You MUST tell your PPO plan clients they will
You MUST tell your PPO plan clients they will have to pay more when seeking non-emergent eligible services outside of the network. True
You MUST tell your PPO plan clients they will have to pay more when seeking non-emergent eligible services outside of the network. True
What does the Allegations process allow the plan to do? e. All of the above statements are correct
Agents/Brokers are allowed to offer gifts as a condition of enrollment. False
Agents are permitted to call former members who have voluntarily disenrolled or current members in the process of disenrolling to market plans or products. False
Provider Networks may be accessed through what methods? c. Both A and B may be used
If a beneficiary wants you to hold an enrollment form/application, you must explain that you can either submit or cancel the enrollment form/application following established procedures. True
Not all providers are contracted to serve as a primary care physician (PCP). Use the online tool to find/verify the PCP indicator information. True