Licensed Agent Final Assessment A1038 (Questions + Answers) Verified 100% Correct!!.

You receive a call from Mary who is trying to understand what an HRA is. How would you define it for her? {Ans: An HRA stands for Health Reimbursement Account and is strictly a reimbursement account for specific medical and health expenses. An HRA will NEVER pay a provider or insurance company directly.}You have a Needs Assessment appointment with Howard. What steps in CRM should you take to prepare for the appointment? (Select all that apply) {Ans: Check to see if the customer has any current coverage. Check to see if the customer has a spouse, dependents, or POA. Review any notes that are in the customer account. Review the HRA information. Locate the customer's state of residence.}Match each insurance term to the correct definition. {Ans: HMO-- MA/MAPD plan type with closed networks; may require a referral Formulary-- A list of covered medications coinsurance-- Your share of the costs of a healthcare service, typically figured as a percentage. Balance billing-- Provider bills customer the difference between the provider's charge and the plan amount Deductible-- The amount you pay for health care services before your health insurance begins to pay PFFS-- Typically no networks; provider may deny services