Mrs. Walters is entitled to Part A and has medical coverage without drug coverage
through an employer retiree plan. She is not enrolled in Part B. Since the employer
plan does not cover prescription drugs, she wants to enroll in a Medicare prescription
drug plan. Will she be able to?
Give this one a try later!
Yes. Mrs. Walters must be entitled to Part A or enrolled in Part B to be
eligible for coverage under the Medicare prescription drug program.
Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health
and will have considerable income when she retires. She is concerned that her
income will make it impossible for her to qualify for Medicare. What could you tell her
to address her concern?
Give this one a try later!
, Medicare is a program for people age 65 or older and those under age 65
with certain disabilities, end stage renal disease and Lou Gehrig's disease,
so she will be eligible for Medicare.
Mrs. Quinn has just turned 65, is in excellent health, and has a relatively high income.
She uses no medications and sees no reason to spend money on a Medicare
prescription drug plan if she does not need the coverage. What could you tell her
about the implications of such a decision?
Give this one a try later!
If she does not sign up for a Medicare prescription drug plan as soon as
she is eligible to do so, if she does sign up at a later date, her premium will
be permanently increased by 1% of the national average premium for every
month that she was not covered.
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his
ability to access providers. What should you tell him?
Give this one a try later!
In most Medicare Advantage HMOs, Mr. Kumar must obtain his services
only from providers who have a contractual relationship with the plan
(except in an emergency)
Mr. and Mrs. Vaughn both take a specialized multivitamin prescription each day. Mr.
Vaughn takes a prescription for helping to regrow his hair. They are anxious to have
their Medicare prescription drug plan cover these drug needs. What should you tell
them?
,Give this one a try later!
Medicare prescription drug plans are not permitted to cover the
prescription medications the Vaughns are interested in under Part D
coverage, however, plans may cover them as supplemental benefits and
the Vaughn's could look into that possibility.
Mr. Anderson is a very organized individual and has filled out and brought to you an
enrollment form on October 10 for a new plan available January 1 next year. He is
currently enrolled in Original Medicare. What should you do?
Give this one a try later!
Tell Mr. Anderson that you cannot accept any enrollment forms until the
annual election period begins.
Which of the following statements about Medicare Part D are correct?
Give this one a try later!
I, II, and III only
Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part D
during the Annual Enrollment Period (AEP). At the beginning of January, her neighbor
told her about the Medicare Advantage (MA) plan he selected. He also told her there
was an open enrollment period that she might be able to use to enroll in a MA plan.
Ms. Gonzales comes to you for advice shortly after speaking to her neighbor. What
should you tell her?
Give this one a try later!
, There is a MA Open Enrollment Period (OEP) that takes place between
January 1 and March 31, but Ms. Gonzales cannot use it because eligibility
to use the OEP is available only to MA enrollees.
Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis, putting
him at severe risk for pneumonia. Otherwise, he has no problems functioning. Which
type of SNP is likely to be most appropriate for him?
Give this one a try later!
C-SNP
Your colleague works at a third party marketing organization (TMO) and she said she
did not need to take the Medicare training for brokers and agents or pass a test to
market Medicare plans since her contract is with the TMO, not the plans that have the
products she sells. What could you say to her?
Give this one a try later!
You could tell her she is wrong, and that only agents selling
employer/union group plans are permitted an exemption from testing, but
some employer/union group plans may require testing to promote agent
compliance with CMS marketing requirements.
You market many different types of insurance and ordinarily you spend time each
evening calling potential clients. To be in compliance with requirements for marketing
Medicare Advantage and Part D plans, what must you do about contacting potential
clients to market those plans?
through an employer retiree plan. She is not enrolled in Part B. Since the employer
plan does not cover prescription drugs, she wants to enroll in a Medicare prescription
drug plan. Will she be able to?
Give this one a try later!
Yes. Mrs. Walters must be entitled to Part A or enrolled in Part B to be
eligible for coverage under the Medicare prescription drug program.
Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health
and will have considerable income when she retires. She is concerned that her
income will make it impossible for her to qualify for Medicare. What could you tell her
to address her concern?
Give this one a try later!
, Medicare is a program for people age 65 or older and those under age 65
with certain disabilities, end stage renal disease and Lou Gehrig's disease,
so she will be eligible for Medicare.
Mrs. Quinn has just turned 65, is in excellent health, and has a relatively high income.
She uses no medications and sees no reason to spend money on a Medicare
prescription drug plan if she does not need the coverage. What could you tell her
about the implications of such a decision?
Give this one a try later!
If she does not sign up for a Medicare prescription drug plan as soon as
she is eligible to do so, if she does sign up at a later date, her premium will
be permanently increased by 1% of the national average premium for every
month that she was not covered.
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his
ability to access providers. What should you tell him?
Give this one a try later!
In most Medicare Advantage HMOs, Mr. Kumar must obtain his services
only from providers who have a contractual relationship with the plan
(except in an emergency)
Mr. and Mrs. Vaughn both take a specialized multivitamin prescription each day. Mr.
Vaughn takes a prescription for helping to regrow his hair. They are anxious to have
their Medicare prescription drug plan cover these drug needs. What should you tell
them?
,Give this one a try later!
Medicare prescription drug plans are not permitted to cover the
prescription medications the Vaughns are interested in under Part D
coverage, however, plans may cover them as supplemental benefits and
the Vaughn's could look into that possibility.
Mr. Anderson is a very organized individual and has filled out and brought to you an
enrollment form on October 10 for a new plan available January 1 next year. He is
currently enrolled in Original Medicare. What should you do?
Give this one a try later!
Tell Mr. Anderson that you cannot accept any enrollment forms until the
annual election period begins.
Which of the following statements about Medicare Part D are correct?
Give this one a try later!
I, II, and III only
Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part D
during the Annual Enrollment Period (AEP). At the beginning of January, her neighbor
told her about the Medicare Advantage (MA) plan he selected. He also told her there
was an open enrollment period that she might be able to use to enroll in a MA plan.
Ms. Gonzales comes to you for advice shortly after speaking to her neighbor. What
should you tell her?
Give this one a try later!
, There is a MA Open Enrollment Period (OEP) that takes place between
January 1 and March 31, but Ms. Gonzales cannot use it because eligibility
to use the OEP is available only to MA enrollees.
Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis, putting
him at severe risk for pneumonia. Otherwise, he has no problems functioning. Which
type of SNP is likely to be most appropriate for him?
Give this one a try later!
C-SNP
Your colleague works at a third party marketing organization (TMO) and she said she
did not need to take the Medicare training for brokers and agents or pass a test to
market Medicare plans since her contract is with the TMO, not the plans that have the
products she sells. What could you say to her?
Give this one a try later!
You could tell her she is wrong, and that only agents selling
employer/union group plans are permitted an exemption from testing, but
some employer/union group plans may require testing to promote agent
compliance with CMS marketing requirements.
You market many different types of insurance and ordinarily you spend time each
evening calling potential clients. To be in compliance with requirements for marketing
Medicare Advantage and Part D plans, what must you do about contacting potential
clients to market those plans?
