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

WellCare offers the… WellCare offers the following methods for agent-assisted enrollment applications: (select all that apply.) -eApp Mobile/Tablet – Paper application Fax Submission – eApp Desktop – Paper Application PDF Upload

The True Out-of-Pocket… The True Out-of-Pocket (TrOOP) for 2020 will be: $6,350

Which of the… Which of the following is/are the benefits of the Appointment Verification Line (AVL) via a phone call with the beneficiary? (Select all that apply) AVL telephonically records SOA via a phone call with the beneficiary Records and saves the Scope of Appointment (SOA) per CMS regulations via a live agent speaking with … Read more

A covered entity… A covered entity (CE) must have an established complaint process. True

A Medicare beneficiary…. A Medicare beneficiary has walked into your office and requested that you sit down with her and discuss her options under the MA program. Before engaging in such a discussion, what should you do? You must have her sign a scope of appointment form, indicating which products she wishes to discuss, and … Read more

Any person who… Any person who knowingly submits false claims to the Government is liable for five times the Government’s damages caused by the violator plus a penalty. False