Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected that he would have certain services and items covered by the plan with minimal out-of-pocket costs because his MA-PD coverage has been very good. However, when he received the bill, he was surprised to see large charges in excess of his maximum out-of-pocket limit that included some services and items he thought would be fully covered. He called you to ask what he could do? What could you tell him?

Answers

Answer 1

Answer:

The correct answer is - You can offer to review the plan's appeal process to help him ask the plan to review the coverage decision.

Explanation:

Mr. Barker received the bill and there is an excess of the maximum out-of-pocket limit that is a limit a person has to pay for covered medical care services.

As he asked what he could do, you could explain that there are several plans he could review all the plans appeal process and to as well help him to ask the issue, benefits of each plan to review. Explaining and reviewing plans and coverage will help a person to makes decisions about their benefits including the amount they have to pay for their medical services plan.


Related Questions

Other than consulting the internet, where can a pharmacy technician access information on updates being made to the medical field?

Answers

Answer:

magazines

Explanation:

Without accessing the internet, one really good option are magazines. There are specific magazines such as the Stanford Medecine Magazine and the Hopkins Medicine Magazine that provide great and up to date information. These magazines containe updates on everything going on in the medical field including new discoveries, exciting projects, new treatments, inquiries, experiences, insights, etc. It was made to revolve specifically around medecine and is a great source of information.

6x(8x-3)-2x(24x-6)=36

Answers

Answer:

x = -6

Explanation:

[tex]6x(8x - 3) - 2x(24x - 6) = 36[/tex]

➡️ [tex]48 {x}^{2} - 18x - 48 {x}^{2} + 12x = 36[/tex]

➡️ [tex] - 6x = 36[/tex]

➡️ [tex]x = - 6[/tex] ✅

When evaluating research, what factors should be considered? Why are these factors important? Provide some examples to illustrate the importance of each factor.

Answers

Answer:

l

Explanation:

Tuve relaciones con una chica de confianza sin protección y se tomó la pastilla del día después luego de el primer acto , sucede que 15 minutos después tuvimos relaciones de nuevo en un corto tiempo pero ninguna de las 2 veces eyacule dentro ,debería estar preocupado ?

Answers

Si perro usa protección cuantos años tienes ??

15. __________ is often the first drug many people abuse.

Answers

Explanation:

Tobbaco.

found in cigarettes

essential oils have a sweet taste

Answers

Have a sweet smell not taste

In choosing a benzodiazepam to treat anxiety the prescriber needs to be aware of the possibility of dependence. The benzodiazepam with the greatest likelihood of causing rapidly developing dependence is:____.
a. Chlordiazepoxide (Librium)
b. Clonazepam (Klonopin).
c. Alprazolam (Xanax)
d. Oxazepam (Serax).

Answers

Answer:

Alprazolam (Xanax)

Explanation:

- Dị nguyên và giải thích triệu chứng đối với các kiểu dị ứng qua trung gian IgE

Answers

this isnt even english bro this isn’t even possible to answer is d

1. Discuss the process of the production of T lymphocytes.​

Answers

T lymphocytes originate from haematopoietic stem cells within the bone marrow. T lymphocytes that survive thymic selection will mature and leave the thymus. After that, They circulate through peripheral lymphoid organs, ready to encounter their cognate antigens and become activated.

Gary takes a diuretic to control his blood pressure, aspirin to prevent his blood clots, and an antibiotic for a recent sinus infection. Which of these may affect his vitamin K needs

Answers

The diuretic will affect vitamin K (potassium)

ANTIBIOTICS may affect his vitamin K needs.

Vitamin K is a fat-soluble vitamin that may be obtained from the diet and synthesized by the body.

Antibiotics are drugs used to fight against bacterial infections both in people and animals.

It is well known that prolonged use of antibiotics (especially antibiotics called cephalosporins) can drastically reduce the absorption of vitamin K.

In conclusion, ANTIBIOTICS may affect his vitamin K needs.

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the husband speaking for his wife to what appears to be the exclusion of her input is actually

Answers

Answer:

Him being over assertive. There is no way for the husband to know what ailment the wife is dealing with.

