if you want to remove an article from website contact us from top.

    this year you decide to focus your efforts on marketing to employer and union groups. which of the following statements best describes what you can and cannot do in order to stay in compliance?

    James

    Guys, does anyone know the answer?

    get this year you decide to focus your efforts on marketing to employer and union groups. which of the following statements best describes what you can and cannot do in order to stay in compliance? from EN Bilgi.

    You have been blocked

    Click here 👆 to get an answer to your question ✍️ This year you decide to focus your efforts on marketing to employer and union groups. Which of the following …

    04/10/2020 Health Middle School

    answered • expert verified

    This year you decide to focus your efforts on marketing to employer and union groups. Which of the following statements best describes what you can and cannot do in order to stay in compliance?

    Log in to add comment

    Expert-verified answer

    Group of answer choices.

    A. You are not required to submit copies of disseminated materials to CMS at the time of use, but CMS may request and review copies if employee complaints occur.

    B. You do not need to complete a scope of appointment, but CMS can ask you to reconstruct one if there is a subsequent employee complaint.

    C. You can make unsolicited contacts but you cannot cross-sell other products.

    D. You do not need to take an annual test, but you must not provide potential enrollees with more than light snacks at presentations.

    The statement which best describes what you can and cannot do in order to stay in compliance is: A. You are not required to submit copies of disseminated materials to CMS at the time of use, but CMS may request and review copies if employee complaints occur.

    AHIP is an acronym for America's Health Insurance Plans and it was established in 2013 as a national trade association for health insurance plans, with its headquarter situated in Washington DC, United States of America.Medicare can be defined as a government-sponsored insurance program or plan that was established to provide healthcare services to the elderly and the disabled people living in the United States of America.

    In this scenario, you have decided to focus your efforts on marketing health related plans such as insurance programs, prescription drug plans (PDPs), or Medicare advantage (MA) to employer and union groups.

    According to the America's Health Insurance Plans (AHIP), as a certified marketer you are not required by any law or standard to submit copies of disseminated materials to the Centers for Medicare & Medicaid Services (CMS) for the current period of use.

    However, if any of the employees, employer or union groups make a complain to the Centers for Medicare & Medicaid Services (CMS) about your service, CMS may request and review copies of the materials you disseminated.

    Find more information: brainly.com/question/17150582

    0.0 (0 votes)

    Log in to add comment

    Advertisement

    Answer

    Answer: You are not required to submit communication and marketing materials specific only to those employer plan to CMS at the time of use, However, CMS may request and review copies later  Explanation:

    punineep and 1 more users found this answer helpful

    0.0 (0 votes)

    Log in to add comment

    Advertisement Survey

    Did this page answer your question?

    Still have questions?

    Get more Answers for FREE

    Snap questions with the app

    Get help from the community

    Find expert explanations for textbooks

    View instant step-by-step math solutions

    Already have an account?

    New questions in Health

    I have a question and if anyone can answer it that would be a blessing. how do I not end up like my real dad??? he was a dru.nk and right now this so…

    ng DNA by Lia Marie Johnson. And the lyrics: I won't be, no, I won't be like you Fighting back, I'm fighting back the truth Eyes like yours can look away But you can't stop DNA No, you can't stop DNA Are the pieces of you In the pieces of me? I'm just so scared You're who I'll be When I erupt Just like you do They look at me Like I look at you are true for now and my future, please help if you can.

    Can someone please give me a list of exercises that do not use the core?

    Can someone please give me a list of exercises that do not use the core?

    Although chemically similar, (Methamphetamines or amphetamines) enter the brain more quickly than (Methamphetamines or amphetamines) making them more …

    susceptible to abuse, more addictive, and more dangerous.

    Select all correct responses. Which substances are classified as depressants? a-Pentobarbital b-Adderall c-Xanax d-Vicodin e-LSD f-Percocet

    The main active chemical in marijuana is THC (delta-9-tetrahydrocannabinol). When someone smokes marijuana, THC goes from: A) The bloodstream to the …

    lungs B) The lungs to the liver C) The lungs to the bloodstream D) The heart to the brain

    is it normal that sugar doesn't make me hyper but lime and chili do ?

    Marta is recovering from a very bad flu. Is she likely to need rehabilitation? A. It depends on how high her temperature spiked. B. Yes, any serious…

    illness requires rehabilitation. C. Only if she was sick for more than two weeks. D. No, rehabilitation is more for rebuilding muscle.

    please help me with this asap

    help what does this mean. Are there values in your family that, though no one speaks openly about them, they are clear anyway?

