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?.

Answers

Answer 1

Medicare Health Plans are required to contain a maximum out-of-pocket cap on Part A and Part B services.

What is Medicare?

Medicare is the kind of the insurance taken by the people who are at the age of 65 or above it in order to have the medical assistance. Medicare covers some prescription medicines, hospital stays, and other healthcare expenses.

According to the above scenario, it can be concluded that Medicare Health Plans are required to contain a maximum out-of-pocket cap on Part A and Part B services.

Medicare Health Plans additional benefits that Original Medicare does not cover, such as vision, hearing, and dental care.

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Related Questions

When does a state or federal law or regulation preempt hipaa?.

Answers

Answer:

In general, HIPAA preempts state law that is “contrary” to the federal rule. A provision of state law is contrary to HIPAA if: a covered entity would find it impossible to comply with both the state and federal law provisions.

Explanation:

Extractive institutions like coal, timber, etc.—that are often economically dominant in rural settings—tend to concentrate power ___________ .
A.Rural communities
B.Among entire local and regional populations
C.in urban communities
D.Among the few

Answers

Extractive institutions like coal, timber, etc.—that are often economically dominant in rural settings—tend to concentrate power in urban communities.

What are extractive institutions?

This is a term that is used to refer to institutions that extract wealth and natural resources from other areas.

The resources are often gotten from the rural areas and they are used in companies that are in the urban centers.

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Did your school misrepresent or fail to tell you important information about their admissions practices or admissions selectivity?

Answers

ensure you answer the question “changed into the alleged misrepresentation of the idea of or pivotal to your choice to attend the school.”

This question is asking whether or no longer you made a decision to wait for the college-primarily based mostly on what the college instructed you, promised you, or did as a way to join or live enrolled within the college.

What does admissions selectivity suggest?

Selectivity is measured by means of using the proportion of college students who're admitted. The decrease the proportion, the extra selective the faculty is. basically, maximum faculties are selective to three stages. A small business enterprise of specifically selective faculties admits less than a third of candidates.

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Carson is a 14-year-old juvenile from a family of delinquents. He has two older brothers who have been in and out of juvenile detention and jail since they were 11 and 12 years old. They are now 18 and 19 and serving time in prison for armed robbery. Carson has been in trouble with the law as well. He had been taken into custody five times before his 12th birthday.

Carson’s mom is a single mother. She has six total children. The two older boys are in prison. Carson is in the middle, and there are two younger siblings who are 8 and 10 and a toddler. She doesn’t work and has been on welfare for the past 15 years. None of the children’s fathers are involved in their lives or pay child support. She barely makes it from check-to-check each month. She relies heavily on food stamps and the food pantry. She is thankful for the house she rents under Section 8. She knows that if Carson continues to get into trouble, she could lose her younger children and/or her housing.

Carson was again involved in a law violation last Friday night. He and a group of his friends fired a gun into the air in the front yard of Carson’s house. When the police arrived, the gun was missing but neighbors pointed to Carson as the guilty party. Carson was taken into custody and transported to juvenile detention. This is Carson’s second arrest this year, and if he’s guilty of this offense, it’s a clear violation of his probation.

Pat is a probation officer with 12 years of experience. She is familiar with Carson’s case, family, and his older siblings. She actually worked a case involving his brother who was waived to adult court when he was 16. Pat thinks Carson could succeed if he had a stable home life and a more involved mother. She believes his mother is overwhelmed and cannot adequately care for all of the children. This allows for a lack of supervision of Carson and his 10-year-old sister. She believes the criminality won’t stop with Carson and she’ll eventually see all of the kids in this family in juvenile court. She’d like to provide additional interventions in the home, while holding Carson accountable for his actions. If she can convince the mother and the court to cooperate with additional services, she hopes she can keep Carson out of juvenile prison.

