
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AHIP Practice Exam Questions and Answers 100% Correc
- Exam (elaborations) • 48 pages • 2024
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AHIP Practice Exam Questions and Answers 100% Correct 
Mr.Gomez notes that a Private Fee for Service (PFFS) plan avaliable in his area has an 
attractive preminum. He wants to know if he must use doctors in a network as his 
current HMO plan requires him to do. What should you tell him? - Correct Answer ️️ - 
He may receive health care services from any doctor allowed to bill Medicare as long as 
he shows the doctor the plan's identification card and the doctor agrees to accept the 
PFFS pl...
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AHIP Practice Exam Questions and Answers 100% Correct
- Exam (elaborations) • 48 pages • 2024
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AHIP Practice Exam Questions and Answers 100% Correct 
Mr.Gomez notes that a Private Fee for Service (PFFS) plan avaliable in his area has an 
attractive preminum. He wants to know if he must use doctors in a network as his 
current HMO plan requires him to do. What should you tell him? - Correct Answer ️️ - 
He may receive health care services from any doctor allowed to bill Medicare as long as 
he shows the doctor the plan's identification card and the doctor agrees to accept the 
PFFS pl...
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2024 wellcare - Mastery Test questions and answers.
- Exam (elaborations) • 13 pages • 2024
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During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. 
a. True 
b. False 
True 
 
 
 
When a paper SOA form is used, it must be completed __________ hosting the sales presentation. 
a. Prior to 
b. During 
c. After 
A. Prior to 
 
 
 
Brokers/Agents can submit a support ticket online through their Centene Workbench portal. 
Select one: 
True 
False 
True 
 
 
 
Wellcare does not need to be informed of all marketing/sales events at which plans or mat...
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AHIP - Final examination EXAM QUESTIONS AND ANSWER / GRADED A /LATEST VERSION
- Exam (elaborations) • 17 pages • 2023
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AHIP - Final examination EXAM 
QUESTIONS AND ANSWER / GRADED A 
/LATEST VERSION 
Mr. Zachow has a condition for which three drugs are available. He has 
tried two but had an allergic reaction to them. Only the third drug 
works for him and it is not on his Part D plan's formulary. What could 
you tell him to do? - CORRECT ANSWER Mr. Zachow has a right to 
request a formulary exception to obtain coverage for his Part D drug. He 
or his physician could obtain the standardized request form ...
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AHIP Final Exam Latest Questions and Answers 2024 (verified answers)
- Exam (elaborations) • 28 pages • 2024
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AHIP Final Exam Latest Questions and Answers 
2024 (verified answers) 
Mr.Gomez notes that a Private Fee for Service (PFFS) plan avaliable in his area has an 
attractive preminum. He wants to know if he must use doctors in a network as his 
current HMO plan requires him to do. What should you tell him? - ANSWERS He may 
receive health care services from any doctor allowed to bill Medicare as long as he 
shows the doctor the plan's identification card and the doctor agrees to accept the PFFS...
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AHIP Final Exam (Latest 2024/2025) | Passed | A+ Rated Guide | New Full Exam
- Exam (elaborations) • 19 pages • 2024
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AHIP Final Exam (Latest 2024/2025) | Passed | A+ Rated Guide | New Full Exam 
Mr. Zachow has a condition for which three drugs are available. He has tried two 
but had an allergic reaction to them. Only the third drug works for him and it is not 
on his Part D plan's formulary. What could you tell him to do? 
Mr. Zachow has a right to request a formulary exception to obtain coverage for his 
Part D drug. He or his physician could obtain the standardized request form on the 
plan's website,...
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2023 Dual and Chronic Condition Special Needs Plans (D-SNP C-SNP) Assessment Question and answers 100% correct 2023/2024
- Exam (elaborations) • 9 pages • 2024
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2023 Dual and Chronic Condition Special Needs Plans (D-SNP C-SNP) Assessment Question and answers 100% correct 2023/2024 
The monthly premium is at or below the Low Income Subsidy benchmark to cover drug costs - correct answer Which statement best describes a D-SNP? 
 
D-SNPs are non-network based plans, which enables members to see any Medicare-eligible provider 
 
The monthly premium is at or below the Low Income Subsidy benchmark to cover drug costs 
 
The state government pays half of the pl...
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2023 Dual and Chronic Condition Special Needs Plans (D-SNP C-SNP) Assessment. verified to pass
- Exam (elaborations) • 9 pages • 2023
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2023 Dual and Chronic Condition Special Needs Plans (D-SNP C-SNP) Assessment. 
The monthly premium is at or below the Low Income Subsidy benchmark to cover drug costs - correct answer Which statement best describes a D-SNP? 
 
D-SNPs are non-network based plans, which enables members to see any Medicare-eligible provider 
 
The monthly premium is at or below the Low Income Subsidy benchmark to cover drug costs 
 
The state government pays half of the plan premium 
 
D-SNPs do not include prescri...
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UHC Certification Fundamentals of Specials Needs Plans and Medicaid (SNPs) Questions and Answers 2023/2024
- Exam (elaborations) • 9 pages • 2024
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UHC Certification Fundamentals of Specials Needs Plans and Medicaid (SNPs) Questions and Answers 2023/2024 
(SNP) Special Needs Plan Types - correct answer 
Chronic Special Needs Plan (C-SNP) 
Dual-Eligible Special Needs Plan (D-SNP) 
Most SNPs are offered as HMO plans (in-network benefits) 
Clients must meet certain qualifications to get a SNP (not available to all Medicare recipients) 
SNPs are NOT available in all geographical locations (there must be an available plan in the client's area ...
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