Which of the following consumers would be eligible for Medicare? -Consumers age 65 or older and consumers under 65 years of age with certain disabilities except for ESRD or ALS -Consumers age 65 or older, consumers under 65 years of age with certain disabilities for more than 24 months and consumers of all ages with … Read more
Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare helps cover the costs of his inpatient hospital stay? Part A, The consumer must be in a valid MA election or disenrollment period. Which of the following consumers would be eligible for Medicare? Consumers age 65 or older, … Read more
Aside from a stand-alone Medicare Prescription Drug Plan, how else could a Medicare-eligible consumer get Part D prescription drug coverage? -They could sign up for a pharmacy savings card through their local pharmacy. -There is no other way a Medicare consumer could get Part D prescription drug coverage. -They could enroll in a Medicare Advantage … Read more
Which of the following is not a correct statement about in-network provider services? HMO-POS Plans only cover in-network services. Being 65 or older, being under 65 years of age with certain disabilities for more than 24 months, and being any age with ESRD or ALS are each eligibility requirements for which program? Original Medicare Which … Read more
Can you submit an application using SEP made in 4th quarter during AEP? No, use of this SEP is not permitted by CMS in 4th quarter
False Agents who have never had any verbal warnings cannot be issued a corrective action plan 60 A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than 60 calendar days from the date of the event of the date the member is made aware of the … Read more
True Any request of distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. False When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). Must include most of the required elements necessary to complete … Read more