Pat has talked with a supervisor of the Court Appointed Special Advocate (CASA) program just to see about support that might be available for the family and Carson, in particular. She also wants to request a guardian ad litem (GAL) who may be able to talk with the kids about other issues in the home and make recommendations to the court on additional services that could deter delinquent behavior among the youth. Pat realizes that having a GAL involved in a delinquency case is rare but she’s hoping the court will consider it. Pat has mentioned these options to Carson’s mom, who seems receptive.

Pat will need to make a recommendation to the judge either to have Carson’s probation revoked and have him placed in a secure residential facility or to allow Carson to remain on probation but with stricter conditions. Pat is concerned that Carson’s mother will not be able to keep him in compliance with his community supervision requirements unless more services are placed in the home.

What complicates Pat’s decision is that the judge who presides over this case is more of a “lawgiver” than a “parent figure” with juveniles. Pat must weigh the potential recommendations and create a case plan that meets the best interests of Carson.

What Would You Do?
Do you think Pat should recommend that Carson be sent to a secure residential facility or be given more intensive probation and treatment programming while staying at home?
Considering a lawgiver judge’s approach, what do you think the judge will do?

Answers

Answer:

The best scenario for young Carson would to be given more treatment. The best way to phrase this is to especially appeal to the judge's way of thinking phrase it in a way that makes him seem like he is being punished more than he is being helped.

Explanation:

Which of the following best explains an impact of the increasing number of imports to the United States?

A) Higher quality goods and services have
become more common.

C)Growth in the research sector has come to a halt.

B) Regulation on food and drug safety has decreased.

D) There is a wider variety of goods available at cheaper prices.

Answers

Answer:

I think the answer is a

Explanation:

let me hope it will help you

What happens to earnings in a cooperative?
• They are used to pay middlemen for services.
• They are shared with member owners.
They are used to buy more stock for members.
• They are shared with customers through dividends.

Answers

Answer:

B. They are shared with member owners.

Explanation:

They are shared with member owners happens to earnings in a cooperative. Hence, option B is correct.

What is earnings in a cooperative?

Instead of stock ownership, cooperatives distribute their profits based on patronage. The cooperative keeps track of how much members "use" the cooperative as suppliers, producers, or laborers. This information is used to determine patronage and patronage allocations, which are two different concerns.

In a cooperative, profits may be divided among the members based on how they use the cooperative. These patronage allocations may be held as assigned equity in the member's name, returned to the member in the form of an equity allocation in their name, or a combination of the two.

A common feature of cooperatives is the fact that they frequently distribute profits to its members, which provides a strong incentive for the business to pursue profitability.

Thus, option B is correct.

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Why did the Dodd-Frank Act amend the Investment Advisers Act?

Answers

It was amended with the intent to:

1. To promote the financial stability of the US

2. To improve the accountability and transparency of the fin'l system

3. End "TOO BIG TO FAIL"

4. End bailouts (Chrysler, GM, & Goldman Sachs)

5. To protect consumers from abusive financial services practices.

you are the surety for your nephew's study loan. the bank that gave the loan to your nephew has brought a claim against you. write out a set of valid legal defenses for yourself by commercial law?

Answers

The set of valid legal defenses for the surety holder by commercial law includes:

Illegality of suretyship contractSurety's incapacity etc

What is a surety?

In legal practice, this refers to a guaranty involving a promise by a party who has assume a responsibility for the debt obligation of a borrower if that borrower defaults.

Here, there is little defense for the surety holder because the responsibility has been held by him/her on the loan, thus, the bank that gave the loan to the nephew has a higher chance of recovering then loan from him.

Answers

Answer:

Judges have a term of 12-6 years by the law. Some serve until death, retirement, or something else.

Judges elected to positions on appellate courts serve terms of 6 and may not run for office again if they are 75 years old or older.

Who are judges?

This is known to be a person that has been elected by government to judge cases on behalf of the country.

Note that Judges elected to positions on appellate courts serve terms of 6 and may not run for office again if they are 75 years old or older.

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A German law that prohibited the use of hops grown outside of the country in the production of German-made beer was overturned in the late 1980s. This law was an example of a(n): Group of answer choices

Answers

In the case above, This law was an example of buy-national legislation.

