Bribes or kickbacks… Bribes or kickbacks of any kind for services that are paid under a Federal healthcare program (which includes Medicare) constitute fraud by the person making as well as the person receiving them. True
WEISS is entitled…. WEISS is entitled to Part A and has medical coverage w/o drug coverage through an employer retiree plan. She is not enrolled in Part B. Since the employer plan does not cover Rx’s, she wants to enroll in a Medicare Rx plan. Will she be able to? YES, Mrs. Weiss must be … Read more
If a beneficiary… If a beneficiary has agreed to an in-home appointment to discuss a PDP product, an agent can discuss an HMO product with them during that same meeting, if the beneficiary requests it and a new scope of appointment form is completed. False
How does a…. How does a cancellation differ from a disenrollment? Both A and B are correct
One of your… One of your colleagues argues that face to face meetings with potential enrollees should be required because they can’t make an appropriate decision with the minimal information that can be provided over the phone or in small brochures. This is INCORRECT. Brokers and agents CAN’T require face to face meetings in order … Read more
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
The HIPAA Security… The HIPAA Security Rule applies to which of the following: PHI transmitted electronically
