Medicare Agent & Broker Certification ex
kv kv kv kv kv
am questions with answers correct and v
kv kv kv kv kv kv
erified 100% kv
AkvprospectivekvbeneficiarykvaskskvankvagentkvifkvplankvXYZkvhaskvankvurgentkvcarekvbenefitkvandkvifkvso,kvwhatkvthek
vbenefitkvincludes.kvWherekvwouldkvthekvagentkvfindkvthiskvinformationkvforkvplankvXYZ?kv-kvcorrectkvanswers-
EvidencekvofkvCoverage
BecausekvthekvbeneficiarykvaskedkvifkvplankvXYZkvhaskvankvurgentkvcarekvbenefitkvandkvwhatkvthekvbenefitkvinclude
s.kv
IfkvthekvbeneficiarykvonlykvwantedkvtokvknowkvifkvplankvXYZkvhaskvankvurgentkvcarekvbenefit,kvthekvanswerkvwouldkv
bekvSummarykvofkvBenefitskv&kvEvidencekvofkvCoverage.
IfkvakvbeneficiarykvwhokviskvenrolledkvinkvankvHMOkvtellskvyoukvthatkvshekvwantskvtokvseekvakvspecialist,kvyoukvshoul
dkvtellkvher:kv-kvcorrectkvanswers-
Youkvwillkvlikelykvneedkvakvreferralkvfromkvyourkvprimarykvcarekvphysiciankv(PCP)kvtokvseekvakvspecialist.kvIfkvyoukvse
ekvyourkvspecialistkvwithoutkvthiskvreferral,kvthekvplankvmaykvnotkvpaykvforkvyourkvvisit.
BecausekvthekvbeneficiarykviskvenrolledkvinkvankvHMO,kvshekvshouldkvworkkvwithkvherkvPCPkvpriorkvtokvseeingkvakvsp
ecialistkv(exceptkvinkvankvemergency).
TruekvorkvFalse?kv
OncekvakvbeneficiarykviskvenrolledkvinkvankvMAkvplankvandkvhaskvpaidkvhiskvplan-
specifickvmonthlykvpremium,kvhekvnokvlongerkvneedskvtokvpaykvhiskvPartkvBkvpremium.kv-kvcorrectkvanswers-False
BeneficiarieskvarekvrequiredkvtokvcontinuekvpayingkvtheirkvPartkvBkvpremiumkv(unlesskvtheykvreceivekvExtrakvHelp)
kvinkvadditionkvtokvanykvplan-specifickvpremium.
Define:kvMedicarekvPartkvAkv-kvcorrectkvanswers-
PartkvAkvofkvMedicarekvcoverskvhospitalkvinpatientkvcare,kvsomekvSNFkvcare,kvandkvhomekvhealthkvandkvhospicekvc
are
, Define:kvMedicarekvPartkvBkv-kvcorrectkvanswers-
PartkvBkvofkvMedicarekvcoverskvphysiciankvservices,kvoutpatientkvhospitalkvcare,kvlabkvtests,kvmentalkvhealthkvserv
ices,kvsomekvpreventativekvservices,kvandkvmedicalkvequipmentkvconsideredkvmedicallykvnecessarykvtokvtreatkvak
vdiseasekvorkvcondition
Define:kvMedicarekvPartkvCkv-kvcorrectkvanswers-
PartkvCkvofkvMedicarekvprovideskvankvoptionkvforkvbeneficiarieskvtokvreceivekvprivatekvhealthkvplankvcoveragekvinkvl
ieukvofkvOriginalkvMedicare
Define:kvMedicarekvPartkvDkv-kvcorrectkvanswers-PartkvDkvofkvMedicarekvprovideskvprescriptionkvdrugkvbenefit
Mrs.kvDoekvwillkvturnkv65kvatkvthekvendkvofkvMarchkvandkvsignedkvupkvforkvankvMAkvplankvinkvJanuarykvduringkvherkvI
nitialkvCoveragekvElectionkvPeriodkv(ICEP).kvWhenkvwillkvherkvcoveragekvbegin?kv-kvcorrectkvanswers-
OnkvMarchkv1
ThekvICEPkvcoveragekvbeginskvthekvfirstkvdaykvofkvthekvmonthkvofkventitlementkvtokvMedicarekvPartkvAkvandkvPartkvB
,kvORkvthekvfirstkvofkvthekvmonthkvfollowingkvthekvmonthkvthekvenrollmentkvrequestkvwaskvmadekv(ifkvafterkventitle
mentkvhaskvoccurred).
WhatkvenrollmentkvperiodkvprovideskvankvopportunitykvforkvakvbeneficiarykvtokvmovekvfromkvOriginalkvMedicarek
vtokvankvMAkvplan?kv-kvcorrectkvanswers-
ThekvAnnualkvElectionkvPeriodkv(AEP)kvforkvenrollingkvinkvankvMAkvPlankviskvOctoberkv15kvthroughkvDecemberkv7.kv
ThekvbeneficiarykviskvalreadykvenrolledkvinkvOriginalkvMedicare,kvsokvtherekviskvnokvInitialkvCoveragekvElectionkvPe
riodkv(ICEP)kvthatkviskvapplicable.