Explanation:

56 yr old with fatigue polyuria polydipsia A1c of 9.2 hypertension high LDL. treat with?

Answers

Answer:

parasitmanalhsk

Explanation:

bicas3 ns,ddddlmeisnc6heeshsjwl wehsjsjsk

ls.

Mr. Ziegler is turning 65 next month and has asked you what he can do, and when he must do it, with respect to enrolling in Part D. What could you tell him?

Answers

Answer:

The answer is below

Explanation:

Considering his age and situations, I will let Mr. Ziegler know that, he is at the moment in the Part D Initial Enrollment Period (IEP) already. And at this point in time, he has the option of picking between different Part D enrollment choices available at his disposal, including enrollment in a stand-alone Part D plan or a Medicare Advantage -Prescription Drug plan.

What level of civilian chemical equipment would healthcare providers don when providing initial medical treatment after an incident but not involved with decontamination?

Answers

The level of civilian chemical equipment that is used here is level C.

We have 4 different levels of protection available for hazardous materials. These are from levels A to D.

Level A protection is the highest while level d offers the minimum protection. The protection that level C offers includes:

Clothing with hoods that have chemical resistanceA mask that serves as air purifying respiratorGloves that are resistant to chemicalssafety boots

When level C protection ensemble is to be used, contact with chemicals at the site of the incident would cause no harm to the provider and the level of air contaminants have been recognized.

In conclusion the level of equipment that healthcare providers would wear when answering such calls after an incident that is not involved with decontamination is level C.

read more on a related topic at https://brainly.com/question/14319429?referrer=searchResults

Please Answer Fast Before Friday July 23, 2021. Sara, a 14-year-old, has come to the office for her school physical. She is very remote, moody, and unwilling to answer any questions you ask her as part of her physical exam. She seems to have changed a great deal in the past year, and is thinner, more unkempt, and lethargic. You notice also that her mother is constantly badgering her and rolling her eyes in exasperation at her lack of cooperation. What could you do to facilitate the examination and improve communication with Sara? What possible problems could Sara be experiencing? What should you do about the concerns that you have for Sara?

Answers

Answer:

Sara is likely suffering from depression

Explanation:

To facilitate the exam, ask the parent to wait in the waiting area so you and Sara can talk alone. This way Sara will feel more comfortable in discussion with you without her mother hovering.

Sara may be suffering from depression. Her mother's criticism and judgements may be making her feel down or never "good enough".

To address your concerns for Sara:

1. administer a depression screening such as the PHQ-9 depression test questionnaire. If you find Sara is indeed depressed or has thoughts of hurting herself or others, she will need prompt treatment from a qualified health professional.

2. If Sara does NOT have intentions of hurting herself and her behavior is related to parent conflict, friend conflict, etc. then get her permission to have a discussion with her mother about it.

3. provide Sara with local/national hotline for depression and any other mental health resources that are available in your area (therapists, psychiatrists, community centers, etc.)

4. Follow-up with Sara with another visit in a timely manner to access her mental health.

Something is going on with her maybe try taking to her without her mom in the room where it’s one on one

Being 65 or older, being under 65 years of age with certain disabilities for more than 24 months, and being any age with ESRD or ALS are each eligibility requirements for which program?

Answers

No se amigos pa tu casa Que!?...................................................

Answer:

Original Medicare

Explanation:

Both the sympathetic and the parasymphathetic nerves are strongly influenced by emotion. True or false

Answers

Both the sympathetic and parasympathetic nerves are strongly influenced by emotion. It’s true

Christi Brown is meeting with you regarding the bill she received in the mail. When she called to make the appointment, she voiced her confusion about the bill, stating she thought her insurance covered everything. You check her record and see that she met her deductible and now needs to pay 20% of the billed amount of $850. How can you explain how much she owes, as well as the difference between deductible and coinsurance?

Answers

Answer:

The correct answer is - she owes $170.

Explanation:

Health care beneficiaries bills can be divided into two different criteria, they include Co-pay or Co-insurance and deductibles. Co-insurance is an amount that should be born by the patient and the rest will be paid by the insurance companies. On other hand, Deductible is a criterion in which deductible fixed amount a patient must pay each year before their health insurance benefits begin to cover the costs.

