Medicare—part d - Study guides, Class notes & Summaries

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? - He 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 employees and offers e...

Which statement is true about the Medicare Advantage (MA) Out- of pocket Maximum? correct answer: All MA plans have an Out- of Pocket maximum to help limit the member's out of pocket cost for Medicare-covered services. A consumer currently has Original Medicare and is enrolled in a stand alone PDP. What will happens if the consumer enrolls in a n MA Plan that has integrated PDP coverage? correct answer: The consumer will be automatically disenrolled from their stand-alone PDP upon enrollme...

A Medicare beneficiary has walked into your office and requested that you sit down with her and discuss her options under the Medicare Advantage program. Before engaging in such a discussion, what should you do? - Answer-You must have her sign a scope of appointment form, indicating which products she wishes to discuss. You may then proceed with the discussion. Agent Harriet Walker has recently begun marketing Medicare Advantage and related products aimed at meeting the needs of senior citi...

UHC Certification 2023/2024 Exam| Actual Questions and Verified Answers| A Grade Q: A government program, offered only through a private insurance company or other private company approved by Medicare, that provides prescription drug coverage describes which of the following: Answer: Medicare Parts A and B Q: Which of the following statements is true about eligibility requirements for Medicare Prescription Drug Plans? Answer: A consumer must be entitled to Medicare Part A ...

HESI Exit Exam Test Bank 2024 NEWEST 2024 ACTUAL EXAM 500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ The nurse is ready to insert an indwelling urinary catheter as seen in the picture. At this point in the procedure, what actions should the nurse take before inserting the catheter? (Select all that apply) A. Ask the client to bear down as if voiding to relax the sphincter C. Complete perianal care with soap and water D. Gently palpate the clien...

Kentucky Health Insurance Exam | Study Questions and Verified Answers| 100 % Correct| Grade A (New 2024/ 2025 Update) QUESTION Individuals who itemize deductions can claim deductions for medical expenses not covered by health insurance that exceed what percent of their adjusted gross income? A. 5% B. 7% C. 10% D. 15% Answer: C. 10% QUESTION What is another name for an Administrative Services only arrangement? A. Self funding B. Third party administrator C. A modifie...

Exam 1: NUR257/ NUR 257 (New 2023/ 2024 Update) Aging and Chronic Illness in Nursing Exam Review| 100% Correct- Galen QUESTION are eligibility? does medicare cover Answer: be eligible for social security t services & must be medically necessary QUESTION costs of medicare Answer: ed by employer & employee tax of 2.9% iciary in form of premiums, deductibles, co-pays QUESTION medicare part A Answer: care or short term rehab if receive social sec...

PTCB Pharmacy Billing and Reimbursement Practice Questions and Answers Latest . The cost of the coverage of an insurance policy is known as which of the following? A. Deductible B. Co-payment C. Coinsurance D. Premium 5. Which of the following is another name for the cardholder of the insurance policy? A. Subscriber B. Dependent Pharmacy Billing and Reimbursement PTCB Practice Test Questions and Answers Latest Rated A+ C. Patient D. Third party 6. When a patient picks up a prescrip...

UNITED HEALTHCARE (UHC) – ETHICS AND COMPLIANCE LATEST 2023-2024 EXAM| ACTUAL QUESTIONS AND VERIFIED ANSWERS |A+ GRADE Q: Agent Jacob learns that Emily, the consumer with whom he is meeting, is the authorized legal representative for her father. What must Jacob explain to Emily when completing an Enrollment Application for her father? Answer: Jacob must explain that Emily will sign the Enrollment Application and must be able to provide documentation upon request by the Plan that indic...

North Carolina Medicare Supplement and Long-Term Care Certification Exam || Questions & 100% Correct Answers North Carolina Medicare Supplement and Long-Term Care Certification Exam || Questions & 100% Correct Answers An individual who is not eligible for premium-free Medicare Part A coverage may apply for coverage during which of the following enrollment periods? A. All of the above B. Initial enrollment period C. General enrollment period D. Special enrollment period - ANSWER - A. Al...