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UHC What must be explained to consumers enrolling in an HMO MA plan

Which of the following consumers are eligible for Medicare if other eligibility requirements are met? Consumers age 65 or older, consumers under age 65 with certain disabilities for more than 24 months, and consumers of all ages with ESRD or ALS Which of the following defines a Medicare Advantage Plan? MA plans must provide benefits … Read more

Aetna Care Management

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 B) HMO Which plan type allows members to see preferred doctors in network, doctors out of network and does not require referrals … Read more

Which of the following is/are the benefits of the Appointment Verification Line (AVL)

Which of the… Which of the following is/are the benefits of the Appointment Verification Line (AVL) via a phone call with the beneficiary? (Select all that apply) AVL telephonically records SOA via a phone call with the beneficiary Records and saves the Scope of Appointment (SOA) per CMS regulations via a live agent speaking with … Read more