OOP
Out of Pocket
how does AEP work
Annual enrollment period that is from October 15 to December 7
these three cities are located near the caribean sea
a. Tumacoí, Buenaventura y Nuquí.
b. Santa Marta, Barranquilla y Cartagena.
c. Cali, Medellín y Pasto.
b. Santa Marta, Barranquilla y Cartagena.
True
What's the intent you use to report DOD
Update member profile
DMR
Direct member reimbursment
who is eligible to get Medicare
Someone with disability or by turning 65 years old, they can enroll 3 months before birth month, the birth month or 3 months after the birth month.
what is the color that represents hope?
Green
A gatekeeper plan means that the member can go to any specialist without a referral
False
What is the intent you can use to update member's address
update address
ANOC
Annual Notice Of Changes
what is LEP
Late Enrollment penalty is a fee that members get since they did not enroll on time for a MAPD or PDP plan as soon as they were eligible
When Diomedes Diaz was born?
26 May 1957
Passport benefits allows you to go to OON providers
False
which tab in maestro you can use to locate broker´s information.
Contact tab
SSA
Social Security Administration
What is the difference between routine transportation from emergency transportation.
Emergency
Non-Emergency
Which year Freddy mercury passed away
1991
Dental rider can be cancelled at any time during the year.
true
where can you find more details if a plan is terminated
Plan tab or GPS contact history
PERS
Personal Emergency Response System
What is the passport benefit
The UnitedHealth Passport travel benefit allows eligible members to receive non-emergency covered services at in-network copayment/ coinsurance amounts when traveling outside their home service area. Cost-sharing is based on their home plan, not on where they are temporarily located.
which year America was discovered
1492.
is a QOC if a member states that an emergency facility does not have enough space for parking
true
Which tab you can use to locate meber´s county in maestro.
member tab