Uhc uhc e Study guides, Class notes & Summaries

A nurse has just been certified as a Case Manager. Which of the following activities will the nurse most likely be involved when implementing this role? Select all that apply. a. interact with insurance companies b. utilization review and quality management c. follow only one or two acutely ill patients d. work with community based vendors e. work closely with multiple disciplines f. provide direct patient care at the bedside ANS: A, B, D, E A case manager is responsible for utilization...

UHC 2021 Medicare Basics Test 100% Solved 2024 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 - Answer- the 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 eligib...

UHC ethics and compliance section for certification 1. What is a servicing agent?: an inactive, nonemployee who has signed a servic- ing agreement in order to receive renewal commisions on medicare advantage and prescription drug plan enrollments on or after 1-1-2014. the agent must maintain an active resident license and appointment and pass medicare basics and ethics compliance assessments on an annual basis 2. What does CMS stand for?: center for medicare and medicaid services 3. Who adm...

UHC 2024 Medicare Basics Test All Answers Correct 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 the 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 c...

UHC Extensive MA/MAPD/DSNP Certification Exam Review Questions with Correct Answers 2023/2024 Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? (Excluding emergency or urgently needed services) - correct answer HMO plan What is a Special Needs Plan (SNP)? a. A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits enrollment to people with specific diseases or characteristics. b. An...

UHC 2021 Medicare Basics Practice Test Q&A Latest 2023 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 - the 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 eligibl...

UHC 2021 Medicare Basics Test Questions and Answers with Complete Solutions 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 the 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 M...

What are Dual Special Needs Plans (DSNP)? Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. Meredith, a DSNP member, loses Medicaid eligibility. What impact does this have on her DSNP enrollment? She will enter a grace period during which she is responsible for plan cost sharing, and she will be disenrolled at the end of the grace period if she does not reestablish Medicaid eligibility A DSNP might be in the best interest of which of...

UHC - 2021 Events Basics (English) What type of event must agent conduct when she wants to be able to collect consumer information schedule future appointments and accept enrollment applications marketing/sales event Louise wants to hold an event that helps consumers understand Medicare programs and perhaps an prove their health/Wellness knowledge but she is not interested in completing enrollment applications at the event she would like to staff a table at the Public Library and how consum...

Which statement below accurately describes MassHealth? - ANSWERSMedicaid for those in Massachusetts Which of the following is an eligibility requirement for MassHealth Standard? - ANSWERSResident of the state of Massachusetts Which of the following components of the UnitedHealthcare SCO Plan is considered its foundation? - ANSWERSCare Management Which of the following is not a key component of the UnitedHealthcare SCO care management program? - ANSWERSStandardized care plan that fits al...