Richard is a licensed agent who represents Spartan Health Plan and its Medicare Advantage (MA) plans. Richard has several clients who have recently come to him for help who are in their initial coverage election period (ICEP) and are interested in enrolling in one of Spartan Health Plan’s MA plans. Alice will soon turn 65 and retire. Alice has coverage through Spartan Health Plan offered by her employer. Bob had health coverage through Spartan but dropped the coverage when he retired early to travel overseas. Bob, who has just turned age 65, is now back in the United States. Charlotte, who will turn 65 next month, has coverage through Athena Health plan – a company Richard also represents. Who qualifies for the opt-in simplified enrollment mechanism?

Answers

Answer 1

Answer:

Alice.

Explanation:

As you can see in the question above Alice, you are the only person, among the people shown in the question, who has not set any breaks in your health insurance coverage. This makes it the only one eligible for the simplified opt-in subscription mechanism, as this mechanism requires the customer to provide uninterrupted coverage.


Related Questions

Based upon what you have learned in this class, write a psychological explanation for
what is going on in this scenario; and suggestions to help Ella improve her life.
Ella is a 25 year old woman, married with two children. Her daughters are ages 1 and
3. She is a university graduate and her partner brings in a good income. Over the
past six months Ella has felt tired, lost weight, and does not seem to find enjoyment
in activities that she usually enjoyed.
Today she awoke, sat on the couch and watched her two daughters play in the living
room for the morning. She changed the diapers of her youngest daughter (Nora) and
sent her oldest daughter (Addy) to the bathroom. After feeding them lunch, she
looked out the window. She watched as an older man fell on the side-walk, and
struggled for 10 minutes to get back on his feet. Eventually Ella lay down on the
couch and fell asleep for the afternoon.
She awoke in time to make her children dinner. After feeding them and putting them
to bed she had two glasses of wine while watching a movie. She felt tipsy, since she
had not eaten anything all day. Feeling exhausted, at 9 pm she went to bed for the
night.

Answers

Answer:

to me it seems that she is very depressed.

Which are clinical findings usually associated with type 1 diabetes mellitus?
A. Polyuria
B. Polydipsia
C. Polyphagia
D. Obesity
E. Weight gain

Answers

Answer:

A. Polyuria

B. Polydipsia

C. Polyphagia

Explanation:

Diabetes Mellitus is a clinical disorder in which there unregulated  rise in  blood glucose levels, either due to insufficient  secretion of insulin(Insulin is an hormone produced by the beta cells of the pancreas. Its function is to convert excess glucose to glycogen  for storage.Its function is counter by glucagon which converted glycogen back to glucose).  by the pancreas(type 1) or  failure of the  insulin receptors to respond to insulin.In either case the insulin failed to facilitate the entry of glucose into the cells, for glucose cellular utilization. Therefore excess glucose is wasted in urine.

As excess glucose is wasted by the kidney,this reduces the solute potential  glomerular fluid as glucose molecules are passed/excreted  into the glomerular fluid at the PCT ,thus water  follows by osmosis,leading to production of large volume  diluted urine.This condition is called Polyuria.

Hence, as the water potential of the plasma  and the blood rise because of reduced solute potential due to loss of glucose,more water molecules are lost in the kidney by osmosis and  in urine.This leads to excessive thirst;Polydipsia

As more glucose molecules are lost in the urine, the cells,especially of the brain  lacks glucose for cellular metabolisms,therefore hunger  sets  in this is Polyphagia.(The brains cells depends on glucose for major physiological activities)

Having feelings of emptiness, hopelessness, and a sadness that does not end are distinguishing characteristics of which of the following?
a. anxiety
b. major depression
c. phobias
d. a panic disorder

Answers

The answer is major depression

Having feelings of emptiness, and hopelessness, are characteristics of depression and may prolong, hence option b is correct.

What is major depression?

The more severe type of depression is known as major depressive disorder (MDD). It is characterized by enduring, self-perpetuating emotions of melancholy, helplessness, and worthlessness.

A prolonged sense of melancholy and loss of interest are symptoms of depression, a mood illness. For the most part, depression and anxiety may appear to be very different.

The main sign of depression is frequently a lowered, depressed, or hopeless mood, while the huge indication of anxiety is an abundance of concern, uneasiness, and dread.

