Aetna

A beneficiary who was previously entitled to Medicare Part A, but not yet Part B, is __________________ Able to enroll in Part D without Part B coverage. Once submitted, who can cancel an enrollment application before the effective date? Both A and C The effective date for enrollments in the Initial Enrollment Period (IEP) must be the first of the month following the month of enrollment, beginning with the Part D eligibility date. True If the requested premium payment method is Socia...

Beneficiary who was previously entitled to Medicare Part A, but not yet Part B, is __________________ Able to enroll in Part D without Part B coverage. Once submitted, who can cancel an enrollment application before the effective date? The client The client's Legal Authorized Representative/POA The effective date for enrollments in the Initial Enrollment Period (IEP) must be the first of the month following the month of enrollment, beginning with the Part D eligibility date. True A...

A beneficiary who currently eligible for Medicare Part A who enrolls into Part B, is __________________ Not granted an additional IEP to enroll into a Part D plan. Once submitted, who can cancel an enrollment application before the effective date? Both A and C If submitted after the first month of eligibility, the effective date for enrollments in the Initial Enrollment Period (IEP) must be the first of the month following the month the enrollment is submitted. True If the requested...

What report(s) are available on Aetna Producer World? All of the above You will need to successfully complete which requirements to be Ready to Sell (RTS) with Aetna Medicare? All of the above Any voluntary disenrollment occurring within three (3) months of the membership effective date is considered a rapid disenrollment and will result in a chargeback of the full commission paid. True To report compliance or fraud, waste, and abuse concerns to Aetna you should: A, B, and D Agent...

What reports are available on Aetna's Producer World? A) Your Medicare book of business B) Month/YTD/Prior year commission report C) Licensing reports D) A and B E) All of the above E) All of the above You will need to successfully complete which requirements to have "ready-to-sell" status with Aetna Medicare? A) The Aetna Individual Medicare certification process for the products you intend to sell B) Have an active contract through the Medicare Producer Contracting site C) B...

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) HMO plan Which plan type allows members to see preferred doctors in network, doctors out-of-network, and does not require referrals to a specialist? PPO plan Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are called MAPD plans. True Aetna case management consists ...

Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? A) PDP plan B) HMO plan C) PPO plan D) ESRD plan B) HMO Which plan type allows members to see preferred doctors in network, doctors out of network and does not require referrals to a specialist? A) PDP plan B) Cost plan C) PPO plan D) HMO plan C) PPO

Broker Services - Reports What report(s) are available on Aetna Producer World? a. Your Medicare book of business b. Monthly Commission Report (Two years of monthly data is available) c. License reports d. A and B e. All of the above E. all of the above Ready To Sell - Agent RTS Requirements You will need to successfully complete which requirements to be Ready to Sell (RTS) with Aetna Medicare? a. Pass the Aetna Individual Medicare certification process for the product(s) you i...

Aetna offers a variety of Aetna and Coventry Medicare Advantage plan types. Which plan type requires a person to use only network providers? (excluding emergency or urgently needed services) HMO plan Which plan type allows members to see preferred doctors out of network and does not require referrals to a specialist? PPO Plan Most Aetna and Coventry Medicare Advantage plans are integrated with prescription drug coverage, so they are called MAPD plans. True Aetna and Coventry case Ma...

Acculturation The process of adapting to a new culture. The process of acculturation occurs through several strategies including the following: assimilation & marginalization Assimilation The members of a group are absorbed into a culture and lose characteristics of the first culture. The group is willing or forced to accept the surface and deep culture of the new culture and give up original culture. Marginalization Groups lacking desirable traits are excluded from society....

passive voice subject received the action instead of performing it monitoring learning strategy: Krashen hypothesizes that language instruction results in the creation of a mental monitor through which the learner filters spoken and written output. The monitor aids learners in achieving accuracy, but may hinder the development of fluency. The ideal is a balance where the student has opportunities for unrestricted fluency and for using the monitor to "edit" and develop accuracy. ...

Harassment Defined: ! "The Equal Employment Opportunity Commission defines harassment as: "Unwelcome conduct that is based on a person's protected class, including: race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, weight, height, misdemeanor arrest record, marital or veteran status or any other characteristic protected by law. What is Harassment Anything that is offensive or unwelcome !" Words !" Actions !" Music !" ...

Once submitted, who can cancel an enrollment application before the effective date? The client An Electronic Scope of Appointment (eSOA) valid for ___________. 14 days If you receive an Enrollment Process Exception Notice, your immediate action will be required in order to avoid any disciplinary actions, which may include___________________. All of the above The cost estimates displayed on most pricing tools, such as M, SilverS, AetnaM and most third-party websites, will typically r...

Once submitted, who can cancel an enrollment application before the effective date? d. Both A and C Marks: 1 Aetna strictly enforces our enrollment procedures. If you receive an Enrollment Process Exception Notice, your immediate action will be required in order to avoid any disciplinary actions, which may include___________________. d. All of the Above The effective date for enrollments in the Initial Enrollment Period (IEP) must be the first of the month following the month of enr...

Beneficiary who was previously entitled to Medicare Part A, but not yet Part B, is __________________ Able to enroll in Part D without Part B coverage. Once submitted, who can cancel an enrollment application before the effective date? The client The client's Legal Authorized Representative/POA The effective date for enrollments in the Initial Enrollment Period (IEP) must be the first of the month following the month of enrollment, beginning with the Part D eligibility date. True A...

A beneficiary who was previously entitled to Medicare Part A, but not yet Part B, is __________________ Able to enroll in Part D without Part B coverage. Once submitted, who can cancel an enrollment application before the effective date? Both A and C The effective date for enrollments in the Initial Enrollment Period (IEP) must be the first of the month following the month of enrollment, beginning with the Part D eligibility date. True If the requested premium payment method is Socia...

Which of the following is true for Low Income Subsidy? All of the above What is a Special Needs Plan (SNP)? All of the above or A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits enrollment to people with specific diseases or characteristics. 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) HMO Which are attributes of t...

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) a. PDP plan b. HMO plan c. PPO plan d. ESRD plan b. 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 MA plan that tailors benefits, provider choice...

A beneficiary who currently eligible for Medicare Part A who enrolls into Part B, is __________________ Not granted an additional IEP to enroll into a Part D plan. Once submitted, who can cancel an enrollment application before the effective date? Both A and C If submitted after the first month of eligibility, the effective date for enrollments in the Initial Enrollment Period (IEP) must be the first of the month following the month the enrollment is submitted. True If the requested...

What report(s) are available on Aetna Producer World Commission Reports How long are you required to maintain Scope of Appointment (SOA) documentation? 2 Years. When obtaining a Scope of Appointment, you may NOT: Market non-health care products, such as annuities or life insurance (cross selling) Annual Election Period is from: October 1 - December 7 What are the requirements you need to complete in order to be ready to sell? Current producers need to maintain their licenses and m...