Medicare pdp - Study guides, Class notes & Summaries

The value proposition for the AARP brand is seen in what kinds of benefits for the members? (Select 3) Quality of products offered. Efforts to improve the lives of members. Security and reputation of the AARP name. Which of the following must you ensure a consumer who is making a plan change understands? (Select 2) I must make sure the consumer understands the benefits, costs, and limitations of the new plan I must make sure the consumer understands what they are giving up by...

2022 AHIP UNIT 3 MEDICARE PDP Question 1 Mr. and Mrs. Vaughn both take a specialized multivitamin prescription each day. Mr. Vaughn takes a prescription for helping to regrow his hair. They are anxious to have their Medicare prescription drug plan cover these drug needs. What should you tell them? a.Medicare prescription drug plans are permitted to cover vitamins, but not drugs for cosmetic purposes. b.Mr. Vaughn’s hair growth medication would only be covered under Part D if his balding result...

AHIP 2025 Exam Updated Qs & As| 100% Correct| Grade A (Verified Answers) Q: Ms. Claggett is sixty-six (66) years old. She has been covered under Original Medicare for the last six years due to her disability and has never been enrolled in a Medicare Advantage or a Part D plan before. She wants to enroll in a Part D plan. She knows that there is such a thing as the "Part D Initial Enrollment Period" (IEP) and has concluded that, since she has never enrolled in such a plan before, she s...

Gene got Medicare before he turned 65 and enrolled into a Medicare Advantage plan. He calls in February the month before his 65th birthday and is unhappy with his current plan. On the date of the call, what can Gene do about his coverage? On the day he called, he can enroll in a different Medicare Advantage plan with an effective date of March 1. Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been presenting. Which statement is correct? Mrs. Violet can...

Medicare - Answer - Federal health insurance program Medicare is administered by whom? - Answer - CMS ( Centers for medicare and medicaid services) Parts A & B of medicare are - Answer - federal health insurance program referred to as original medicare Part A? - Answer - Hospital insurance Part B? - Answer - Medical insurance What doesnt medicare cover? - Answer - routine dental, eye care hearing exam,deductibles, coinsurance and copayments Part C? - Answer - Medicare Advantage...

Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? A) PDP plan B) HMO plan C) PPO plan D) ESRD plan Correct Answer-B) HMO Which plan type allows members to see preferred doctors in network, doctors out of network and does not require referrals to a specialist? A) PDP plan B) Cost plan C) PPO plan D) HMO plan Correct Answer-C) PPO Most Aetna Medicare Advantage plans are integrated with prescription drug...

2022 AHIP UNIT 3 MEDICARE PDP Question 1 Mr. and Mrs. Vaughn both take a specialized multivitamin prescription each day. Mr. Vaughn takes a prescription for helping to regrow his hair. They are anxious to have their Medicare prescription drug plan cover these drug needs. What should you tell them? a.Medicare prescription drug plans are permitted to cover vitamins, but not drugs for cosmetic purposes. b.Mr. Vaughn’s hair growth medication would only be covered under Part D if his balding result...

AHIP TRAINING Medicare Fraud, Waste, and Abuse Training Questions and Answers 100% Solved Medicare plan means A MA plan, MA-PD plan or PDP Subcontractor means **An individual or entity that provides services on behalf of a Medicare plan sponsor. This includes individuals and organizations with DIRECT relationship with the plan sponsor or individuals or organizations with INDIRECT relationship, such as an agent who has a contract with an agency or filed marketing organization that contr...

Mrs. Cantwell is enrolled in a prescription drug plan. She has heard about something called True-Out-Pocket costs or "TrOOP" and asks you if any of the following count toward reaching the catastrophic coverage phase. What do you say? I. Her annual PDP deductible II. A drug manufacturer's discount for brand name drugs after her initial coverage period III. The off formulary drug her doctor prescribed but she pays for because the plan denied her exception request IV. Her over-the-count...

2022 AHIP UNIT 3 MEDICARE PDP Question 1 Mr. and Mrs. Vaughn both take a specialized multivitamin prescription each day. Mr. Vaughn takes a prescription for helping to regrow his hair. They are anxious to have their Medicare prescription drug plan cover these drug needs. What should you tell them? a.Medicare prescription drug plans are permitted to cover vitamins, but not drugs for cosmetic purposes. b.Mr. Vaughn’s hair growth medication would only be covered under Part D if his balding result...