Therefore hopelessness and sadness are prolonged having major depression, option b is correct.

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critical thinking about media reports of research require some familiarity with ​

Answers

Answer:

anecdotal evidence

Explanation:

Anecdotal evidence has to do with evidence gotten in an informal which is backed up by personal testimony and it may not be regarded as a piece of scientific evidence because it has to do with word of mouth.

Therefore, having critical thinking about media reports of research needs the researcher to be familiar with this anecdotal evidence as it relies on personal testimony.

Some examples of an anecdotal evidence is

Wow! This wonder drug completely cured me of cancer.I drank heavily for years but my kidney is fine. I'm sure alcohol does not affect the kidney.

To clean and prevent germs from growing is to?

Answers

Answer: something

Explanation:

To disinfect, or to clean thoroughly.


Using the ICD-10-CM code book, identify the main term for the following diagnosis:



Office Note

This 19-year-old female has been complaining of right ear pain for 3 days and feeling tired.

EXAM

EYES: Appear normal

NOSE: No findings

CERVICAL LYMPH NODES: Unremarkable

EARS: The right ear shows otitis media is present.

DIAGNOSIS: Acute serous otitis media

PLAN: Antibiotics and drops given. Instructed to return in 10 days.


List the main term used to locate information in the Alphabetic Index _____.

Answers

Ear infections are caused by virus or bacteria. Usually kids gets an ear infection at least once during 3 years of age.

The infection may get severe if it is left untreated. Antibiotics are given to the patient who complains for ear infection.

In the given scenario a 19 year old girl complains about the ear pain and after diagnosis it is found she is suffering from Otitis Media.

This is middle ear infection which causes inflammation in the ear.

The alphabetical index used to locate information is H66.91

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Assign the accurate diagnosis code to each of the following clinical statements that used an ICD-10-CM code book.

Sarcoidosis and hyper gammaglobulinemia of the skin clinical syndrome with DiGeorge a lack in biotin-dependent carboxylase selective IgA cryoglobulinemia deficiency LFA-1 deficiency with sarcoid asthenia Immunoregulatory T cell disorder with common variable immunodeficiency as the primary feature organ microcytic anemia syndrome surgical complication Syndrome Wiskott- Aldrich many times may one report of a diagnosis code occurs.

How several times would you submit the diagnosis code if the person has two diseases that are both listed under one diagnosis code in the medical records?

Real or false Although a diagnosis code may only be reported once each contact, a patient may report a diagnosis code many times.

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Which is a likely result of taking LSD? A. raised heart rate and sped-up nervous system B. altered mood and sensory perceptions C. reduced heart rate and loss of inhibitions'

Answers

Answer:

B. altered mood and sensory perceptions.

Explanation:

Where on the physical pyramid do lifestyle activities belong.

Answers

Answer:

The letter D is the right answer.

Explanation:

The physical pyramid of activities was created at the University of Missouri and aimed to let people know how to monitor the level of activity capable of improving their quality of life and reducing sedentary lifestyle. In other words, this pyramid shows the intensity and regularity of the physical activities that each person must do to keep their bodies healthy.

At the base of the pyramid, represented in the figure above by the letter D, are lifestyle activities. These activities are performed more frequently and directly interfere in the lifestyle of individuals. There are activities like walking the dog, climbing stairs instead of taking the elevator, walking to the market or to work, among others.


A nurse is teaching a client about the prostate-specific antigen (PSA) test. Which of Multiple C
the following directions should the nurse provide?
test.

Answers

Answer: The nurse prepares a teaching plan to help the client adapt to the disease. ... "Several types of medications should be withheld on the day of dialysis until after the procedure." ... "I should take my daily dose of vitamin C to acidify the urine." ... and a test to measure the level of prostate-specific antigen (PSA).

Explanation:

How do organisms live, grow, and respond to their environment and reproduce?

Answers

Answer: Organisms live, grow, and respond to their environment and reproduce by:

1. Live: In order to live, organisms need water, and food. Plants are also organisms, in a way, so plants would also need sunlight.

