Medicare program basics - Study guides, Class notes & Summaries

2022 OVERVIEW of MEDICARE PROGRAM BASICS: CHOICE, ELIGIBILTY, AND BENEFITS ENROLLMENT GUIDANCE MEDICARE ADVANTAGE AND PART D PLANS PART 5 1. You are visiting with Mr. Tully and his daughter at her request. He has advanced Alzheimer’s and is incapable of understanding the implications of choosing a Medicare Advantage or prescription drug plan. Can his daughter fill out the enrollment form and sign it for him? a. Mr. Tully’s daughter can do so only, ifshe is authorized understate law as a cour...

1. Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern? a. Medicare is a program for people of all ages with specific mental health disabilities. Since she is in excellent health, she would not qualify, but should instead look into her state’s Medicaid program if she ...

UHC ETHICS AND COMPLIANCE SECTION FOR CERTIFICATION EXAM 2024 What is a servicing agent? - correct answer an inactive, nonemployee who has signed a servicing agreement in order to receive renewal commisions on medicare advantage and prescription drug plan enrollments on or after 1-1-2014. the agent must maintain an active resident license and appointment and pass medicare basics and ethics compliance assessments on an annual basis What does CMS stand for? - correct answer center for med...

2022 OVERVIEW of MEDICARE PROGRAM BASICS: CHOICE, ELIGIBILTY, AND BENEFITS MODULE 1 1. Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern? a. Medicare is a program for people of all ages with specific mental health disabilities. Since she is in excellent health,she would no...

2022 OVERVIEW of MEDICARE PROGRAM BASICS: CHOICE, ELIGIBILTY, AND BENEFITS MARKETING MEDICARE ADVANTAGE AND PART D PLANS PART 4 1. Medicare health plans establish provisionsin marketing representative contractsto ensure compliance with applicable laws and policies. If non-compliance occurs, CMS can penalize a plan in which of the following ways? a. CMS requires the dismissal ofsenior plan management. Incorrect b. CMS requires plan sponsors to create and complete a corrective action plan and may ...

2022 OVERVIEW of MEDICARE PROGRAM BASICS: CHOICE, ELIGIBILTY, AND BENEFITS MEDICARE PART D: PRESCRIPTION DRUG COVERAGE PART 3 1.Mrs. Sanchez lives in a state located near Canada. She has recently become eligible for Medicare and is considering enrollment in Part D prescription drug coverage. One of her friends hastold her that she needs to be aware of something called TrOOP. What should you tell her when she asks you about TrOOP? a. TrOOP are out-of-pocket costs that count toward the annual out-...

2022 OVERVIEW of MEDICARE PROGRAM BASICS: CHOICE, ELIGIBILTY, AND BENEFITS MEDICARE HEALTH PLANS PART 2 1. Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to access providers. What should you tell him? a. Mr. Kumar will be able to obtain routine care outside of the plan’s service area, but will pay a higher co-payment (except in an emergency). Incorrect b. In most Medicare Advantage HMOs, Mr. Kumar must generally obtain hisservices only from providers who ...

2022 OVERVIEW of MEDICARE PROGRAM BASICS: CHOICE, ELIGIBILTY, AND BENEFITS MODULE 1 1. Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern? a. Medicare is a program for people of all ages with specific mental health disabilities. Since she is in excellent health,she would no...

What is a servicing agent? : an inactive, nonemployee who has signed a servicing agreement in order to receive renewal commisions on medicare advantage and prescription drug plan enrollments on or after 1-1-2014. the agent must maintain an active resident license and appointment and pass medicare basics and ethics compliance assessments on an annual basis What does CMS stand for? : center for medicare and medicaid services Who administers the medicare program and contracts with priva...

2022 OVERVIEW of MEDICARE PROGRAM BASICS: CHOICE, ELIGIBILTY, AND BENEFITS MARKETING MEDICARE ADVANTAGE AND PART D PLANS PART 4 1. Medicare health plans establish provisionsin marketing representative contractsto ensure compliance with applicable laws and policies. If non-compliance occurs, CMS can penalize a plan in which of the following ways? a. CMS requires the dismissal ofsenior plan management. Incorrect b. CMS requires plan sponsors to create and complete a corrective action plan and may ...