So in this question, the 20% of hospital/health care bills is the co-insured amount that should be paid by Christi Brown and the rest will be born by the insurance company.

so she owes:

20*850/100 = 170.

If he is going into anaphylactic shock, what medication needs to be given immediately?

Answers

Epinephrine [Adrenaline]

Anaphylaxis is a severe hypersensitivity reaction that may cause death of a person.

This is a disease which starts with mild symptoms like rashes and low pulse rate but the severity of this disease can cause shocks.

If a patients is going through this disease he should be introduced with Adrenaline which will stimulate bronchial beta adrenergic receptors.

This will alleviate prurtius and angioedema associated with anaphylaxis.

Learn more at : https://brainly.com/question/24365963

Explain why you agree or disagree that emotional health can improve physical health.

Answers

Answer:

agree

Explanation:

because if we say fit and strong then our body can be healed very fast and enzyme can be more effective

absolute contraindications to estrogen therapy
a. a. hx of any type of cancer
b. clotting disorders
c. hx of tension headaches
d. orthostatic hypotension

Answers

Explanation:

A. HX of any type of cancer

Management has to ensure compliance with local and federal laws. Which function includes ensuring compliance with labor laws? includes ensuring compliance with labor laws.

Answers

Answer: institutions operate in a dynamic environment influenced by industry  

consolidation, convergence of financial services, emerging technology, and market  

globalization. To remain profitable in such an environment, financial institutions  

continuously assess and modify their product and service offerings and operations in the  

context of a business strategy. At the same time, new legislation may be enacted to  

address developments in the marketplace.  

All these forces combine to create inherent risk. To address this risk, a financial  

institution must develop and maintain a sound compliance management system that is  

integrated into the overall risk management strategy of the institution. Ultimately,  

compliance should be part of the daily routine of management and employees of a  

financial institution.  

This chapter discusses the elements of an effective compliance management system --  

board of directors and management oversight, the compliance program, and the  

compliance audit.  

COMPLIANCE MANAGEMENT SYSTEM  

A compliance management system is how an institution:  

¾ learns about its compliance responsibilities;  

¾ ensures that employees understand these responsibilities;  

¾ ensures that requirements are incorporated into business processes;  

¾ reviews operations to ensure responsibilities are carried out and requirements are met;  

and  

¾ takes corrective action and updates materials as necessary.  

An effective compliance management system is commonly comprised of thre

Explanation:

xây dựng công thức mỹ phẩm chế phẩm dùng ngoài da chống lão hóa

Answers

Answer:

lo siento no se que siginfiCA Y NECESITO PUNTOS :(

Explanation:

Phillip || dreamed of conquering Perisa but did not do so because​

Answers

[tex]\huge\bold\pink{ANSWER} [/tex]

===========================================

tsurezure children

#BrainliestBunch

Which type of research method attempts to answer the question, "Why are they doing that?" (Site 1)

Answers

Answer:

It is Experimental Research

Explanation:

100% on Edge

Basophils are O granules a) involved in the process of making hemoglobin. b) involved in the allergic process. Q) that resist infection by microorganisms. D) It fights infection with parasites.

Answers

Hi,

Basophils are granulocytes:

b) involved in the process of allergic reactions.

All of the following medications may have undesirable effects on sexual functioning EXCEPT:
a. antidepressants.
b. antihistamines.
c Wellbutrin.
d. tranquilizers

Answers

Answer:

A. antidepressants

Explanation:

medication may have undesirable effect

Hi,

All of the following medications may have undesirable effects on sexual functioning EXCEPT:

c Wellbutrin.

Describe the uric acid cycle

Answers

The uric acid cycle is a cyclic adaptation of the process used for mammalian purine catabolism. Inosine monophosphate (IMP) is formed which reacts with pyrophosphate to form hypoxanthine and 5-phosphoribosylpyrophosphate (PRPP). This reaction is catalysed by hypoxanthine phosphoribosyltransferase (EC 2.4.
It is a process used for mpc

What diagnosis involves an abnormal collection of blood? a) Cancer b) Aneurism c) Angina O d) Carcinoma

Answers

Answer:

Aneurism

Explanation:

An aneurysm is the collection of a blood vessel due to a weak spot in the artery wall.  Aneurysms can occur in any artery in the body. These places can be in the brain, heart, kidney, or abdomen. When an aneurysm increases, it can rupture and generate uncontrolled internal bleeding, which can become lethal in many cases.