What is a buy national regulation?

This is known to be a Government rules that ascribe special privileges to all domestic manufacturers and retailers.

Note that an example is the ban on the use of foreign steel in making U.S. highways.

Therefore, In the case above, This law was an example of buy-national legislation.

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Do you feel that genetics play a role in an individual’s decision to commit crime? How much of a role, if any?
How can policy makers and researchers acknowledge genetic differences or abnormalities (such as low i.q. or deficits of the amygdala) and incorporate them into laws, procedures, and treatment without discriminating against individuals with certain genetic characteristics?

Answers

Answer:

It's not the genetic that makes the person commit crime it's the person's background of his or her family. Some races or country are poor which makes new generation that is in a better and developed country gets greedy just by looking.

Explanation:

There are many cases that kids or teens rob because there family has a poor or bad background.

Identify the constitutional provision that is common in both Malloy v. Hogan (1964) and either Roe v. Wade (1973) or McDonald v. Chicago (2010).

Answers

The constitutional provision common in Malloy v. Hogan (1964), Roe v. Wade (1973) , and McDonald v. Chicago (2010) is the provision of civil liberties, offered by the 14th Amendment.

Civil liberties refer to the fundamental rights of the citzens of United States of America that stand protected and safeguarded by the constitution. It directly relates to the privacy and fundamental freedoms of people.

In the context of Malloy v. Hogan (1964) case, the defendant invoked the fifth amendment which offers him the right against self-incrimination, ensured by the 14th Amendment. The verdict was that the 14th Amendment protects the right of a citizen from self-incrimination. With regards to the Roe v. Wade (1973) case, the right of a woman-seeking abortion were confirmed and extended. It also addressed the 14th amendment, linking the decision to the right of privacy. In relation to McDonald v. Chicago, the second amendment which refers to the right to bear arms in self-defense was operational. Alike Malloy v. Hogan (1964) and Roe v. Wade (1973), the case upheld the 14th Amendment.

Therefore, the constitutional provision common in Malloy v. Hogan (1964), Roe v. Wade (1973) , and McDonald v. Chicago (2010) is the provision of civil liberties, offered by the 14th Amendment.

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Silas asks his friend Shelby to come to his property to go fishing at his pond. If he fails to warn her that the pier has a rotten spot and she falls through and is injured, Silas would be held liable in most states. Group of answer choices True False

Answers

Answer:

True in most States. He knew there was a rotten spot but did not tell her. Shelby got injured because of the rotten spot. Well it's not all of Silas fault because someone else might owns the place but did not fix it.

Florida law states that a person may not operate a vehicle unless __________ is established for that vehicle.

Answers

Florida law states that a person may not operate a vehicle unless that vehicle is equipped with a certificate given by the department about the ignition interlock device that is established for that vehicle.

What is an ignition interlock device?

A device that is a breath analyzer is used by an individual. This device can also be used to ignite alcohol with one's breath. By its name, the working of the device can be understood.

Before starting or continuing a vehicle, one has to blow into the mouthpiece which is attached to the device. This device is located near the driver's seat in the vehicle.

An image of the ignition interlock device is attached for better understanding.

Thus, Florida law states that a person may not operate a vehicle unless an ignition interlock device is installed in it.

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You are scheduled to give a sales presentation at a local senior center at which a drawing will be held for a prize. At the beginning of the presentation, which of the following must you do?

Answers

At the beginning of the presentation, i will state clearly that no obligation exists to enroll if a gift or prize is being provided.

What is a presentation?

This refers to the conveyance of information from a typical speaker to the intended audience.

As the opening presenter of the program, i will state clearly that no obligation exists to enroll if a gift or prize is being provided.

Answers

Legal protection mechanisms would be prove useful in product invention.

What is the product invention about?

Note that any product invention is one that often needs Legal protection mechanisms if one do not want your intellectual property to be stolen.

