2022 Wellcare ACT Mastery Exam - Teleagent(2022 Wellcare ACT Journey to a successful season - teleagent - AND - + 2022 Wellcare ACT know you product EQUALS = 2022 WELLCAR ACT MASTERY EXAM - TELEAGENT /// This one! : )

2022 Wellcare ACT Mastery Exam - Teleagent(2022 Wellcare ACT Journey to a successful season - teleagent - AND - + 2022 Wellcare ACT know you product EQUALS = 2022 WELLCAR ACT MASTERY EXAM - TELEAGENT /// This one! : )2022 Wellcare ACT Mastery Exam - Teleagent(2022 Wellcare ACT Journey to a successful season - teleagent - AND - + 2022 Wellcare ACT know you product EQUALS = 2022 WELLCAR ACT MASTERY EXAM - TELEAGENT /// This one! : ) deductible Correct Answer: Amount you must pay before you begin receiving any benefits from your insurance company Medicare Correct Answer: A national health insurance program in the United States, begun in 1965 under the Social Security Administration and now administered by the Centers for Medicare and Medicaid Services. Medicare Advantage Correct Answer: Medicare plans other than the Original Medicare Plan Medicaid Correct Answer: A federal and state assistance program that pays for health care services for people who cannot afford them. Medicare requirements Correct Answer: -must be 65 or older, disabled, or have end-stage renal disease -have to be under a licensed physician -home care recipients must also be homebound and in need of skilled nursing or therapy services on an intermittent basis Medigap Correct Answer: a private insurance policy that pays the difference between the medical charge and the amount that Medicare pays Medigap Eligibility and Enrollment Correct Answer: Unlike Part C which 'disenrolls' an individual from Parts A and Part B, a Medigap plan works with Part A and Part B, requiring recipients to first enroll into the Original Medicare program and then supplement it with a Medigap plan. Individuals who are enrolled in Part C cannot also receive coverage from a Medigap plan and must re-enroll into Parts A and B in order to purchased a Medigap plan. All Medigap insurers are required to offer a one-time, 6-month enrollment period after turning age 65 for individuals who have already enrolled in Medicare Part B that guarantees an enrollee the right to purchase any part of a Medicare supplement insurance policy, regardless of his or her health status. Beyond the initial enrollment period, an insurer can require a paramedical exam or an attending physician's statement if needed to ensure the health of the enrollee. End-stage renal disease Correct Answer: the final stage of chronic kidney disease Medicare Coverage Correct Answer: Hospital services, some home health, hospice, religiously-associated facilities If a beneficiary requests to discuss other products not originally documented on the SOA, must youdocument a second SOA for the additional product type before the appointment may continue? Correct Answer: Part A coverage Correct Answer: Inpatient hospital care, skilled nursing facility care, home health care and hospice care Medicare Part B Correct Answer: The part of the Medicare program that pays for physician services, outpatient hospital services, durable medical equipment, and other services and supplies. Part C coverage Correct Answer: (medicare advantage) managed care alternative to original medicare. provided through commercial insurers Part D of Medicare Correct Answer: Prescription drug coverage Original Medicare Correct Answer: Medicare Parts A and B providing only hospital and medical coverage. Employer Group Health Coverage Correct Answer: Employer Group Health Coverage AHIP, MUnder Original Medicare, the inpatient hospital co-payment is a flat per-day amount that remains the same throughout the first 60 days of a beneficiary's stay. After day 60 the amount gradually increases until day 90. After 90 days he would pay the full amount of all costs. Correct Answer: c. Correct Answer: Under Original Medicare, if the inpatient hospital service is provided by a participating Medicare provider, the co-payment is waived. Co-payments are only charged when a beneficiary opts to receive care from a non-participating provider. Correct Answer: Incorrect: Beneficiaries are responsible for a single deductible amount for each benefit period, followed by a per day coinsurance amount through day 90. For day 91 and beyond, there is a charge for each "lifetime reserve day" up to 60 days over a beneficiary's lifetime. After this, he would be responsible for all costs. Correct Answer: d. Correct Answer: Under Original Medicare, there is a single deductible amount due for the first 60 days of any inpatient hospital stay, after which it converts into a per-day coinsurance amount through day 90. After day 90, he would pay a daily amount up to 60 days over his lifetime, after which he would be responsible for all costs. Correct Answer: Feedback Correct Answer: Source: Module 1, Slide - Medicare Part A - Original Medicare Cost-Sharing for Inpatient Hospital Care Correct Answer: Question 13 Correct Answer: Incorrect Correct Answer: Question text Correct Answer: Mr. Buck has several family members who died from different cancers. He wants to know if Medicare covers cancer screening. What should you tell him? Correct Answer: Medicare covers the periodic performance of a range of screening tests that are meant to provide early detection of disease. Mr. Buck will need to check specific tests before obtaining them to see if they will be covered. a. Correct Answer: Medicare covers treatments for existing disease, injury, and malformed limbs or body parts. As such, it does not cover any screening tests and these must be paid for by the beneficiary out-of-pocket. Correct Answer: Incorrect: Original Medicare and Medicare Advantage plans cover most preventive services, such as screening tests, with no cost-sharing, but beneficiaries must confirm coverage of specific tests with their plans. Correct Answer: b. Correct Answer: Medicare covers all screening tests that have been approved by the FDA on a frequency determined by the treating physician. Correct Answer: c. Correct Answer: Medicare covers some screening tests that must be performed within the first year after enrollment. Beyond that point expenses for screening tests are the responsibility of the beneficiary. Correct Answer: d. Correct Answer: Medicare covers the periodic performance of a range of screening tests that are meant to provide early detection of disease. Mr. Buck will need to check specific tests before obtaining them to see if they will be covered. Correct Answer: Feedback Correct Answer: Source: Module 1, Slide - Medicare Part B Benefits - Preventive Services and Screenings Correct Answer: Question 14 Correct Answer: Correct Correct Answer: Question text Correct Answer: Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently enrolled in Medicare Parts A and B. Jerry has also purchased a Medicare Supplement (Medigap) plan which he has had for several years. However, the plan does not provide drug benefits. How would you advise Agent John Miller to proceed? Correct Answer: a. Correct Answer: Tell prospect Jerry Smith that he should consider adding a standalone Part D prescription drug coverage policy to his present coverage. Correct Answer: Correct: Agent John Miller can help prospect Jerry