Mrs. Ramos is considering a Medicare Advantage PPO and has questions about which providers she can go to for her health care. What should you tell her?

Answers

Answer 1

Answer: Mrs. Ramos can obtain care from any provider who participates in Original Medicare, but generally will have a higher cost-sharing amount if she sees a provider who/that is not part of the PPO network.

Explanation:

Medicare Advantage refers to a form of health insurance plan whereby Medicare benefits is provided through a private-sector health insurer. Medicare Advantage PPOs allows one see doctors outside the plan network.

Based on the information given, Mrs. Ramos can obtain care from any provider who participates in Original Medicare, but generally will have a higher cost-sharing amount if she sees a provider who/that is not part of the PPO network.


Related Questions

When composing a message or a memo in the workplace it is important that your meaning is clear what are three ways that u can ensure your message is clear and not misunderstand

Answers

Answer:

Check with the beneficiary after you communicate something specific  

Ensure you and the beneficiary agree  

Follow up until the best thing occurs  

Further Explanation:  

Check with the beneficiary after you communicate something specific:  

Suppose you get the message composed right and you send it out in an email or content. That doesn't imply that the opportune individuals got it. A lot of things can turn out badly. You can send it to an inappropriate people. You should accept that except if you get a reaction to your message, it has not been gotten. in the event that despite everything you don't get a reaction, leave a voice message or resend.  

Ensure you and the beneficiary agree:  

You can see this in the reaction you get to your message. On the off chance that they answer by revealing to you the subtleties of what they've done and you are content with the outcome, at that point you can commend your correspondence achievement.  

If not, you have an issue on your hands, however it might be anything but difficult to unravel. In the event that the beneficiary does not make a move or does not present an arrangement to do as such, you might need to give them a ring.  

On the off chance that that doesn't work, at that point you may almost certainly get to 'yes' through a vis-à-vis meeting. That will enable the individual to explain their issues with your thought, and for you to attempt to defeat them.  

Follow up until the best thing occurs:  

Individuals are occupied. In the event that you request that somebody accomplish something, the individual in question will choose when to do it dependent on how your solicitation accommodates their needs. In the event that individual reports straightforwardly to you or their manager, at that point the solicitation is probably going to make it truly high on the need list. Be that as it may, individual and expert crises can intercede even with the best laid plans. So don't quit following up until you get the outcome you need.

Explanation:

What support system do you have in place to complete your scheduled exercises? How and why did you choose your systemIf you do not have a support system, how can you implement one?

Answers

Answer:

YQUESEYOEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEESEEEEESSESSSSSS

Explanation:

Under ACA Section 1557, a health plan premium sold through a state exchange may, based on an individual’s age,

Answers

Answer:

Under ACA Section 1557, a health plan premium sold through a state exchange may charge higher premiums, based on an individual’s age.

Explanation:

According to ACA Section 1557, the value of premiums can be higher the older the age of an individual. This is because older individuals may have more health care needs covered by the health plan. This is very common in health plans sold through state exchanges.

The medical assistant is preparing to perform an EKG on a 37-weeks-pregnant female in her mid 20s named Anabelle. The patient tells the medical assistant that she is feeling scared of the procedure since it is her first time ever getting an EKG done. What can the MA do in order to calm down the patient?

Answers

Hi,

Answer:

She talks to him and explains to him that it is not painful.

If healthcare provider suspect trafficking they should

Answers

Explanation:

Mandated Reporting

If you believe you may have information about a trafficking situation: Call the National Human Trafficking Hotline toll-free hotline at 888-373-7888. Anti-Trafficking Hotline Advocates are available 24/7 to take reports of potential human trafficking.Feb 27, 2020

https://www.franciscanhealth.org › ...

Healthcare Workers: Understand 

If you believe you may have information about a trafficking situation: Call the National Human Trafficking Hotline toll-free hotline at 888-373-7888.

