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One of your colleagues argues that face to face meetings with potential enrollees should be required because

One of your… One of your colleagues argues that face to face meetings with potential enrollees should be required because they can’t make an appropriate decision with the minimal information that can be provided over the phone or in small brochures. This is INCORRECT. Brokers and agents CAN’T require face to face meetings in order … Read more

Aetna Medicare Advantage plan

Group-Health - Aetna-Transparent

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

Under HIPAA, a CE is a health plan, a health care clearinghouse, or a health care provider engaged in standard electronic transactions covered by HIPAA.

Under HIPAA, a… Under HIPAA, a CE is a health plan, a health care clearinghouse, or a health care provider engaged in standard electronic transactions covered by HIPAA. The minimum necessary standard: All of the above The minimum necessary standard limits uses, disclosures, and requests for PHI to the minimum necessary amount of PHI needed … Read more

Mrs. Schneider has Original Medicare Parts A and B and has just qualified for her state’s Medicaid

Mrs. Schneider has… Mrs. Schneider has Original Medicare Parts A and B and has just qualified for her state’s Medicaid program, so the state is now paying her Part B premium and she is considered a dual eligible. Will gaining eligibility for this program affect her ability to enroll in a Medicare Advantage or Medicare … Read more

Mr. and Mrs. Nunez attended one of your sales presentations

Mr. and Mrs. Nunez… Mr. and Mrs. Nunez attended one of your sales presentations. They’ve asked you to come to their home to clear up a few questions. During the presentation, Mrs. Nunez feels tired and tells you that her husband can finish things up. She goes to bed. At the end of your discussion, … Read more