D snp or c snp Study guides, Class notes & Summaries

By selecting the correct provider during the enrollment process, you can: -  ANSWER All of the above A grievance request, or any evidence concerning a grievance, must be fi led orally or in writing no later than _____ calendar days from the date of the event or the date the member is made aware of the issue. –  ANSWER 60 The Single Sign-On Portal provides access to several applications, including Centene Workbench. –  ANSWER True Failure to inform a beneficiary that a t...

2024 Dual & Chronic Condition Special Needs Plans (D-SNP or C-SNP) complete Assessment

AHIP Final Exam (Latest 2024/2025) | Passed | A+ Rated Guide | New Full Exam AHIP Final Exam (Latest 2024/2025) | Passed | A+ Rated Guide | New Full Exam Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or hi...

By selecting the correct provider during the enrollment process, you can: -  ANSWER All of the above A grievance request, or any evidence concerning a grievance, must be fi led orally or in writing no later than _____ calendar days from the date of the event or the date the member is made aware of the issue. –  ANSWER 60 The Single Sign-On Portal provides access to several applications, including Centene Workbench. –  ANSWER True Failure to inform a beneficiary that a t...

Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? - Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain the standardized request form on the plan's website, fill it out, and submit it to his plan. Mr. Polanski likes the cost of an HMO p...

AHIP Final Exam Prep Questions and Verified Answers| 100% Correct| 2023/ 2024 Latest Update Q: Mr. Wu is eligible for Medicare. He has limited financial resources but failed to qualify for the Part D low-income subsidy. Where might he turn for help with his prescription drug costs? Answer: b. Mr. Wu may still qualify for help in paying Part D costs through his State Pharmaceutical Assistance Program. Q: Mr. Xi will soon turn age 65 and has come to you for advice as to what servi...

AHIP Practice Exam Questions and Answers 100% Correct Mr.Gomez notes that a Private Fee for Service (PFFS) plan avaliable in his area has an attractive preminum. He wants to know if he must use doctors in a network as his current HMO plan requires him to do. What should you tell him? - Correct Answer ️️ - He may receive health care services from any doctor allowed to bill Medicare as long as he shows the doctor the plan's identification card and the doctor agrees to accept the PFFS pl...

2023 Dual and Chronic Condition Special Needs Plans (D-SNP C-SNP) Assessment UHCWhat are Dual Special Needs Plans (D-SNP)? *Medicare Advantage Plans uniquely designed for consumers enrolled in either Medicare or Medicaid. *Medicare Advantage Plans uniquely designed for Medicare consumers with specific long-term illnesses. Medicare Advantage Plans uniquely designed for Medicare consumers residing in contracted Skilled Nursing Facilities. Medicare Advantage Plans uniquely designed for ...

Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? - Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain the standardized request form on the plan's website, fill it out, and submit it to his plan. Mr. Polanski likes the cost of an HMO ...

AHIP - Final examination EXAM QUESTIONS AND ANSWER / GRADED A /LATEST VERSION Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? - CORRECT ANSWER Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain the standardized request form ...