AARP Medicare Supplement Insurance Plans Certification Test

AARP Medicare Supplement Insurance Plans Certification Test AARP an its affiliates are not - insurers med sup plans cover some or all OOP expenses for medicare eligible care such as - medicare coinsurance copayments deductibles before enrolling your consumer, make sure you have presented and the consumer - understands ALL COSTS associated with the plan what is helpful for explaining costs to the consumer - the enrollment kit who regulates med sup insurance - each states department of insurance _____ automatically update to match annual changes to original medicare coinsurance, copayments, and deductibles - plan benefits are med sup plans available all year round? - yes if leaving a MA plan for a med sup plan, disenrollment is NOT what? - automatic to disenroll, the consumer must contact who and join what - must contact the MA carrier or join a part D plan ( PDP) what happens if the insured member cancels within 30 days after coverage begins? - premiums are refunded less any claims paid What does MACRA stand for? - Medicare Access and CHIP Reauthorization Act of 2015 When does the new MACRA legislation go into effect? - jan 1st 2020 and it affects a consumer's qability to enroll in plans C and F Consumers eligible for Medicare Part A before janurary 1, 2020 - can enroll in plans C and F even after jan 1st 2020 and can keep their plans as long as they choose Consumers newly eligible for Medicare Part A on or after jan 1, 2020 - will NOT be able to purchase Medicare sup insurance Plans C or F Consumers already enrolled in plans C or F do NOT need to - take any action and they can keep the plan they have if they choose to be eligible for med sup insurance, a consumer must: - be enrolled in Medicare parts A and B at the time of the plans effective date Be a resident of the state in which he/she is applying for coverage ( usually residency is defined as the location where the consumer files their tax return) be age 65 or older ( some states require insurers to offer coverage for medicare beneficiaries under age 65) A consumer may NOT be eligible for Med sup insurance for various reason, including but not limited to the following: - consumer does not qualify for med sup open enrollment or guaranteed issue and does not pass medical underwriting Consumer is enrolled in another med sup plan or a MA plan which they do not intend to replace under federal law, med sup open enrollment is the - first 6 months a consumer is 65 or older and enrolled in medicare part B. some states have additional open enrollments when a consumer first enrolls in Medicare Part B at age 65 or older, they have a ______right to buy a medicare sup insurance policy for 6 months - guaranteed right in most states, they can apply 3 months prior to the start of their - medicare initial enrollment period ( IEP) during this time, an insurer must offer a consumer any plan it sells and CANNOT charge consumers more for a policy because of... - past or present health problems if a consumer does not apply during heir Med sup open enrollment, they can apply at any time, but they may be_____ - charged a higher rate or denied coverage if a consumer qualifies for guaranteed issue, the insurance company CANNOT - deny the consumers application apply pre-existing condition exclusions charge the consumer more due to past or present health problems The consumer must submit proper documentation with the enrollment application to prove guaranteed - issue eligiblity