- Study guides, Class notes & Summaries

Jennifer is enrolling into a Medicare Advantage (MA) plan and wants to know what counts toward the Out-of-Pocket Maximum. Which of the following is accurate? A. All Out-of-Pocket costs she pays toward her health care and prescription drug expenses would count toward the Out-of-Pocket Maximum. B. Jennifer's costs for prescription drugs and any benefits not covered by Original Medicare will count toward the Out-of-Pocket Maximum. C. The Out-of-Pocket Maximum includes any costs she p...

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7 pages

Written in 2023/2024

Grade A+

SirAnton

a consumer currently has original Medicare and is enrolled in a stand alone prescription drug plan what will happen if the consumer enrolls in an MA plan that has integrated prescription drug coverage - ANSWERSthe consumer will be automatically disenrolled from the standalone PDP upon in Roman in the MA plan that has integrated prescription drug coverage aside from a standalone Medicare prescription drug plan how else could a Medicare eligible consumer get Part D prescription drug coverage - ...

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6 pages

Written in 2022/2023

Grade A+

STUVIASCORES

UHC Chronic Condition and Dual Special Needs Plans (CSNP-DSNP) Fall 2021-2023 UHC 2023 Chronic Condition and Dual Special Needs Plans Certification with Complete Solutions

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2 items

LUCKYSTAR2022

When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that lose Medicaid eligibility? - ANSWER-Wrong - The month after they are notified by the plan of the loss of Medicaid eligibility; Wrong - After the Grace Period ends Which consumer might benefit the most by enrolling in a DSNP? - ANSWER-A: Joe, who receives Qualified Medicaid Beneficiary benefits (QMB+) Which statement best describes a care management program that varies depending upon the level of...

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3 pages

Written in 2022/2023

Grade A+

LUCKYSTAR2022