Module 2-Medicare Health Plans 1. Module 2-Medicare Health Plans 1.1 Part C and other Medicare Health Plans
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1.2 Navigation Instructions
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1.3 Terms and Conditions
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1.4 LEARNING OBJECTIVES
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1.5 Training Roadmap: Part 2
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1.6 Part C: Medicare Advantage Plans
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1.7 Medicare Advantage Plans: Premiums
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1.8 Part C: Medicare Advantage Plan Benefits
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1.9 Medicare Advantage Plan- Utilization Management
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1.10 Medicare Advantage Eligibility
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1.11 Medicare Advantage Eligibility, continued
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1.12 Individuals with ESRD Beginning in 2021
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1.13 Medicare Advantage Eligibility, SNPs
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1.14 Medicare Advantage Eligibility: SNP Description
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1.15 Medicare Advantage Eligibility: EGWPs
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1.16 Medicare Advantage Eligibility, continued: MSAs
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1.17 Medicare Advantage Eligibility, Example
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1.18 MA Plan Types Coordinated Care Plans
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1.19 MA Plan Types Coordinated Care Plans - HMOs
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1.20 MA Plan Types Coordinated Care Plans - HMOs, continued
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1.21 MA Plan Types Coordinated Care Plans - PPOs
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1.22 MA Plan Types Private Fee-for-Service (PFFS) Plans
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1.23 MA Plan Types Private Fee-for-Service (PFFS) Plans
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1.24 MA Plan Types Private Fee-for-Service Plans, (2 of 3)
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1.25 MA Plan Types Private Fee-for-Service Plans, (3 of 3)
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1.26 MA Plan Types Medicare Savings Account Plans
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1.27 MA Plan Types Medical Savings Account (MSA) Plans
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1.28 MA Plan Types: MSA Plans, continued
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1.29 Medicare Advantage Employer/Union Plans
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1.30 Employer/Union Plans
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1.31 Medicare: Cost Plans
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1.32 Medicare Cost Plans
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1.33 Medicare Cost Plans: Network and Out-of-Network Care
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1.34 Medicare Cost Plans, Eligibility
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1.35 Medicare Cost Plans, Continued
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1.36 Medicare Advantage Plans and Dual Eligible Beneficiaries
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1.37 MA Plans and Dual Eligible Beneficiaries
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1.38 MA Plans and Dual Eligible Beneficiaries, continued
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1.39 MA Plans and Dual Eligible Beneficiaries, Important Issues
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1.40 Case Study
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1.41 Medicare Advantage and Prescription Drugs
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1.42 MA & Prescription Drugs
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1.43 MA & Prescription Drugs, continued
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1.44 MA & Prescription Drugs, Example
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1.45 Enrollee Protections Appeals and Grievances
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1.46 Enrollee Protections
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1.47 Enrollee Protections: Complaints, Coverage Decisions, Appeals
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1.48 Enrollee Protections: Grievances
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1.49 Enrollee Protections: Coverage Decisions
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1.50 Enrollee Protections: Appeals
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1.51 Enrollee Protections: Appeals, continued
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1.52 Enrollee Protections Network Requirements and Other Enrollee Rights
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1.53 Enrollee Protections: Network Requirements
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1.54 Enrollee Protections: Network Requirements, continued
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1.55 Enrollee Protections: Other Enrollee Rights
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1.56 Sources of Additional Information
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1.57 THANK YOU
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