Aetna

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 Correct Answer: 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...

A beneficiary who was previously entitled to Medicare Part A, but not yet Part B, is __________________ Correct Answer: Able to enroll in Part D without Part B coverage. Once submitted, who can cancel an enrollment application before the effective date? Correct Answer: 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. Correct Answer: True If ...

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 Correct Answer: 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 Correct Answer: C) PPO Most Aetna Medicare Advantage plans are integrated with prescription drug co...

beneficiary who was previously entitled to Medicare Part A, but not yet Part B, is __________________ Correct Answer: Able to enroll in Part D without Part B coverage. Once submitted, who can cancel an enrollment application before the effective date? Correct Answer: 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 Par...

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 Correct Answer: 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 Contra...

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) Correct Answer: HMO plan Which plan type allows members to see preferred doctors out of network and does not require referrals to a specialist? Correct Answer: PPO Plan Most Aetna and Coventry Medicare Advantage plans are integrated with prescription drug coverage, so they are called MAPD plans. Corr...

HMO Traditional Correct Answer: Network providers , PCP SELECTION, REFERRALS REQUIRED some services are considered direct access and don't need a referral; FLU AND PNEUMONIA SHOTS emergency and urgent care mammograms or not in their service area.PCP COPAY WILL APPLY OR SPECIALIST CO PAY WILL APPLY OPEN ACCESS HMO; Network providers, no PCP selection, no referrals Visit Aetna's Once confirmed ready to sell visit indivi medicare section on Aetna's producer world Beginning Oct. 1 indi ...

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 ca ncel 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. -

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 Wh ich 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 Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are called MAPD plans. T...

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 enro llment 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. -

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