2. Organisms respond to their environment by adapting to the habitat over time.

3. Reproduce: Oh, this one’s interesting! Organisms are animals and plants. For animals to reproduce, they need food. Thanks to the plants in their environment, they have food. Once they eat their food, the food spends some time to digest, until the animal poops the food out. That poop then is on the ground, and then over time, the poop will become apart not the environment, in a way? I don’t know the word for it right now!

Anyways, once the poop does that, plants will start to grow, giving the animals food. As you can see, this is some sort of cycle. This cycle is called reproduction! Interesting, am I right?

Hope this helped! <3

Why do organizations such as ONC, NHIN, RHIOs, HIEs, SNOs, RECs, ACOs, and CCHIT exist?

Answers

Answer:

All the organizations, ONC, NHIN, RHIOs, HIEs, SNOs, RECs, ACOs, and CCHIT are healthcare organizations and such organizations are very important to provide medical care information to the people and also improve the medical or healthcare facilities through technologies.

Such organizations handle the IT resource to the entire health system which promotes health information technology to improve health care.  Such organizations also help to keep transparency between healthcare providers and patients.

Hence, such organizations exist to function an informative role in the healthcare sector to develop healthcare facilities.

The reason of organizations like ONC, NHIN, and RHIOs should exist and the reason of this should be explained below.

Existence of an organization:

These types of organizations should be considered as healthcare and are significant for giving the information related to medical care also it improved the healthcare facilities via the technologies.

In this, the IT resources should be handled out for the overall heath system.

Also it become the informative role for creating the healthcare facilities.

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The media’s role is primarily entertainment so it has little effect on our wellness

Answers

The media's role is primarily entertainment so it has little effect on our wellness:

False.

Although the media does include entertainment, the media's role is much more than that.

Have you ever seen a commercial for a new toothpaste that 9/10 dentists recommend? Commercials are part of the media. These commercials are designed for you to say, "Wow! that toothpaste must be pretty amazing!". This has an effect on our wellness, positive or negative.

On social media, have you ever seen a strong, muscly bodybuilder raving about that workout power that is apparently designed to "make you have 6 pack abs in two days"? This can make you buy that product and most likely than not, have a greatly negative effect on your wellness.

Answer is False

HOPE THIS HELPS

when multiple patient record exist for the same person,this is known as a what

Answers

Answer:

merged patients

Explanation:

What impact, if any, will recent regulatory changes have upon Medigap plans?

Answers

Answer:

The Part B deductible will no longer be covered for individuals newly eligible for Medicare starting January 1, 2020.

I found it on quiz let ∪ω∪

The Part B deductible will no longer be covered for individuals newly eligible for Medicare.

What is Medigap?

These are private health insurance plans which help supplement original medicare.

Recent regulatory changes ensures that Part B deductible will no longer be covered for new individuals eligible for medicare.

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What is a short short term consequence of a sedentary lifestyle? 1) high blood pressure 2)decrease in flexibility 3)diagnosed with being obese 4)development of heart disease

Answers

Answer:

high blood pressure

Explanation:

I just know

Answer: Decrease in flexibility

Explanation:

I took a Unit Test that asked this question and this was the right answer.

An administrator is currently reviewing the health of the devices registered with the Control Room. The administrator has requested the administrator to publish the devices that have experienced the most failures in the last 6 weeks. How would the administrator accomplish this request?

Answers

Answer:

He should make a survey with the team that works in the control room, making reports on the functioning of the devices during the last 6 weeks. By reading these reports it would be possible to identify devices that have failed and have not worked well in recent weeks.

Explanation:

In order for the administrator to be able to publish which devices have been failing in the last six weeks he will need to contact the team that works in the control room and has more experience with these devices. Reports on the functioning of the devices must be requested, so that a survey can be made in relation to the functioning of the devices and thus find out which of them have flaws in the required period.

Mrs. Willard wants to know generally how the benefits under Original Medicare might compare to the benefits package of a Medicare Advantage Plan before she starts looking at specific plans. What could you tell her? AHIP Module 2 Final Review

Answers

Answer:

Medicare Health Plans may offer extra benefits that Original Medicare does not offer such as vision, hearing, and dental services and must include a maximum out-of-pocket limit on Part A and Part B services.

