Mapd exam - Study guides, Class notes & Summaries

Priority Health 2024 Product Certification Exam Questions and answers with 100% Complete Solutions | verified &updated 2024 All 10 Priority Health MAPD plans have no in-network medical deductibles - True The Priority Health MAPD network, for the 9 standard plans (non D-SNP), includes: - All of the above The "Free to Talk" benefit means a member will not have an office copay for an annual physical exam, even when a diagnostic issue arises during the visit. - True The "Flat Fee" for observ...

Aetna Exam |Complete with Latest Answers Updated 20242025 Aetna offers a variety of Aetna and Coventry Medicare Advantage plan types. Which plan type requires a person to use only network providers? (excluding emergency or urgently needed services) HMO plan Which plan type allows members to see preferred doctors out of network and does not require referrals to a specialist? PPO Plan Most Aetna and Coventry Medicare Advantage plans are integrated with prescription drug coverage, so...

What are the dates for the SEP for Non-Renewal? December 8 - end of February CMS expects agents to provide a clear, concise explanation of the plan's drug benefit. Which of the following actions is prohibited by Humana and CMS? Asking the beneficiary to consult with their doctor or pharmacist to obtain generic medications is not an acceptable explanation of the plan's drug benefit What constitutes an "attempt" on Humana`s final exam? Note: questions about passing the final exam a...

Devoted Agent Certification Exam 2024 (questions and answers) Mr. Malone wants to enroll in a Devoted Health Medicare Advantage plan during the Medicare Annual Enrollment Period. He can do so by... -He can enroll through all three of these methods. -Call Devoted Health or approved telesales center and enroll over the phone. -Meeting with a licensed and certified Devoted Sales Agent or Broker who completes his enrollment electronically or by paper. -Go online to M or D and enroll online...

2024 Individual MA/MAPD/DSNP - Mastery Test Exam Review Qs&As Each member of an Aetna SNP receives additional specialized support from the care management team. True - ANS-True False All of our DSNP include free monthly fitness club memberships to any facility participating within the SilverSneakers network. True - ANS-True False The Medicare case management program has teams of: e.All of the above - AN

BCBS LMS Training 2018 Exam Questions with Correct Answers What action can an individual request if BlueCross or its Business Associates refuse a request to amend or correct the individual's PHI? - Answer-The individual can request a statement of disagreement. Any potential breach of PHI must be reported to BlueCross within _______? - Answer-Three Business Days Who should a Business Associate contact with questions concerning HIPAA compliance? - Answer-BlueCross privacy official Which...

Kaiser Permanente UPDATED ACTUAL Exam Questions and CORRECT ANSWERS True or False: Kaiser Permanente offers a Medicare Senior Advantage and Medicare Advantage plan. Both plans provide members with a comprehensive set of benefits. These plan offerings are based on the Kaiser Permanente Market service area. - CORRECT ANSWER- True Fill in the blank. Kaiser Permanente Senior Advantage is a _ plan. - CORRECT ANSWER- MAPD

UNITED HEALTHCARE (UHC) ETHICS AND COMPLIANCE LATEST EXAM Melanie is currently enrolled in a Medicare Supplement Insurance Plan and a PDP. Assuming she has a valid election period, what would happen if she enrolled in an HMO MAPD plan? Answer She would be automatically disenrolled from the PDP. (right) Dennis, a consumer, is currently enrolled in Original Medicare plus a Medicare Supplement Plan. His current plan is suitable for his medical needs, but he would like to add prescriptio...

AHIP FINAL EXAM TEST QUESTIONS LATEST VERSION / AHIP FINAL EXAM TEST REAL EXAM QUESTIONS AND ANSWERS GRADED A+ Ms. Gardner is currently enrolled in an MA-PD plan. However, she wants to disenroll from the MAPD plan and instead enroll in a Part D only plan and go back to Original Medicare. According to Medicare's enrollment guidelines, when could she do this? -CORRECT ANSWER-- : She may make such a change during the Annual Election Period that runs from Oct. 15 to December 7, or durin...