    Source : brainly.com

    AHIP MEDICARE TRAINING 2021 Flashcards

    Start studying AHIP MEDICARE TRAINING 2021. Learn vocabulary, terms, and more with flashcards, games, and other study tools.

    AHIP MEDICARE TRAINING 2021

    5.0 1 Review

    Ms. Jensen has heard about "Original Fee-for-Service Medicare" and "Private Fee-for-Service" plans. She wants to know what the difference is if any. What should you tell her?

    Click card to see definition 👆

    PFFS plans are a type of Medicare Advantage plan offered by private companies.

    Click again to see term 👆

    This year you decide to focus your efforts on marketing to employer and union groups. Which of the following statements best describes what you can and cannot do in order to stay in compliance?

    Click card to see definition 👆

    You are not required to submit communication and marketing materials specific only to those employer plans to CMS at the time of use, but CMS may request and review copies if employee complaints occur.

    Click again to see term 👆

    1/118 Created by huki75

    Terms in this set (118)

    Ms. Jensen has heard about "Original Fee-for-Service Medicare" and "Private Fee-for-Service" plans. She wants to know what the difference is if any. What should you tell her?

    PFFS plans are a type of Medicare Advantage plan offered by private companies.

    This year you decide to focus your efforts on marketing to employer and union groups. Which of the following statements best describes what you can and cannot do in order to stay in compliance?

    You are not required to submit communication and marketing materials specific only to those employer plans to CMS at the time of use, but CMS may request and review copies if employee complaints occur.

    Agent Suma has recently had several clients request his assistance in completing their paper enrollment form. What advice would you give him?

    Agent Suma is only permitted to fill out the applicant's name and contact information. The applicant must fill in the remaining information in order to protect his or her privacy.

    Mrs. Quinn recently turned 66 and decided after many years of work to begin receiving Social Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her that she has been automatically enrolled in Medicare Part B. She wants to understand what this means. What should you tell Mrs. Quinn?

    Part B primarily covers physician services. She will be paying a monthly premium and, with the exception of many preventive and screening tests, generally will have 20% coinsurance for these services, in addition to an annual deductible.

    Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? What could you tell her?

    Original Medicare covers ambulance services.

    Mr. Diaz continued working with his company and was insured under his employer's group plan until he reached age 68. He has heard that there is a premium penalty for those who did not sign up for Part B when first eligible and wants to know how much he will have to pay. What should you tell him?

    Mr. Diaz will not pay any penalty because he had continuous coverage under his employer's plan.

    Anita Magri will turn age 65 in August 2020. Anita intends to enroll in Original Medicare Part A and Part B. She would also like to enroll in a Medicare Supplement (Medigap) plan. Anita's older neighbor Mel has told her about the Medigap Part F plan in which he is enrolled. It not only provides foreign travel emergency benefits but also covers his Medicare Part B deductible. Anita comes to you for advice. What should you tell her

    You are sorry to disappoint Anita but a Medigap Part F plan is no longer available to those who turn age 65 after January 1,2020. Anita might instead consider other Medigap plans that offer foreign travel benefits but do not cover the Part B deductible.

    Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand what coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife's needs. What could you tell Mr. Moy?

    Medicare Supplemental Insurance would help cover his Part A and Part B cost sharing in Original Fee-for-Service (FFS) Medicare as well as possibly some services that Medicare does not cover.

    Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social Security Administration and has been receiving disability payments. He is wondering whether he can obtain coverage under Medicare. What should you tell him?

    After receiving such disability payments for 24 months, he will be automatically enrolled in Medicare, regardless of age.

    Mr. Schmidt would like to plan for retirement and has asked you what is covered under Original Fee-for-Service (FFS) Medicare? What could you tell him?

    Part A, which covers hospital, skilled nursing facility, hospice, and home health services and Part B, which covers professional services such as those provided by a doctor are covered under Original Medicare.

    Sign up and see the remaining cards. It’s free!

    By signing up, you accept Quizlet's

    Terms of Service and Privacy Policy

    Continue with Google

    Continue with Facebook

    Sets with similar terms

    Medicare scenarios 53 terms mamagillry AHIP questions 200 terms madersam AHIP Testing 2018 186 terms connor_baade7

    Source : quizlet.com

    UHC

    Which of the following consumers is best suited for a CSNP?

    UHC-CSNP-Mary

    January 26, 2021 by Queenie

    10,348 Views

    Contents hide

    1 Which of the following consumers is best suited for a CSNP?

    2 Related posts:

    Which of the following consumers is best suited for a CSNP?