Explanation:

Medicare Advantage Plans refers to a form of medicare insurance plan provided by a private corporation that deals with Medicare deliver all of the benefits of Part A and Part B. Some Medicare Advantage Programs also provide the cost of prescribed medications. In both parts A and B, Original Medicare pays a fee, and coinsurance plus any Part D or Medigap costs. Medicare Advantage programs have all costs combined into one package. In the case where people participating in a Medicare Advantage Plan, the plan covers most of the Medicare services.

Answer:

Medicare from the Govt has part A and Part B

A pays the hospitals and no charge fee to you.

B pays doctors and medical services you pay this year, 2021, $148 per month.

Together they pay about 80% of all expense. You're liable for the 20% GAP in coverage.  Now two parts

Original Medicare

Then you can buy, and we always recommend GAP insurance called Medicare Supplements.  There are many forms of GAP coverage.

Private insurance firms have gap programs.  A plan known as G pays most if not all of the GAP.  You generally don't have to change doctors or providers.

Medicare Advantage

"Private Insurance Companies" pay the GAP and sometime have more benefits as you have seen on the TV commercials that SCREAM at you to get the Medicare Advantage Program.  You are required to us their network of providers and hospitals.  

Explanation:

Bottom-line  Make sure your providers are in the network of the Medicare Advantage plan, if not find a plan that does or change providers.

Medicare Advantage plans are less expensive and you can save money but just make sure.  You also have the right by law to go back to "The Original Medicare Plan."

Consciousness is rooted in the

Answers

Answer:

thalamus

Explanation:

studies suggest that our consciousness is the activity of thalamo-cortical circuits.

If you're on APEX and you're looking for an answer it's (ALL OF THESE)

Which food is an oil-based food? meat skinless chicken cheese yogurt nuts?

Answers

Answer:

nuts

Explanation:

Answer: Nuts

Explanation: You can make oil out of nuts. You can't really do that with any of the other options.

Which are entrepreneurial jobs in the nutrition and wellness field? A. catering B. universities C. government agencies D. national grocery store chain E. sports trainer for the Olympics

Answers

Answer:

A. catering

Explanation:

Catering involves the professional preparation of different food and snack items for sale to the consumers. This makes it an occupation related to nutrition and wellness and have regulatory bodies to ensure the food prepared are fit for consumption. This ensures that the caterer has a vast knowledge about nutrition so as to meet the required standard.

An entrepreneur is one works on his/her and sets up the business. The remaining options all deals with different government agencies. The only option which depicts entrepreneurial skill is catering.

Answer:

The answer is A.) catering.

Explanation:

I took the test and got it right.

Characteristics caused by hormones but that do not include development of reproductive organs are called A. primary sex characteristics. B. secondary sex characteristics. C. physical characteristics. D. body characteristics.

Answers

Answer:

Secondary sexual characteristics

Explanation:

Hormonal secondary characteristics are those that are influenced or stimulated by hormones.

An example of this is the change of voice, the growth of pubic hair, among others.

The indirect effect of hormones refers to the fact that the hormone is directed towards the target organ, generating an effect or response, but in turn, being in plasma concentrations, indirectly generates the appearance of other phenomena in other organs.

It is late in the afternoon, and your team is finishing its third match of the volleyball tournament on the beach. The day has been hot, with temperatures in the 90s. Suddenly, a teammate collapses. They are responsive, but do not appear to be fully awake, only opening their eyes when you talk to them. They are breathing rapidly. You notice the skin is very warm, sunburned and moist. They are unable to get up from the ground. You want to help. How do you proceed?

Answers

Answer:

First, try helping the person to sit down somewhere. Second, offer them some cold water(they could possibly be dehydrated). Next, try bringing them to a shaded area away from the sun. And then, watch them and see if they require medical attention.

Explanation:

Every afternoon you walk by the school cafeteria and buy a can of pop from the vending machine. You know that pop is not good for you, but buying it is a tough habit to break. Suppose that you start walking a different route so you don’t pass the vending machines. What have you changed to try to break your habit? A. your risk factors B. your support system C. your environment D. your intensity level

Answers

Answer: FOR PLATO USERS THE ANSWER IS A YOUR RISK FACTORS

Explanation: The answer is A because every afternoon you walk by the school cafeteria and refuse to buy a can of pop from the vending machine everyday you are not only trying to lower your risk factors but you are also trying to break you're habbit I hope you do well on your test good luck .

