AHIP 2022 Mr. Chen is enrolled in his employer's group health plan and will be retiring soon. He would like to know his options since he has decided to drop his retiree coverage and is eligible for M... edicare. What should you tell him? - ANS-Mr. Chen can disenroll from his employer-sponsored coverage to elect a Medicare Advantage or Part D plan within 2 months of his disenrollment. Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to access providers. What should you tell him? - ANS-In most Medicare Advantage HMOs, Mr. Kumar must generally obtain his services only from providers within the plan's network (except in an emergency or where care is unavailable within the network). ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees' information to market non-health related products such as life insurance and annuities. Which statement best describes ABC's obligation to its enrollees regarding marketing such products - ANS-XXXIt must obtain a HIPAA complaint authorization from an enrollee that indicates the plan or plan sponsor may use their information for marketing purposes. Mr. Yoo's employer has recently dropped comprehensive creditable prescription drug coverage that was offered to company retirees. The company told Mr. Yoo that, because he was affected by this change, he would qualify for a Special election period. Mr. Yoo contacted you to find out more about what this means. What can you tell him? - ANS-It means that he qualifies for a one-time opportunity to enroll in an MA-PD or Part D prescription drug plan. Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge - ANS-Dr. Brennan can charge Mary Rogers no more than the cost sharing specified in the PFFS plan's terms and condition of payment which may include balance billing up to 15% of the Medicare rate. Mr. Rainey is experiencing paranoid delusions and his physician feels that he should be hospitalized. What should you tell Mr. Rainey (or his representative) about the length of an inpatient psychiatric hospital stay that Medicare will cover? - ANS-Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's entire lifetime. Mr. Moreno invited his neighbor, Agent Tom Smith, to discuss Medicare Advantage (MA) and Part D plans that Agent Smith sells at the regular Tuesday brunch the neighbors have for senior citizens. What should Agent Tom Smith tell Mr. Moreno about the kinds of food that can be provided to potential enrollees who attend the sales presentation? - ANS-A meal cannot be provided, but light snacks would be permitted. You have approached a hospital administrator about marketing in her facility. The administrator is uncomfortable with the suggestion. How could you address her concerns? - ANS-Tell her that Medicare guidelines allow you to conduct marketing activities in common areas of a provider's facility. Mr. and Mrs. Vaughn both take a specialized multivitamin prescription each day. Mr. Vaughn takes a prescription for helping to regrow his hair. They are anxious to have their Medicare prescription drug plan cover these drug needs. What should you tell them? - ANS-Medicare prescription drug plans are not permitted to cover the prescription medications the Vaughns are interested in under Part D coverage, however, plans may cover them as supplemental benefits and the Vaughn's could look into that possibility. Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug coverage and also enroll in a stand-alone Medicare prescription drug plan. Under what circumstances can she do this? - ANS-If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a Medical Savings Account plan, Mrs. Berkowitz can do this. Which of the following is/are most likely to be characterized as an involuntary disenrollment from a Medicare Advantage (MA) plan? I. The enrollee dies. II. An SNP enrollee loses special needs status due to substantially improved health. III. It is determined that the member is not lawfully present in the United States. IV. The member enrolls in another plan during the Annual Open Enrollment period. - ANS-I, II, and III only Ms. Brooks has an aggressive cancer and would like to k ANS-Medicare covers hospice services and they will be available for her. [Show More]
Last updated: 1 year ago
Preview 1 out of 16 pages
*NURSING> QUESTIONS & ANSWERS > ATI COMPREHENSIVE REVIEW FORM A 180 Questions and Answers Study Guide (All)
ATI COMPREHENSIVE REVIEW FORM A 180 Questions and Answers Study Guide
By TopScholar , Uploaded: Apr 25, 2021
*NURSING> QUESTIONS & ANSWERS > Prescription: ACSM guidelines for exercise testing and prescription. Exam Questions & Answers, 100% Accurate. (All)
Prescription: ACSM guidelines for exercise testing and prescription. Exam Questions & Answers, 100% Accurate. Exercise Duration - ✔✔-1. 30-60 minutes of continuous or intermittent activity (10 mi...