You and a coworker seem to have a hard time seeing eye - to - eye on a number of different things . Today , she does something that makes you especially angry . What should you do? a) Tell your boss that you can't work with her anymore . b) Talk to your coworkers about how much she is driving you crazy. c) Scream at her that you've had enough of her behavior. d ) Walk away until you can speak with her calmly about the issues you have been having

Answers

Answer:

d ) Walk away until you can speak with her calmly about the issues you have been having

Explanation:

If you walk away and calm down for a bit, you will be less angry and less likely to yell or get upset.

Answer:

Walk away until you can speak with her calmly about the issues you have been having

Explanation:

element of structural quality in child care programs

Answers

Structural quality features refer to those that are measureable and regulated such as teacher–child ratio, group size, and teacher educational level (NICHD, 2006).

On psychiatric units the most frequent victims are

Answers

Explanation:

On psychiatric units the most frequent victims are nurses.

They are nurses I think

Jared works in a clothing store and hears a customer complain about a damaged shirt he bought. What behavior can Jared show to demonstrate good communication skills with a client? o) prevent the customer from quickly explaining the store's return policy o b) return what they heard once the customer has finished talking c) ask the customer how the shirt was damaged d) promise the customer a full refund even though it is against the policy

Answers

Answer:

The correct answer is D

Explanation:

When supporting antibiotic stewardship, for which activities does the infection preventionist (IP) have primary responsibility?

Answers

Solution :

Antibiotic stewardship are defined as the effort to measure as well as to improve how the antibiotics are prescribed by the clinicians and are used by the patients. It protects the patients from the harms by improving antibiotics prescribing which is caused by the unnecessary use of the antibiotics.

infection preventionist are persons who is responsible to to make sure that the patients and the health care workers are free from infections and doing things to prevent getting infections.

Thus, when supporting the antibiotic stewardship, the responsibility of the  infection preventionist in the activities are :

1. Calculating the MDRO infection rates.

2. Calculating the MDRO incidence on basis of the clinical culture results

3. Detecting the asymptomatic carriers using an active surveillance cultures.

4. Using molecular typing for the investigation of any outbreaks.

Which does body mass index (BMI) measure?

Answers

Answer:

body fatness

Explanation:

Body mass index is a value derived from the mass and height of a person. The BMI is defined as the body mass divided by the square of the body height, and is expressed in units of kg/m², resulting from mass in kilograms and height in metres.

So, a high BMI indicates high body fatness, and a low BMI might indicate thinness.

Hope this helps!

Part of the grieving process where there is physical pain felt is:
A. Deep sadness
B. Deep yearning
C. Shock and numbness
D. Guilt

Answers

Answer:

D ooooooooo9oooooookkkkkkkkk

What does a chest compression feedback device monitor

Answers

Answer:

the devices can monitor CPR quality regarding rate, depth, and chest recoil and provide real-time feedback to rescuers.

A chest compression feedback device is a tool that is used in the monitoring the quality of cardiopulmonary resuscitation (CPR).

The quality of CPR regarding the depth, rate, and chest recoil are monitored. The device also provides corrective feedback to the rescuers

CPR is simply the lifesaving technique that is done when a person stops breathing and it keeps both oxygen and blood to flow through the body.

In conclusion, the chest compression feedback devices monitor "CPR quality regarding chest recoil, rate and depth".

Which of the following is an appropriate guideline for preventing catastrophic reactions?

Answers

Answer

Rush the person.

What are the differences among the terms culture awareness, cultural sensitivity, cultural relevancy, cultural competence and cultural humility

Answers

Cultural competence is the ability of an individual to understand and respect values, attitudes, beliefs, and customs that differ across cultures. Cultural humility is a willingness to suspend what you know, or what you think you know, about a person based on generalizations about their culture.

Answer: Strategy for successfully meeting the challenges of diversity and disparities.

Explanation: Cultural competence is the ability of an individual to understand and respect values, attitudes, beliefs, and customs that differ across cultures. Cultural humility is a willingness to suspend what you know, or what you think you know, about a person based on generalizations about their culture.

