AND CORRECT ANSWERS.
Mr. Lopez, who is fairly well-off financially, would like to enroll in a
Medicare prescription drug plan you represent and simply give you a check
to cover his premiums for the entire year. What should you tell him? -
CorreCt Answers -Enrollees should pay using automatic withdrawal from a
bank account or credit or debit card, direct monthly billing from the plan,
or deductions from their Social Security check.
Richard is a licensed agent who represents Spartan Health Plan and its
Medicare Advantage (MA) plans. Richard has several clients who have
recently come to him for help who are in their initial coverage election
period (ICEP) and are interested in enrolling in one of Spartan Health
Plan's MA plans. Alice will soon turn 65 and retire. Alice has coverage
through Spartan Health Plan offered by her employer. Bob had health
coverage through Spartan but dropped the coverage when he retired early
to travel overseas. Bob, who has just turned age 65, is now back in the
United States. Charlotte, who will turn 65 next month, has coverage
through Athena Health plan - a company Richard also represents. Who
qualifies for the opt-in simplified enrollment mechanism? - CorreCt
Answers -Alice and Charlotte because each of them currently have health
coverage and is in their initial coverage election period (ICEP).
Alice is enrolled in a MA-PD plan. She makes a permanent move across the
country and wonders what her options are for continuing MA-PD coverage.
What would you say to her in regard to a special enrollment period (SEP)? -
CorreCt Answers -She is likely to qualify for a SEP. She can choose an
effective date of up to three months after the month in which the
enrollment form is received by the new plan, but the effective date may not
be earlier than the date of her permanent move.