By Topmark , Uploaded: Mar 13, 2023
*NURSING> QUESTIONS & ANSWERS > University of Texas, Arlington - NURS 4325 Knowledge Check 1 Answers (All)
NURS 4325 Knowledge Check #1 Chapters 1-8/APA Question 1 4 / 4 pts Common practice for in-text citations for a single author using APA style includes: (author last name, year of publication) (au...
By Nutmegs , Uploaded: Mar 14, 2022
*NURSING> QUESTIONS & ANSWERS > Maryville NURS 620 Exam 4 Questions and answers latest 2021&2023 (All)
23-year-old, sexually active female who presents for her first pap smear. Her history includes no pregnancies. Her first intercourse was at age 14 and has had at least 10 sexual partners if not 12 p...
By clairel^ , Uploaded: Jan 20, 2023
*NURSING> QUESTIONS & ANSWERS > ATI Test Bank, Hearing and Balance Disorders, Questions and Answers with Explanations, 100% Correct, Download to Score A (All)
ATI Test Bank, Hearing and Balance Disorders, Questions and Answers with Explanations, 100% Correct, Download to Score A
By TopScholar , Uploaded: Dec 05, 2020
*NURSING> QUESTIONS & ANSWERS > Community HESI Study Guide Already Passed (All)
Community HESI Study Guide Already Passed Scopolamine (Transderm-V) ✔✔Medication used to control motion sickness. Must be taken prior to the onset of nausea and vomiting. Most effective if taken 12...
By Nutmegs , Uploaded: Feb 04, 2023
*NURSING> QUESTIONS & ANSWERS > Kaplan Psych STUDY GUIDE QUESTIONS AND ANSWERS (ALL CORRECT) UPDATED 2022 (All)
Kaplan Psych STUDY GUIDE QUESTIONS AND ANSWERS (ALL CORRECT) UPDATED 2022 1 / 64 1. Freud: Id: unconscious, immediate, pleasure principle Ego: conscious, compromising, based in reality Superego:...
By Alphascore , Uploaded: Nov 02, 2022
*NURSING> QUESTIONS & ANSWERS > NURS 6560 Midterm Exam with answers – Walden University A+ GRADED (All)
NURS 6560 Midterm 18 Exam with answers – Walden University (A Grade / School graded) Question 1 S. is a 59-year-old female who has been followed for several years for aortic regurgitation. Serial...
By Nutmegs , Uploaded: Jan 06, 2022
*NURSING> QUESTIONS & ANSWERS > NURSING 101 Basic Nsg Skill Nursing Past & Present updated 2020 solutions questions, answers and rationales (All)
NURSING 101 Basic Nsg Skill Nursing Past & Present updated 2020 solutions questions, answers and rationales Chapter 1. Nursing Past & Present Multiple Choice Identify the choice that best comple...
By Exampro , Uploaded: Mar 21, 2023
*NURSING> QUESTIONS & ANSWERS > ATI Medical Surgical Nursing, Care of Patients with Hematologic Problems, 2021 Update Study Guide, Correctly Answered Questions, All Correct Test bank Questions and Answers with Explanations (latest Update), 100% Correct, Download to Score A (All)
ATI Medical Surgical Nursing, Care of Patients with Hematologic Problems, 2021 Update Study Guide, Correctly Answered Questions, All Correct Test bank Questions and Answers with Explanations (latest U...
By TopScholar , Uploaded: Jan 19, 2021
Connected school, study & course
About the document
Sep 19, 2022
Number of pages
This document has been written for:
Sep 19, 2022
Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students
Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.
Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality
Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.
Florida State University
Great way to get paid for all of the hard work!.
It is an excellent site to post assignment.
Florida State University
Awesome and a great way to make money!.
Thank you so much for this nice platform.
University Of South Florida
Great! It is a good place to share knowledge.
University of Windsor
G D Goenka University
It is helpful Platform for offering the notes
Louisiana State University
I love this site, they make everything so easy
Florida State University
Great tool for learning! I wish you success.
In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.
Copyright © Browsegrades · High quality services·