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UHC – consumers enrolling in a DSNP

You must advise consumers enrolling in a DSNP that: They are not required to pay copayments for Medicare-covered services received from a DSNP network provider if they are Full Dual-Eligible or determined DSNP eligible by our plan agreement with the state in which they reside. Their provider should bill the state Medicaid program.   Mr. … Read more

AHIP-Question

Mr. Romero is 64, retiring soon, and considering enrollment in his employer-sponsored retiree group health plan that includes drug coverage with nominal copays.  He heard about a neighbor’s MA-PD plan that you represent and because he takes numerous prescription drugs, he is considering signing up for it. What should you tell him? a. Generally, employers … Read more

「美国各州」新移民白卡申請流程須知👨🏼‍🏫

  美國醫療白卡是什麼? 美國白卡是美国联邦和州政府共同拨款的联合医疗补助计划,为低收入人群提供免费或低成本的医疗保险. 孕妇、儿童、老年人、残疾人都可能符合资格,不少州甚至放宽了资格限制,不论身份只要在收入标准以下就能申请。 「點看」紐約州特別救濟計劃 白卡是一個由州政府提供的醫療補助計劃 每个州都可以自行制定具体的医疗补助标准,可能也会有特别的名字。 我們的文章是關於 美国醫療保險的白卡 與移民無關小白卡無關 那是因為新移民可能混淆醫療白卡/{Medicaid}和進入來到美國的{I-94} 小白卡 醫療白卡樣品 小白卡I-94樣品 :(美国出入境记录卡使用手册) 這裡的小白卡指的不是生病看醫生醫療的小白卡,這個小白卡是移民的小白卡(I-94)。 這張卡的外貌就是白色的,現在已經更新為電子版的了,所以現在沒有小白卡這種東西了。到海關的網站下載才有你的小白卡。 一年前左右,就是一張白色的卡會加在你的護照裡面,入境的時候,海關會給你的一張入境的小白卡,角落上寫著I-94。這張小白卡的意思就是你入境的時候有被檢查。所以小白卡的意思就是你入境的時候有被海關檢查。 紐約白卡叫Medicaid in New York State 下面列出了所有其他州,我們並不熟悉,請通過以下鏈接自助 費城白卡叫Pennsylvania Medicaid State Plan。 新澤西白卡叫NJ FamilyCare/Medicaid。 西雅圖白卡叫Washington Apple Health (Medicaid) coverage. 亞特蘭大白卡叫Georgia Medicaid。 波特蘭白卡叫SCHIP。 芝加哥白卡叫Illinois Medicaid。 波士頓白卡叫MassHealth。 夏威夷白卡叫Med-QUEST。 佛羅里達州 (奧蘭多, Jacksonville, Tampa)白卡叫My Florida Families 加州白卡叫Medi-Cal 美國聯邦政府(包括)紐約州正在實施這幾項新規 這些措施將大大減少可以接受長期醫療服務補助的人數。 1. 資產倒查(由原來的30天延長至30個月) 在預算通過之前,當有人尋求加入醫療補助時,紐約州有30天的“追溯期”,以確定該人的收入和資產是否有理由向其提供醫療補助。現在,根據預算,將延長至30個月的追溯期。 如果醫療補助申請人在30個月的追溯期內轉移了任何資產(或其配偶試圖在此30個月的時期內處置資產),則醫療補助申請人將被拒絕。 這個新程序將使個人更難註冊白卡,因為他們將不得不做更多的提前計劃來處置其資產,才能有資格獲得白卡資格。我的理解是,此資格僅在以後適用。因此,在此30個月的追溯期內,將不會評估任何現有或新患者。 … Read more

You are doing a sales presentation for Mrs. Pearson. You know that Medicare marketing guidelines prohibit

You are doing… You are doing a sales presentation for Mrs. Pearson. You know that Medicare marketing guidelines prohibit certain types of statements. Apply those guidelines to the following statements and identify which would be prohibited. “If you’re not in very good health, you will probably do better with a different product.”

Mrs. Mulcahy is concerned that she may not qualify

Mrs. Mulcahy is…. Mrs. Mulcahy is concerned that she may not qualify for enrollment in a Medicare prescription drug plan because, although she is entitled to Part A, she is not enrolled under Medicare Part B. What should you tell her? Everyone who is entitled to Part A or enrolled under Part B is eligible … Read more

The SilverScript agent

Once submitted, who can cancel an enrollment application before the effective date? a. The client Aetna strictly enforces our enrollment procedures. If you receive an Enrollment Process Exception Notice, your immediate action will be required in order to avoid any disciplinary actions, which may include___________________. d. All of the Above The effective date for enrollments … Read more