Level 1 NHT - Test 1 review
Quiz by Ashley Jones
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- Q1
I am 65 years old. Do I qualify for Medicare?
Yes
No
30s - Q2
What Part of Medicare covers my Dentures?
D
B
A
C
30s - Q3
What Part of Medicare covers my Hospital Visit?
B
A
C
D
30s - Q4
What is a benefit of being on a Careplus HMO plan?
Lower Costs - As you need to coordinate care through your PCP
High Premium costs
Higher Copays
You can see Out of network doctors without authorization
30s - Q5
Can a CPHI makes changes to an account?
No
Yes, with Verbal consent
Yes
30s - Q6
What information can we provide an unauthorized caller?
Cannot speak to a non-member
General information - NO PHI
Anything they have questions on
30s - Q7
What can be used to authenticate a call?
DOB
Medicare ID
All answers can be used to authenticate a call
Zip Code
30s - Q8
A CPHI calls in on an account. What can you assist them with?
File a grievance
Changing the address for member on CSIM
Order them a rewards card
Educate them on members benefits
30s - Q9
How long is a Verbal Consent valid for?
1 day
For that call only
Forever
30 days
30s - Q10
What STC is used to document a call that used Voiance?
CP770
C0336
CP780
CP880
30s - Q11
What is a preventative activity that a member can have done to be closer to earning their $50 gift card?
Mammogram
Massage Therapy
Dental Cleaning
Flu Shot
30s - Q12
Is Careplus responsible for lost or stolen reward giftcards?
No
Yes
30s - Q13
What is an eligible item members can purchase using the Care Essentials Card?
Gas
Lottery
Wine
Bananas
30s - Q14
What STC is filed if a member expressed dissatisfaction towards a Careplus Representative?
C0336
G011M
C0416
G077M
30s - Q15
When do a members benefits go into effect?
On the effective date
January 15th
First of the year
24 hours after the effective date
30s