Dr. Elizabeth Brennan does not Contract with the ABC PFFS Plan but Accepts the Plan's Terms and Conditions for Payment
by Niranjani
Updated Aug 01, 2023
Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge?
The answer to the question "Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge? is given below.
Answer - Dr. Brennan can charge Mary Rogers no more than the cost sharing specified in the PFFS plan's terms and condition of payment which may include balance billing up to 15% of the Medicare rate.
Hope you have all got to know the answer for "Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge??" AHIP question.
AHIP
The AHIP (America's Health Insurance Plans) certification test is a crucial requirement imposed by nearly all Medicare carriers. It is essential for agents who wish to sell most Medicare Advantage (MA) and Prescription Drug Plans (PDPs) during each calendar year.
On average, agents should allocate around 10-15 hours for test preparation to ensure they are well-equipped to pass the certification successfully.
The training is essential for agents to stay updated on the latest CMS regulations and rules governing the sale of Medicare Advantage and Part D plans.
To ensure that agents are well-prepared and knowledgeable, insurers make it mandatory for them to undergo this training. By obtaining AHIP certification, agents demonstrate their proficiency in AHIP's Medicare and FWA training, proving that they possess a comprehensive understanding of all CMS guidelines for selling Medicare Advantage and Part D plans.