WhatkviskvthekvenrollmentkvperiodkvforkvenrollingkvinkvankvMADP?kv-kvcorrectkvanswers-
Januarykv1kvthroughkvFebruarykv14kv
ThiskvperiodkvonlykvallowskvakvbeneficiarykvtokvchangekvfromkvankvMAkvplankvtokvOriginalkvMedicarekv(with/witho
utkvakvstand-alonekvPDP).
kv kv kv kv kv
am questions with answers correct and v
kv kv kv kv kv kv
erified 100% kv
AkvprospectivekvbeneficiarykvaskskvankvagentkvifkvplankvXYZkvhaskvankvurgentkvcarekvbenefitkvandkvifkvso,kvwhatkvthek
vbenefitkvincludes.kvWherekvwouldkvthekvagentkvfindkvthiskvinformationkvforkvplankvXYZ?kv-kvcorrectkvanswers-
EvidencekvofkvCoverage
BecausekvthekvbeneficiarykvaskedkvifkvplankvXYZkvhaskvankvurgentkvcarekvbenefitkvandkvwhatkvthekvbenefitkvinclude
s.kv
IfkvthekvbeneficiarykvonlykvwantedkvtokvknowkvifkvplankvXYZkvhaskvankvurgentkvcarekvbenefit,kvthekvanswerkvwouldkv
bekvSummarykvofkvBenefitskv&kvEvidencekvofkvCoverage.
IfkvakvbeneficiarykvwhokviskvenrolledkvinkvankvHMOkvtellskvyoukvthatkvshekvwantskvtokvseekvakvspecialist,kvyoukvshoul
dkvtellkvher:kv-kvcorrectkvanswers-
Youkvwillkvlikelykvneedkvakvreferralkvfromkvyourkvprimarykvcarekvphysiciankv(PCP)kvtokvseekvakvspecialist.kvIfkvyoukvse
ekvyourkvspecialistkvwithoutkvthiskvreferral,kvthekvplankvmaykvnotkvpaykvforkvyourkvvisit.
BecausekvthekvbeneficiarykviskvenrolledkvinkvankvHMO,kvshekvshouldkvworkkvwithkvherkvPCPkvpriorkvtokvseeingkvakvsp
ecialistkv(exceptkvinkvankvemergency).
TruekvorkvFalse?kv
OncekvakvbeneficiarykviskvenrolledkvinkvankvMAkvplankvandkvhaskvpaidkvhiskvplan-
specifickvmonthlykvpremium,kvhekvnokvlongerkvneedskvtokvpaykvhiskvPartkvBkvpremium.kv-kvcorrectkvanswers-False
BeneficiarieskvarekvrequiredkvtokvcontinuekvpayingkvtheirkvPartkvBkvpremiumkv(unlesskvtheykvreceivekvExtrakvHelp)
kvinkvadditionkvtokvanykvplan-specifickvpremium.
Define:kvMedicarekvPartkvAkv-kvcorrectkvanswers-
PartkvAkvofkvMedicarekvcoverskvhospitalkvinpatientkvcare,kvsomekvSNFkvcare,kvandkvhomekvhealthkvandkvhospicekvc
are
, Define:kvMedicarekvPartkvBkv-kvcorrectkvanswers-
PartkvBkvofkvMedicarekvcoverskvphysiciankvservices,kvoutpatientkvhospitalkvcare,kvlabkvtests,kvmentalkvhealthkvserv
ices,kvsomekvpreventativekvservices,kvandkvmedicalkvequipmentkvconsideredkvmedicallykvnecessarykvtokvtreatkvak
vdiseasekvorkvcondition
Define:kvMedicarekvPartkvCkv-kvcorrectkvanswers-
PartkvCkvofkvMedicarekvprovideskvankvoptionkvforkvbeneficiarieskvtokvreceivekvprivatekvhealthkvplankvcoveragekvinkvl
ieukvofkvOriginalkvMedicare
Define:kvMedicarekvPartkvDkv-kvcorrectkvanswers-PartkvDkvofkvMedicarekvprovideskvprescriptionkvdrugkvbenefit
Mrs.kvDoekvwillkvturnkv65kvatkvthekvendkvofkvMarchkvandkvsignedkvupkvforkvankvMAkvplankvinkvJanuarykvduringkvherkvI
nitialkvCoveragekvElectionkvPeriodkv(ICEP).kvWhenkvwillkvherkvcoveragekvbegin?kv-kvcorrectkvanswers-
OnkvMarchkv1
ThekvICEPkvcoveragekvbeginskvthekvfirstkvdaykvofkvthekvmonthkvofkventitlementkvtokvMedicarekvPartkvAkvandkvPartkvB
,kvORkvthekvfirstkvofkvthekvmonthkvfollowingkvthekvmonthkvthekvenrollmentkvrequestkvwaskvmadekv(ifkvafterkventitle
mentkvhaskvoccurred).
WhatkvenrollmentkvperiodkvprovideskvankvopportunitykvforkvakvbeneficiarykvtokvmovekvfromkvOriginalkvMedicarek
vtokvankvMAkvplan?kv-kvcorrectkvanswers-
ThekvAnnualkvElectionkvPeriodkv(AEP)kvforkvenrollingkvinkvankvMAkvPlankviskvOctoberkv15kvthroughkvDecemberkv7.kv
ThekvbeneficiarykviskvalreadykvenrolledkvinkvOriginalkvMedicare,kvsokvtherekviskvnokvInitialkvCoveragekvElectionkvPe
riodkv(ICEP)kvthatkviskvapplicable.
WhatkviskvthekvenrollmentkvperiodkvforkvenrollingkvinkvankvMADP?kv-kvcorrectkvanswers-
Januarykv1kvthroughkvFebruarykv14kv
ThiskvperiodkvonlykvallowskvakvbeneficiarykvtokvchangekvfromkvankvMAkvplankvtokvOriginalkvMedicarekv(with/witho
utkvakvstand-alonekvPDP).
