Mapd - Study guides, Class notes & Summaries

How should Humana agents respond to Medicare beneficiaries who want to know their new Medicare ID number? - Advise the beneficiary that any questions regarding their new Meidcare ID number must be directed to Medicare. Under which circumstances is it acceptable for an agent to complete an Agent Online Application (AOA) application on behalf of their client? - It is never acceptable under any circumstance for an agent to complete the AOA Application on behalf of their client, even if they re...

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. - CORRECT ANSWERHe can enroll through all three of these meth...

Aetna MA/MAPD/DSNP Mastery Test with 100% Correct Answers 2023-2024. 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 Individual MA/MAPD/DSNP Mastery Test WITH COMPLETE SOLUTIONWhich of the following is true for Low Income Subsidy? All of the above What is a Special Needs Plan (SNP)? All of the above or A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits enrollment to people with specific diseases or characteristics. Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? (Excluding ...

Humana Test Prep (Questions with Correct Answers) 2023 Complete Graded A+ 2023 Humana Test Questions | 91 Questions With 100% Correct Answers What are the dates for the SEP for Non-Renewal? - Correct answer-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? - Correct answer- Asking the beneficiary to consult with their doctor or pharmacist to obtain gener...

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 observation means a member will only pay the E.R. copay even if held for observation and other services are rendered. - True Th...

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...

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 Correct Answer-b. HMO plan What is a Special Needs Plan (SNP)? a.A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits enrollment to people with specific diseases or characteristics. b.An MA plan that tailors benefits, provid...

AETNA MA/MAPD/DSNP MASTERY TEST | 30 QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS | UPDATED 2024

Aetna 2024 MA/MAPD/DSNP Questions with 100% Correct Answers | Latest Version | Expert Verified | Ace the Test

Margaret currently has an MAPD Plan. What would happen if you enrolled her into a stand-alone PDP? CORRECT ANSWERS: She would be disenrolled automatically from her MAPD Plan. What is Medicare Part D? CORRECT ANSWERS: A voluntary program, offered by private insurance companies that are contracted with the federal government, that provides prescription drug coverage for an additional monthly plan premium Which of the following statements is true about eligibility requirements for stand-alo...