C snp - Study guides, Class notes & Summaries

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

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...

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...

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...

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 ...

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,...

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...

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...

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...

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 ...