Mrs. Burton is a Retiree with Substantial Income. She is Enrolled in an MA-PD Plan and was Disappointed with the Service

Here we provide the answer for the question "Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-PD plan and was disappointed with the service she received from her primary care physician because she was told she would have to wait five weeks to get an appointment when she was feeling ill. She called you to ask what she could do so she would not have to put up with such poor access to care. What could you tell her?" below.

by Niranjani

Updated Aug 01, 2023

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Mrs. Burton is a Retiree with Substantial Income. She is Enrolled in an MA-PD Plan and was Disappointed with the Service

Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-PD plan and was disappointed with the service she received from her primary care physician because she was told she would have to wait five weeks to get an appointment when she was feeling ill. She called you to ask what she could do so she would not have to put up with such poor access to care. What could you tell her?

The answer to the question "Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-PD plan and was disappointed with the service she received from her primary care physician because she was told she would have to wait five weeks to get an appointment when she was feeling ill. She called you to ask what she could do so she would not have to put up with such poor access to care. What could you tell her?" is given below.

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Answer - She could file a grievance with her plan to complain about the lack of timeliness in getting an appointment.

Hope you have all got to know the answer for "Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-PD plan and was disappointed with the service she received from her primary care physician because she was told she would have to wait five weeks to get an appointment when she was feeling ill. She called you to ask what she could do so she would not have to put up with such poor access to care. What could you tell her?" 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. 

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