    Mary

    Mr. Shapiro gets by on a very small amount of fixed income. He has heard there may be extra help paying for Part D prescription drugs for Medicare beneficiaries with limited income. He wants to know whether he might qualify. What should you tell him?

    c. The extra help is available to beneficiaries whose income and assets do not exceed annual limits specified by the government.

    During a sales presentation, you client ask you whether the Medicare agency recommends that she sign up for your plan or stay in Original Medicare.

    Tell her that the Medicare agency does not endorse or recommend any plan

    Ms. Levi often travels to visit relatives and is concerned that she may need emergency care outside of her plan’s service area. What should you tell her about coverage of emergency care?

    Cover the following services even when

    provided by non-network providers:

    • emergency services;

    • out-of-area urgently needed services; and

    • out-of-area renal dialysis.

    Have access to doctors, specialists and hospitals:

    Get emergency care when and where

    Chen will be 65 soon, has been a citizen for twelve years, has been employed full time, and paid taxes during that entire period. She is concerned that she will not qualify for coverage under Part A because she was not born in the US. What should you tell her?

    Module 1

    Most individuals who are citizens and over age 65 are covered under Part A by virtue of having paid Medicare taxes while working, though some may be covered as a result of paying monthly premiums.

    Mr. Chen is enrolled in his employer’s group health plan and will be retiring soon. He would like to know his options since he has decided to drop his retiree coverage and is eligible for Medicare. What should you tell him?

    . Mr. Chen can disenroll from his employer-sponsored coverage to elect a Medicare Advantage or Part D plan within 2 months of his disenrollment, but he should revaluate if he really wants to drop his employer coverage. Correct

    Ms. Gates is dually eligible for Medicare and Medicaid. She is very concerned about being locked into a specific Medicare prescription drug plan for the entire year. What should you tell her?

    I would recommend ms.gates check with each plan to see what they offer and if the meds and services she needs will be covered. she will also need to ask about how long coverage is and if there is any kind of coverage gap.

    Mr. Lopez takes several high cost prescription drugs. He would like to enroll in a standalone Part D prescription drug plan that is available in his area. In what type of Medicare Health Plan can he enroll?

    Private Fee-for-Service (PFFS) plan that does not include drug coverage.

    Mr. Capadona would like to purchase a Medicare Advantage (MA) plan and a Medigap plan to pick up costs not covered by that plan. What should you tell him?

    It is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled in an MA plan, and besides, Medigap only works with Original Medicare.

    Ms. Stuart has heard about a special needs plan (SNP) that one of her friends is enrolled in and is interested in that product. She wants to be sure she also has coverage for prescription drugs. Would she be able to obtain drug coverage if she enrolled in the SNP?

    Yes. All SNPs are required to provide Part D coverage for prescription drugs.

    Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being successfully treated for that condition. However, she and her physicians feel that after her lengthy hospital stay she will need a month or two of nursing and rehabilitative care. What should you tell them about Original Medicare’s coverage of care in a skilled nursing facility?

    Medicare will cover Mrs. Schmidt’s skilled nursing services provided during the first 20 days of her stay, after which she would have a coinsurance until she has been in the facility for 100 days

    Mrs. Park is an elderly retiree. She has a low, fixed income. What could you tell Mrs. Park that might be of assistance?

    She should contact her state Medicaid agency to see if she qualifies for one of several programs that can help with Medicare costs for which she is responsible.

    Mrs. Fiore was in the Army for 35 years and is now retired. She has drug coverage through the VA. What issues might she consider with regard to whether to enroll in a Medicare prescription drug plan?

    She could compare the coverage to see if the Medicare Part D plan offers better benefits and coverage than the VA for the specific medications she needs and whether any additional benefits are worth the Part D premium costs.

    Mrs. Wolf wears glasses and dentures and has enjoyed considerable pain relief from arthritis through acupuncture. She is concerned about whether or not Medicare will cover these items and services. What should you tell her?

    Medicare does not cover acupuncture, or, in general, glasses or dentures.

    Willard works as a representative focused on the senior marketplace. What would be considered prohibited activity by Willard?

    Implying that only seniors can enroll in a Medicare Advantage plan when meeting with Mr. Hernandez, who is 58 but qualifies for Medicare because she is disabled. Correct

    Source : redbluecard.com

    Do you want to see answer or more ?
    James 1 month ago
    4

    Guys, does anyone know the answer?

    Click For Answer