Note that the use of Legal protection mechanisms for one's product will make it so that it cannot be easily reverse-engineered.

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If you are to comply with Medicare’s guidance regarding educational events, which of the following would be acceptable activities?

Answers

The acceptable activity based on Medicare’s guidance regarding educational events is b. You may distribute business cards to individuals who request information on how to contact you for further details on the plan(s) you represent.

What is Compliance?

This refers to the ability of a person to take instructions seriously and follow the rules and guidelines about them.

Hence, we can see that when a Medicare representative is going on an educational event, he is allowed to share his business card so that people would get more information from him.

Answers

Answer:

False you were hit by a another car which made you go to a property and damage it. It's no one's fault who hit the property. The owner should ask his or her insurance to fix it up or do it by him self.

Winston pays a yearly fee to Barbara to rent stall space for his horse at the fairgrounds. Winston’s tenancy is best classified as:

Answers

Answer is Periodic tenancy

How are services provided by a healthcare institution described when a claim is submitted?

Answers

Healthcare institutions pay for the expenditure which are covered in their healthcare insurance.

When an insuree claims from healthcare institutions they first check the legitamacy of the claim and if they find the claim to be legit they grant the claim according to the terms and conditions of the insurance under which the insuree is protected. Sometimes healthcare institutions have their own facilities which allows cashless claims for insurees

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What law requires you to slow down and change lanes when approaching a roadside incident where emergency personnel might be working?.

Answers

I think it’s called a move over law

Answer:

Move over law

Explanation:

Mr. Lynn, an agent for Acme Insurance, Inc. thinks that, since state laws are preempted concerning the marketing of Medicare health plans, he doesn't have much to worry about. What might you, as his colleague, advise him concerning the type of scrutiny he will be under?

a.
The state sets most requirements for marketing Medicare health plans, but each plan has different policies that he must adhere to.

b.
The Medicare agency conducts only complaint-based oversight and he can market the products he represents as he sees fit, as long as he does so in a manner that would be considered ethical by a reasonable layperson.

c.
Organizations sponsoring Medicare health plans are not responsible for enforcing compliance with applicable law and guidance. This job belongs solely to the Medicare agency

d.
Organizations sponsoring Medicare health plans are responsible for the behavior of their contracted representatives and will be conducting monitoring activities to ensure compliance with all applicable federal law and guidance and plan policies. Furthermore, state agent licensure laws are not preempted and he must abide by their requirements.

Answers

What might you, as his colleague, advise him concerning the type of scrutiny he will be under is: d. Organizations sponsoring Medicare health plans are responsible for the behavior of their contracted representatives and will be conducting monitoring activities to ensure compliance with all applicable Federal law and guidance and plan policies. Furthermore, state agent licensure laws are not preempted and he must abide by their requirements.

What is medicare?

A medicare can be defined as a health insurance coverage that help to cover medical expenses.

Based on the given scenario what you might advise him concerning the type of scrutiny he will be under is that company that is incharge of the medicare plan are the one incharge of the representatives behavior.

Therefore the correct option is D.

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The court cases San Antonio Independent School District v.Rodriguez and Serrano v. Priest dealt with concerns over ______.

Answers

Answer:

school financing

Explanation:

To meet the standard for the duty of care, a person must:
A) act in good faith and with the judgment of an ordinarily prudent person.
B) act in good faith and with the judgment of a highly skilled person.
C) be faithful to the corporation.
D) act in good faith and without a mistake.

Answers

Answer:

c be faithfull to the corporation

Explanation:

To meet the standard for the duty of care, a person must be faithful to the corporation. Thus, option (B) is correct.

What is the meaning of standard?

Standards assure the safety, quality, and dependability of products and services; they enable commerce and safeguard our and the environment's health. Standards in business enhance systems and processes by reducing waste, lowering costs, and ensuring uniformity.

Standard refers to something set as a model or example by authority, custom, or public consent: criteria By today's standards, it was rather sluggish. It includes something established by authorities as a standard for measuring quantity, weight, extent, worth, or quality.

