2018 Fl Smmc Healthtrack Choice Tools Quiz

The caller is referring to the service of Medication Management. This is indicated by the statement that the aunt has a new medication that makes her throw up every time she takes it, and the fact that her blood levels have not been checked in over 6 months. This suggests that the medication may not be right for her, and highlights the need for proper management and monitoring of her medications.

To find a Pediatric doctor, James should look under the "Specialty" search field. This field is specifically designed to help users search for doctors based on their area of expertise or specialization. Since Pediatrics is a specialized field of medicine that focuses on the healthcare of children, it is logical to search for a Pediatric doctor under the "Specialty" category.

To enroll into a medical plan, the option to select would be "MMA Enrollment". This option is most likely related to medical plans as "MMA" is commonly used as an abbreviation for "Medicare Modernization Act" or "Medicare Managed Care". Therefore, choosing this option would be the correct choice for enrolling into a medical plan.

An OB/GYN doctor can be a PCP as long as they are listed as a PCP. This means that if the doctor is designated as a primary care physician by the healthcare provider or insurance company, they can serve as the primary care provider for patients. The key factor is the official designation or listing as a PCP, which allows the OB/GYN doctor to provide primary care services in addition to their specialty services in obstetrics and gynecology.

The correct answer is "Care Coordinator" because they are responsible for coordinating and managing the enrollee's long-term care services. They have the knowledge and authority to make changes to the direct service provider based on the enrollee's needs and preferences. The enrollee should contact the Care Coordinator to discuss their desire to change the LTC Direct Service Provider and they will guide them through the process.

The correct answer states that if you type in a zip code and choose a mile radius, it will populate the PCP's (Primary Care Physicians) in that area. This implies that the search function allows users to find PCPs based on a specific zip code and distance range, suggesting that it is possible to search for a PCP using a zip code.

This enrollee can enroll into the plans offered by United Healthcare of Florida and Sunshine Health.

Dr. James Joyner accepts Sunshine Health as one of the plans he accepts.

The correct answer is that you can search with Hospital, Specialist, and/or PCP. This means that when using the search tool for MMA, you have the option to search for hospitals, specialists, and/or primary care physicians (PCPs). This suggests that the search tool is comprehensive and allows users to find healthcare providers based on their specific needs and preferences.

If you are unable to locate the doctor in Health Track, the correct answer is to tell the enrollee to call the doctor to confirm the plans they accept. If they have already received confirmation from the PCP, advise the enrollee that they may enroll without selecting a PCP. Inform them that they will have to contact the plan once it becomes effective to add the PCP or the plan will select one for them. This ensures that the enrollee can proceed with enrollment and have the option to add their preferred PCP later on.

The caller is concerned about providing the right foods for their grandfather who has Crohn's Disease. They mention that his stomach is sensitive to a lot of foods and they want to avoid worsening his condition. This indicates that the caller is seeking guidance and assistance in determining the appropriate type of food for their grandfather. Therefore, the covered service that the caller is referring to is Nutritional Assessment/Risk Reduction Services, which can provide professional advice and assessment to help manage the grandfather's dietary needs.

The correct answer is to search for Meals on Wheels and inform the caller about the LTC plans they accept. However, the agent cannot assign Meals on Wheels directly. Instead, a Care Coordinator from the plan will assist in assigning the providers once the plan becomes effective. This ensures that the caller can continue using Meals on Wheels while also receiving assistance from the plan in assigning providers.

The correct answer is to offer to search for a PCP in the area and ask for preferences such as male or female, a language preference, etc. This option demonstrates proactive customer service by assisting the caller in finding a suitable PCP based on their preferences. It shows that the company is willing to go the extra mile to help the caller navigate the process of finding a healthcare provider.

The numbers in the boxes indicate the saved provider selection based off the search results. This means that the numbers represent the providers that have been selected or saved by the user after conducting a search.

This direct service provider covers both medication administration and attendant care.

The correct answer is to inform Mrs. Osborne that this is the most up-to-date information that we have received from the plan and that she can call the plan to add Dr. Imani Akindo once the plan becomes effective. This response acknowledges that the provider may accept Humana in the future but is not currently listed in HealthTrack. It also provides a solution for Mrs. Osborne to contact the plan and make the necessary arrangements once her plan becomes effective.

You should inform Anita that she does not have to choose the same plan and PCP for both herself and her daughter. They can choose different plans and PCPs for each enrollee.

The enrollee will receive the health plan ID card and membership information from the plan after the enrollment becomes effective. This means that the enrollee will receive the card and information once their enrollment is processed and they are officially enrolled in the health plan. The timing of when the enrollment becomes effective may vary, but it typically occurs shortly after the enrollment is completed.

The correct answer is to inform Mr. Bannerman that you can help him find a PCP in the area and he is not required to choose a PCP at this time. If he does not choose one, then the plan will assign a PCP. This is the appropriate response because Mr. Bannerman does not have a Primary Care Provider and needs assistance in finding one. The plan allows for the option of assigning a PCP if he does not choose one himself.

The correct answer is to tell the caller to call the health plan to change the doctor. This is the appropriate course of action because the caller is currently enrolled in a plan and wants to change their primary care physician (PCP). The best way to do this is by contacting the health plan directly, as they will have the necessary information and processes in place to facilitate the PCP change.