Hi,

Answer:

The diagnosis that involves an abnormal collection of blood is:

Aneurysm : ( is the abnormal dilation of an artery.)

First responding nurses would NOT use _____ as an indicator to identify victims of human trafficking.

(1)- unwanted pregnancy
(2)-childhood vaccination records
(3)-trauma similar to domestic violence
(4)-​AIDS​

Answers

I believe it is 4 as well! Good luck!

Answer:

Childhood vaccination records.

Explanation:

Childhood vaccination records are not typically used as an indicator to identify victims of human trafficking because they do not directly provide information about a person's trafficking status. While vaccination records can be important for assessing a person's overall health and medical history, they do not specifically point to human trafficking. Other indicators, such as signs of trauma similar to domestic violence, the presence of sexually transmitted infections including HIV/AIDS, and indicators of unwanted pregnancy, may be more relevant in identifying potential victims of human trafficking. These indicators are often considered in conjunction with other factors and a comprehensive assessment of the individual's situation.

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A wiper blade of a car is of length 24 cm sweeping through an angle of begin mathsize 18px style text 120 end text end style. The total area cleaned at one sweep of the blade is Joseline waited until December 12, 2019, to file her 2018 Form 1040 return. She did not request an extension. Her balance due for 2018 is $461. What is her failure to file penalty plz help me with the attachment Ser - 12 esta noche. El meteorlogo predice que maana al medioda har 25 ms de temperatura. Cul ser la temperatura maana al medioda? Please helpFind the value of x if,m5 = x-6, m4 = 2x+4, m2 = 2x-26 Question 1 of 10The triangles shown below may not be congruent.66V100100002017A. TrueB. FalseSUBMIT A person participates in a weekly office pool in which he has one chance in ten of winning the prize. If he participates for 5 weeks in succession, what is the probability of winning at least one prize. What is true of psychological effects of illness ____ more than 3455 is two hundred seventy -eight thousand five hundred eighty three What is the probability that this spinner will stop on blue or white when it is spun?1/4 is white 1/4 is purple 1/4 is blue 1/4 is black Identify the symbolism in the poem. For instance, what do the birds, the singing, and the sky represent? What is the central meaning of the poem? use a periodic table to write the electron configuration of selenium Which sentences contain vague pronouns? Check all that apply.Bernardo reads both fiction and nonfiction, and he likes it a lot.After the play, Henrique told Isadora that her solo was excellent. Hiroto prepared so well for the debate that he crushed the competition.Vivian met Laura at the coffee shop where she works after school.When Mariana and Rahul studied with Lisa and Nico, it helped them. Calculate the sum of the integers from 52 to 108 Heyy Can someone help me please What internal physical structure protects the organs and supports the body of the animal? Fur Feathers Skeleton Skin The American with disabilities Act protects people against discrimination because of their mental disability 1. Complete as frases com a forma correta do verbo to be (am, is, are)a) Sheb) Theystudying mathshaving breakfastdrinking lemonade.d) itraining at the moment.e) Yousitting in my chair.listening to musicf) Heg) My sisterdoing her homework.h) Her childrenmaking dinner. 17.27. How many Social Security numbers (see Exercise 8.12) have their nine digits in strictly increasing order Marquis is interested in the relationship between drinking coffee and esophageal cancer. He decides to look at surveys for the Lehman College Class of 2019 as a source of data. He tabulates the total cases of esophageal cancer that were reported as well as those members of the class who did not report esophageal cancer. He then calls all of those people and asks them if they can remember drinking coffee in 2010 and, if yes, about how much coffee did they drink daily, among other questions related to potential exposures, i.e. exercise, BMI, stress, etc. Which form of bias is likely to impact the measure of association reported in Marquiss study?a. sampling biasb. recall biasc. interviewer bias