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Wellcare’s 2022 product expansion

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

Which of the following consumers would be eligible for Medicare

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

UHC – Which of the following defines a Medicare Advantage (MA) Plan?

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

UHC – Aside from a stand-alone Medicare Prescription Drug Plan, how else could a

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

UHC – Which of the following is not a correct statement about in-network provider services?

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

Mrs. Roswell is a new Medicare beneficiary …

Mrs. Roswell is … Mrs. Roswell is a new Medicare beneficiary who has just retired from retail work. She is interested in selecting a Medicare Part D prescription drug plan. She takes a number of medications and is concerned that she has not been able to identify a plan that covers all of her medications. … Read more

Humana – SEP AEP

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