In order to avoid passing the vending machines, you start walking in a different direction. It indicates that you tried to quit your habit by altering your environment, hence option C is correct.

How does the environment affect daily life?

You often stop by the school cafeteria to purchase a soda from the vending machine.

The environment is crucial to our everyday life style and the development of healthy behaviors. If someone lives in an area where there are a lot of harmful behaviors.

As a result, you stop by the school cafeteria every afternoon to get a soda from the vending machine. In order to avoid passing the vending machines.

You start walking in a different direction, it indicates that you tried to quit your habit by altering your environment, hence option C is correct.

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what is the term for a space between two teeth?

Answers

Answer:

A Diastema

Explanation:

The space between two teeth is called a diastema

Peter is a middle-aged, overweight man who is trying to decrease his body circumference. How could the serving size on a nutrition label help him lose weight
.
It describes how many daily total calories he should eat. He can compare this number to the number of calories he currently consumes.
B.
It allows him to predict how much weight he will lose if he follows the serving size guidelines on the nutrition label.
C.
It describes the portion size of the food that he should eat. This amount can be used as a guideline for preparing food.
D.
It defines how much food he can eat when dining at restaurants and still be able to lose weight.

Answers

Hey There!

Answers:

B.It allows him to predict how much weight he will lose if he follows the serving size guidelines on the nutrition label.C.It describes the portion size of the food that he should eat. This amount can be used as a guideline for preparing food.

These are your answers!ty!

Hope this helps,Have a nice Day!:)

Which of the Prime Suite exercises completed in the chapter do you think will be used most often in the office setting? Explain your answer.

Answers

Answer:

The correct answer would be : scheduling/help in appointment is most likely to be use most often as other application use to update or enter the patient details.

Explanation:

Prime suit functions as electronic health record and practice management software as it has many feature and applications that includes the sharing clinical history and other details between various providers and patients or other parties involved who need to know the information.

Scheduling/help in appointment is most likely to be use most often as other application use to update or enter the patient details occasionally.

A digital pen is an example of this type of device used in the information processing cycle

Answers

Answer:

Input device

Explanation:

There are two types of devices in the information processing cycle that is input and output device.

A device that processes the information is called as input device and a device that reproduces or displays the processed information is called output device.

A digital pen is an example of input device because it capture or input the data of a handwritten note or drawing digitally and do not withdraw data like an output device.

Hence, the correct answer is "input device".

If you already exercise regularly, the health benefits of a new routine will be harder to detect than if you are starting an exercise program for the first time.
True or False

Answers

Answer:

true true true

Explanation:

true true true

121. A lateral leg raise demonstrates which type of movement?

Answers

Answer:

frontal plane movements

Explanation:

The clearest examples of frontal plane movements are straight-arm lateral raises and lateral leg raises, which are comprised of adduction and abduction of the shoulder and hip, respectively.

A lateral leg raise demonstrates an abduction.

Abduction simply refers to the way that the limb of a person is moved away from the midline. In this case, the like us moved away. An example of abduction movement is a lateral leg raise.

On the other hand, adduction refers to when the limb is moved towards the midline. This is known as the opposite of abduction.

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1. What health resources are available at your home? List at least three. a) b) c) 2. In what circumstances would you use each resource at your home? a) b) c) 3. What health resources are available at your school? List at least three. a) b) c) 4. In what circumstances would you use each resource at your school?

Answers

Explanation:

Home have a flashlights food bandages

circumstance flood in your house the lights r out u need the flashlight food in the house and u can't go out because its flooding

School you need health box blankets water

circumstance if the school was closed for days and it has been a severe thunderstorm floods damaged roads u have to stay in the building sleep with blankets health kit box of someone gets hurt water

Number one health care (percent) is the primary degree of contact for individuals, the family, and the network with the countrywide fitness device and addresses the main fitness problems inside the network, supplying fitness merchandising, preventive, healing, and rehabilitative offerings as a result.

Why is health care availability an issue?

Confined availability of health care sources is some other barrier that may reduce get admission to health services and growing the chance of bad health effects. as an instance, physician shortages may additionally imply that sufferers enjoy longer wait times and not on-time care.

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