- Study guides, Class notes & Summaries

Looking for the best study guides, study notes and summaries about ? On this page you'll find 13 study documents about .

All 13 results

Sort by:

Exam (elaborations)

Anthem - Foundation/Basics Assessment 2026
-

-

-

2

April 2026

2025/2026

A+
Anthem - Foundation/Basics Assessment 2026 Which of the following statements is NOT true about a disenrollment? - Correct Answer Disenrollment requests can be taken verbally How does a cancellation differ from a disenrollment? - Correct Answer Both A and B are correct The Dual/LIS Special Election Period (SEP) begins the month the beneficiary becomes eligible for Low Income Subsidy (LIS) or receives any type of assistance from Medicaid. It is available one time per-calendar-quarter duri...
PROFFESORMAURINE
CA$14.33 More Info

Exam (elaborations)

Anthem - Tools for Compliant Selling with correct answers 100%
Available in bundle

-

-

-

2

April 2026

2025/2026

A+
Available in bundle
Anthem - Tools for Compliant Selling with correct answers 100% What do we require for you to be considered qualified or "ready to sell?" - Correct Answer All of the above Which of these statements is/are true about the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and its impact on Medigap plans effective 2020? - Correct Answer All of the above statements are true Different formulary tiers require different copayments or may be subject to deductible or even coinsura...
PROFFESORMAURINE
CA$13.61 More Info

Exam (elaborations)

Anthem - Risk Prevention with correct answers 100% 2026
Available in bundle

-

-

-

2

April 2026

2025/2026

A+
Available in bundle
Anthem - Risk Prevention with correct answers 100% 2026 If a beneficiary currently has drug coverage through another carrier, you must verify their prescriptions would be covered under our plan's formulary, too. The drugs that are actually covered may vary from one carrier to another or one plan to another. - Correct Answer True You MUST tell your PPO plan clients they will have to pay more when seeking non-emergent eligible services outside of the network. - Correct Answer True You ...
PROFFESORMAURINE
CA$14.33 More Info

Exam (elaborations)

Evevance Health 2025 Foundation/Basics Quiz with correct answers 100% 2026
Available in bundle

-

-

-

2

April 2026

2025/2026

A+
Available in bundle
Evevance Health 2025 Foundation/Basics Quiz with correct answers 100% 2026 Which of the following statements is NOT true about a disenrollment? - Correct Answer Disenrollment requests can be taken verbally How does a cancellation differ from a disenrollment? - Correct Answer Both A and B are correct The Special Election Period (SEP) for Dual Eligible and Other LIS Eligible Individuals previously allowed one time per-calendar-quarter during the first nine months of the year is being repl...
PROFFESORMAURINE
CA$14.33 More Info

Exam (elaborations)

2023-2024 BCBS/HCSC with correct answers 100%
Available in bundle

-

-

-

3

April 2026

2025/2026

A+
Available in bundle
BCBS/HCSC with correct answers 100% How many levels are in the Appeals Process for a member - Correct Answer 5 True or False - For 2023 the HCSC/HISC Medicare Part C and D mail-order programs are administered by Alliance RX Walgreens Prime and ESI mail-order. - Correct Answer True The Medicare Advantage Open Disenrollment Period is available ______. - Correct Answer January 1 to March 31 True or False - The Blue Cross MedicareRx product portfolio only consists of two plan designs B...
PROFFESORMAURINE
CA$13.61 More Info

Exam (elaborations)

Aetna Medicare - 2026 Individual MA/MAPD/DSNP - Mastery Test with correct answers 100%
Available in bundle

-

-

-

3

April 2026

2025/2026

A+
Available in bundle
Aetna Medicare - 2026 Individual MA/MAPD/DSNP - Mastery Test with correct answers 100% What is the main purpose of Chronic Condition Special Needs Plans (C-SNPs)? a. To support Medicare-eligible individuals with CMS-approved chronic conditions through tailored benefits and enhanced care coordination b. To replace all other Medicare Advantage plans by 2026 c. To offer temporary health plans for people recovering from surgery d. To provide basic Medicare coverage for all eligible ind...
PROFFESORMAURINE
CA$13.61 More Info

Exam (elaborations)

Blue Cross/Blue Shield - Questions w/ Answers with correct answers 100%
Available in bundle

-

-

-

2

April 2026

2025/2026

A+
Available in bundle
Blue Cross/Blue Shield - Questions w/ Answers with correct answers 100% What is a timely filling requirement? - Correct Answer The time frame a provider has to submit a claim. A______is correspondence sent from the insurance payer to the patient after they receive healthcare services to explain the status of a claim. - Correct Answer Explanation of Benefits (EOB) Based on the Explanation of Benefits example below, what is the amount that is adjusted off by the provider? - Correct Answer...
PROFFESORMAURINE
CA$13.61 More Info

Exam (elaborations)

2026 HCSC MAPD/PDP Exam with correct answers 100%
Available in bundle

-

-

-

3

April 2026

2025/2026

A+
Available in bundle
2026 HCSC MAPD/PDP Exam with correct answers 100% The Medicare Advantage Open Enrollment Period is available________. - Correct Answer January 1 to March 31 The HCSC Medicare Part C and D mail-order programs are administered by Walgreens Mail Delivery, Amazon Pharmacy and ESI Home Delivery. - Correct Answer True How many levels are in the Appeals Process for a member? - Correct Answer 5 Mr. Lee will turn 65 at the end of March and signed up for an MA plan in January during his Initi...
PROFFESORMAURINE
CA$14.33 More Info

Exam (elaborations)

2026 Individual Prescription Drug Plans – Mastery Test with correct answers 100%
Available in bundle

-

-

-

3

April 2026

2025/2026

A+
Available in bundle
2026 Individual Prescription Drug Plans – Mastery Test with correct answers 100% Members can fill a prescription for up to a 10-day supply for a month's copay when traveling and cannot access a network pharmacy. True False - Correct Answer True Phone enrollments are allowed for any beneficiary. True False - Correct Answer False Where is the Aetna Medicare Individual SilverScript® Prescription Drug Plan available? a.All states, except California b.All fifty states and D...
PROFFESORMAURINE
CA$14.33 More Info

Exam (elaborations)

Florida Insurance Exam with correct answers 100% 2026
Available in bundle

-

-

-

18

April 2026

2025/2026

A+
Available in bundle
Florida Insurance Exam with correct answers 100% 2026 Faxination - Correct Answer Faxing from outlook HEDIS - Correct Answer Healthcare Effectiveness Data and Information Se Medicare STARS - Correct Answer Pivot Tables - Correct Answer Vlookup - Correct AnswerA Business Disability Buyout plan policy is designed: - Correct Answer to pay benefits to the Corporation or other shareholders A license may be denied, suspended, or revoked if the licensee - Correct Answer is found...
PROFFESORMAURINE
CA$14.33 More Info