An individual must be true to the company in order to fulfill the requirement for the duty of care. As a result, option (B) is correct.

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What's one of the most common reasons for a claim being rejected by an insurance company?

Question 2 options:

A)

The patient's insurance information has been entered incorrectly.

B)

The patient is outside of the age group that is specified for the medication.

C)

The prescribing physician is out of the patient's network.

D)

The medication prescribed isn't the correct treatment for the patient's condition.

Answers

Answer;

A) The patient's insurance information has been entered incorrectly.

Explanation:

because people mis-pell things, and are careless, it happens all the time.

Mrs. Roberts has Original Medicare and would like to enroll in a Private Fee-for-Service (PFFS) plan. All types of PFFS plans are available in her area. Which options could Mrs. Roberts consider before selecting a PFFS plan?

Answers

The option that Mrs. Roberts could consider before selecting a PFFS plan is: A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that combines both medical benefits and Part D prescription drug coverage.

What is Medicare?

Medicare can be defined as a medical coverage that help to cover the medical expenses of those under the plan.

Based on the scenario she should a consider (MA-PD) which full meaning is Medicare Advantage Prescription Drug PFFS plan that tend to combines both medical benefits as well as Part D prescription drug coverage.

A PFFS plan that offers medical benefits, or a PFFS plan combine with a stand-alone prescription drug plan.

Therefore The option that Mrs. Roberts could consider before selecting a PFFS plan is: A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that combines both medical benefits and Part D prescription drug coverage.

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Answer:

A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that combines medical benefits and Part D prescription drug coverage, a PFFS plan offering only medical benefits, or a PFFS plan in combination with a stand-alone prescription drug plan.

Explanation:

There is no such thing as a PFFS Medigap Supplemental plan. So that rules out all the other answers that mention PFFS Medigap Supplemental.

The judge: Group of answer choices is responsible for presenting the state's case against the defendant determines what charge to bring against a suspect holds ultimate authority in ruling on matters of law is responsible for testing the strength of the prosecution's case

Answers

A Judge can be understood as the one who:

C. Holds ultimate authority in ruling on matters of law

Who is a Judge?

A judge is a person who is responsible for ruling on matters of the law. The judge sits on a case and judges it with the intent of making the final judgment.

Whatever judgment the Judge passes on a matter is considered final. The case will be appealed if the defendant does not agree with the ruling.

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What must the government prove to satisfy the intermediate standard of review?

Answers

For government prove to satisfy the intermediate standard of review the government must prove that the policy in question is substantially related to a legitimate government objective.

What is intermediate standard of review ?

The intermediate standard of review serves as the test or standard of review that is been put into play when there is a need to carry out analysis about content-neutral speech and content-based speech.

However, there should be a prove that the policy in question is substantially related to a legitimate government objective.

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When a public school district holds a hearing for the same offense for which public courts have already prosecuted a student it is
O legal
O double jeopardy
O illegal
O violation of due process

Answers

When a public school district holds a hearing for the same offense for which public courts have already prosecuted a student it is double jeopardy.

What is double jeopardy?

Double jeopardy can be defined as the process of holding a second hearing for the same offence a person committed after the first hearing has been hold.

Based on the given scenario the act committed by the school is known as Double jeopardy because the courts has already prosecuted the person and the school went ahead to still prosecute the person for the same offence.

Therefore the correct option is B.

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Phoenix was found guilty as charged; however, the judge deferred imprisonment and stipulated court supervision and demonstration of appropriate behavior for 1 year. Phoenix was most likely _____.

Answers

Phoenix was found guilty as charged; however, the judge deferred imprisonment and stipulated court supervision and demonstration of appropriate behavior for 1 year. Phoenix was most likely given probation.

What is meant by probation?

This is the period where by a person is released from their detention by the court. During this period they are subject to good behavior so they are to be supervised.

This period a person would have to take charge of the way she behaves and it would be reported if she acts in inappropriate ways.