READ Free Dumps For AHIP- AHM-510

Question ID 17122	TRICARE, a military healthcare program, offers eligible beneficiaries three options for healthcare services: TRICARE Prime, TRICARE Extra, and TRICARE Standard. With respect to plan features, both an annual deductible and claims filing requirements must be met, regardless of whether care is delivered by network providers, under
Option A	TRICARE Prime and TRICARE Extra only
Option B	TRICARE Extra and TRICARE Standard only
Option C	TRICARE Standard only
Option D	None of these healthcare options
Correct Answer	C

Explanation

Question ID 17123	Greenpath Health Services, Inc., an HMO, recently terminated some providers from its network in response to the changing enrollment and geographic needs of the plan. A provision in Greenpath's contracts with its healthcare providers states that Greenpath can terminate the contract at any time, without providing any reason for the termination, by giving the other party a specified period of notice. The state in which Greenpath operates has an HMO statute that is patterned on the NAIC HMO Model Act, which requires Greenpath to notify enrollees of any material change in its providernetwork. As required by the HMO Model Act, the state insurance department is conducting an examination of Greenpath's operations. The scope of the on-site examination covers all aspects of Greenpath's market conduct operations, including its compliance with regulatory requirements. From the following answer choices, select the response that identifies the type of market conduct examination that is being performed on Greenpath and the frequency with which the HMO Model Act requires state insurance departments to conduct an examination of an HMO's operations.
Option A	Type of examination: comprehensive; Required frequency: annually
Option B	Type of examination: comprehensive; Required frequency: at least every three years
Option C	Type of examination: target; Required frequency: annually
Option D	Type of examination: target; Required frequency: at least every three years
Correct Answer	B

Explanation

Previous-Page 1 2. . . 4 5 6 7 8 9 10. . . 39 40 Next-Page

Send email to admin@getfreedumps for new dumps request!!!