Medicare Certification Exam Questions Bank | 244 Questions with 100% Correct Answers

In order to qualify for Medicare, an individual must be 65 years old, lawfully present in the United States, and meet one more CMS enrollment criteria. What is that? - Be eligible to recieve Social Security A plan is not required to disenroll a member under CMS guidelines if the member..... - Fails to pay plan premium. In fact an MAO is never required to terminate a member on their own. Mrs. Smith submits an enrollment request on November 11 and has no special election period. What regular election period may she use and what will her coverage effective date be? - Annual Election Period, Jan 1 Are there open enrollment risks when a beneficiary has a Employer Group Plan? - Yes, members should check with their benefits administrator at work to avoid possibly losing coverage. Beneficiaries may still be able to use employer coverage with the plan that they join What is the first step in finding appropriate Medicare coverage? - The first step is to determine if the individual is elegible to be covered under employer group coverage. What is the second step in finding appropriate Medicare coverage? - Decide whether to select original Medicare A & B or Medicare part C If an individual chooses Medicare Part C, what is the next important choice? - To decide if they want medical benefits only or Part C with drug coverage. If an individual wants Parts A and B original Medicare, what are the next two choices to be made? - Decide if they want Part D perscription Drug coverage, and decide if they want supplemental coverage. Can a Part D PDP be added to Original Medicare without cancelling Original Medicare? - Yes, these work together Can a Part D PDP be added to another Part D PDP without cancelling the original Part D PDP? - No, only one plan is allowed