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Did not consent to enroll in the plan. Mrs. Roswell is a new Medicare beneficiary who has just retired from retail work. You have completed the required training for each plan, but you did not achieve a passing score on the tests that came after the training. Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Formulary is defined as: Question #299. Mr. Barker had surgery recently and expected that he would have certain services and items covered by the plan with minimal out-of-pocket costs because his MA-PD coverage has been very good. 00 for less than 30 quarters. Ms. Hernandez has marketed several different types of insurance products in her home state and has typically sought approval of her materials from her State Department of Insurance. She wants to know what she will have to do to enroll in a Medicare Advantage (MA) plan as soon as possible. Mr. Greco is in excellent health, lives in his own home, and has a sizeable income from his investments. Onboarding and Certifications. You can help prevent fraud, waste, and abuse (FWA) by doing all the following: Look for suspicious activity.

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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. He asks you to explain it to him since he is interested in enrolling in a plan that is newly available in his area. Which resources are available for download from the Shared Resources section found within Centene Workbench?

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Mr. Garrett has just entered his MA Initial Coverage Election Period (ICEP). He may choose withholding from his Social Security check. Mr. Barker enjoys a comfortable retirement income. It is determined that the member is not lawfully present in the United States. Which standalone Prescription Drug Plan is best for a dual-eligible chooser? Mr. Wong's taxable income is in excess of $100, 000. One employer provides you with a list of their retirees and asks you to contact them to explain the characteristics of the plan they have selected. They've asked you to come to their home to clear up a few questions.

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During an appointment, you may not discuss any products not agreed to in advance by the beneficiary. Mr. Jenkins has coverage for medical services and medications through his employer's retiree plan. Mr. Yu has limited income and resources so you have encouraged him to see if he qualifies for some type of financial assistance. What is the purpose of the Chronic Condition Verification form? When marketing Medicare Advantage and Part D plans, what are you permitted to do with respect to meals? WHICH MEDICARE PROGRAMS ARE COVERED BY ACA SECTION 1557? During the presentation, Mrs. Nunez feels tired and tells you that her husband can finish things up. Mrs. Burton is a retiree with substantial income.

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Agent Roderick enrolls retiree Mrs. Martinez in a medical savings account (MSA) Medicare health plan. A broker/agent may be terminated for cause if they fail to comply with a compliance investigation, encourage others to avoid the compliance interview process, or fail to provide truthful or complete information. Which is true about Medicare Supplement Open Enrollment? He wants to know if the Point of Service (POS) option available with some HMOs will be of any help in this situation. What should her agent remind her about? Mrs. Turner is comparing her employer's retiree insurance to. What impact, if any, will recent regulatory changes have upon Medigap plans?

They do not need to be. To complete an Enrollment Application on behalf of a consumer, what authority must the individual have? Sets found in the same folder. You plan to participate in an educational event sponsored by. According to Medicare's enrollment guidelines, when could she do this? Eleanor takes several high-cost prescription drugs. Mrs. Lopez is enrolled in a cost plan for her Medicare benefits. Mrs. Roberts has Original Medicare and would like to enroll in a Private Fee-for-Service (PFFS) plan. C. Minimize call volumes/complaints.

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