Medicare advantage Study guides, Class notes & Summaries

UHC 2024 AHIP - Medicare Basics Assessment (Medicare Advantage [non-SNP], Prescription Drug and Medicare Supplement Plans) Questions and Answers

UHC certification Exam Questions & Answers 2023/2024 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 copayme...

Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...

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? - Medicare is a program for people 65 or older and those under the age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig's disease so she will be eligible for Medicare. Mr. Schmidt would like to pla...

LA Life, Health & Accident Insurance Series 103 Practice Exam Questions and Answers Already Passed Under which situation must insurable interest exist between the applicant and insured at the time of application? When a third-party applicant names themselves beneficiary. Which of the following is true about a decreasing term life policy? The face amount reaches zero at policy expiration. Which of the following occurs immediately after the application is submitted and the initial premium paid?...

UHC 2024 AHIP - Medicare Basics Assessment (Medicare Advantage [non-SNP], Prescription Drug and Medicare Supplement Plans)

Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo & Robinson Test Bank UNIT I. THE FOUNDATION Chapter 1. The Role of the Nurse Practitioner as Prescriber Chapter 2. Review of the Basic Principles of Pharmacology Chapter 3. Rational Drug Selection Chapter 4. Legal and Professional Issues in Prescribing Chapter 5. Adverse Drug Reactions Chapter 6. An Introduction to Pharmacogenetics Chapter 7. Nutrition and Neutraceuticals Chapter 8. Herbal Therapies and Cannabis Chapter...

Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge? correct answersDr. Brennan can charge Mary Rogers no more than the cost sharing specified in the PFFS plan's terms and condition of payment which may include balance billing up to 15% of the Medicare rate. Mr. Gomez notes that a Private Fee-for-Service (PFFS) plan available in his area has an at...

United Health Care Insurance Exam| Questions and Verified Answers| Grade A (2023/2024 New Update) QUESTION Do consumers have to be an AARP member to enroll in an AARP-branded plan with UnitedHealthcare? Answer: Yes, if the consumer is enrolling in a Medicare Supplement Plan QUESTION How many status levels are in the Authorized to Offer Program? Answer: 2 QUESTION According to AARP, there are how many individual AARP members? Answer: Nearly 37 milli...

DEVOTED HEALTH AGENT CERTIFICATION EXAM (2024/2025) WITH VERIFIED ANSWERS. What type of events must an agent report to UnitedHealthcare? - ANSWEROnly the marketing/sales events, both formal and informal. (WRONG) While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the consumer does not have an email address. What should Jeff do? - ANSWERLeave any field requesting a consumer email address blank. Which election period occurs from October 15 to December 7?...