Which of the following are aims of rehabilitation in mental health care? I. Reduce burden of chronic disease . II. Improve quality of Life. III. Treat other conditions that can cause disability. I. Promotes Community integration. a. I and II only. b. I,II, and IV only d. I,II and III only​

Answers

Answer:

What are the aims of mental health rehabilitation?

To learn or re-learn life skills.To get your confidence back.To cope better without so much help.To achieve the things you want to, like living in your own flat, getting a job or building family relationships.To feel independent and comfortable with your life

Which term refers to the principles of mechanics and motion that can be applied to human performance?

Answers

Answer:

Biomechanics refers to the.........

Answer:

biomechanics

Explanation:

I took the test.

name each part of the heart

Answers

Answer:

ummmmmmmmmmm. I'm not a doctor

Ventricle right auricle7. Right atrium9. left auricle. Pulmonary trunk 11. Aorta 12. Aorta 02.

What is the name of the lateral condyle and the medial condyle located at the distal end of the humerus?

Answers

The medial epicondyle is located on the distal end of the humerus. Additionally, the medial epicondyle is inferior to the medial supracondylar ridge. It is also proximal to the olecranon fossa. The medial epicondyle protects the ulnar nerve, which runs in a groove on the back of this epicondyle.

A mental struggle coming from opposing demands or struggles is:
A. Schizophrenia
B. Depression
C. External conflict
D. Internal conflict

Answers

Answer:

External conflict

Explanation:

A mental struggle coming from opposing demands or struggles is :- = External conflict .

Hope it is helpful to you

stay safe healthy and happy ☺️

I think the answer is C (External conflict)

A trainer has a client request their records how must that request be made

Answers

Answer: Face to Face

Answer: face to face

which is a source of land population

Answers

Answer:

C

Explanation:

One hour and five minutes of advance care planning would be reported with two codes. One of those codes is _____.

Answers

Answer:

99497 and 99498

Explanation:

99497: Advance care planning including the explanation and discussion of advance directives such as standard forms with completion of such forms, when performed), by the physician or other qualified health professional; first 30 minutes, face- to-face with the patient, family member(s) and/or surrogate.

99498: Each additional 30 minutes (List separately in addition to code for primary procedure.)

Is this a robot because if I will not even waste my time

Answers

Answer:

no it is not a robot . it is based on human .

what are the types of senes

Answers

The types of senses are:
Taste, Smell, Sight, Hearing and Touch

Answer:

Sight, Smell, Taste, Hearing, Touch, Vestibular and Proprioception.

Explanation:

These are the seven main and major types of senses of the human body.

what is the proper cold holding temperature for fresh beef

Answers

28 degrees fahrenheit to 32 degrees

Identify specific resources where you can get valid and reliable health information and/or services.​

Answers

Food websites ending in .gov or in food shelter where they can give you more information

Plagiarism its effect on baccalaureate degree

Answers

Not understand what u means about

Which of the following would be a purpose of a modified barium swallow
test
to identify anatomic / physiologic aspects of the patient's swallow
O to relate the observed physiology to the patient's symptoms
to discover treatment strategies that will likely improve swallow safety
O to determine the best swallowing therapy approach for the patient
all of the above

Answers

Answer:

all of the above

Explanation:

A modified barium swallow test is a methodology used to diagnose swallowing disorders (i.e., dysphagia). During this test, the patient eats food containing barium, which can be tracked through X-rays to identify abnormalities in the swallowing process, thereby visualizing how swallow muscles move and coordinate. The modified barium swallow test can result very useful to recognize difficulties with swallowing and aspiration, and thus modify the patient's diet (if necessary), determine swallowing therapies, alternative routes for nutrition delivery, etc.

If someone cannot speak or use and alternative communication it’s nearly impossible to discover his or her preferences regarding personal care routines

Answers

Answer:

Well unless they are unconscious, then that would be false. If they are unconscious, then they wouldn't even have a facial reaction to their personal care, if they are unable to give any type of facial movement or bodily function, then the statement would be true.

Explanation:

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