Medicare Advantage, Prescription Drug, Medicare Supplement, D-SNP, C-SNP, & Events Basics
2024-2025.
A consumer may have to pay a Late Enrollment Penalty (LEP) if they did NOT enroll in a
Medicare Advantage plan with Part D benefits or stand-alone prescription drug plan when they
were first eligible for Medicare Parts A and/or B or went without creditable prescription drug
coverage for – ANS 63 or more continuous days
A consumer with only Part A residing in the plan's service area can enroll in which plan type
to get Part D coverage? – ANS A stand-alone Part D Plan.
By agreeing to the Statement of Understanding, the consumer: - ANS Acknowledges that they
clearly understand they are enrolling in a plan, combined with knowing the specific plan in
which they are enrolling.
Formulary is defined as: - ANS A list of medications covered within the benefit plan, based on
CMS guidelines, and developed in collaboration with physicians and pharmacists.
From the following options, select the THREE actions an agent must take when they need to
cancel a reported formal marketing/sales event that was supposed to occur in three weeks.
Note: The only advertising was a flyer posted at the event venue. (Select 3)
– ANS
i. Submit a CANCEL Event Form to UnitedHealthcare.
ii. Remove the event advertisement posted at the venue and replace it with a
cancellation notification.
iii. Notify any consumers who RSVP'd and document all notification steps taken.
Ginny just enrolled in a C-SNP that uses the post-enrollment verification method. When will the
plan send her a termination notification letter if it has not yet been able to verify a qualifying
chronic condition? – ANS At the end of her first month of enrollment
How does a consumer who qualifies for Low Income Subsidy receive financial assistance for
their part of Medicare Part D costs? – ANS Through subsidies such as lower or no monthly plan
premiums and lower or no copayments
, How is a C-SNP or D-SNP member's care management health risk levels determined initially? –
ANS The member completes a Health Assessment that asks a series of questions about their
health status and assistance they may need with activities of daily living.
Melanie wants to enroll in a D-SNP. Which of the following must her agent do? – ANS Confirm
that Melanie is entitled to Medicare Part A, enrolled in Part B, and her Medicaid level
On July 19, each of the following consumers met with an agent. Based on the information
provided, which consumer must wait until the Annual Election Period (AEP) or Medicare
Advantage Open Enrollment Period (MA-OEP) to enroll?
– ANS
Joy has a cardiovascular disorder, is enrolled in a C-SNP that covers the condition, and wants
to enroll in another C-SNP offered by the plan that covers the same condition.
Sam has an educational event scheduled at the public library on Tuesday, October 17
from 10-11am. The library is open daily from 9am-8pm. When is the earliest he can
conduct a marketing/sales event at that library? – ANS Tuesday, October 17 at 12pm,
as there must be a minimum of 1 hour separating the events. -Please review the Study
Guide section called Marketing/Sales Events, Prohibited Activities.
Select the option that describes the coverage combinations a member can be enrolled
in at the same time. – ANS MA-Only PFFS plan and a stand-alone PDP
Select the option that reflects what an agent must do when conducting a formal
marketing/sales event. – ANS When presenting a Medicare Advantage plan, state that
CMS endorses the plan-. Please review the Study Guide section called
Marketing/Sales Events.
Select the statement that best describes a feature of D-SNP? – ANS The state
government pays half of the plan premium Sorry, that is not correct. Please review the
2024-2025.
A consumer may have to pay a Late Enrollment Penalty (LEP) if they did NOT enroll in a
Medicare Advantage plan with Part D benefits or stand-alone prescription drug plan when they
were first eligible for Medicare Parts A and/or B or went without creditable prescription drug
coverage for – ANS 63 or more continuous days
A consumer with only Part A residing in the plan's service area can enroll in which plan type
to get Part D coverage? – ANS A stand-alone Part D Plan.
By agreeing to the Statement of Understanding, the consumer: - ANS Acknowledges that they
clearly understand they are enrolling in a plan, combined with knowing the specific plan in
which they are enrolling.
Formulary is defined as: - ANS A list of medications covered within the benefit plan, based on
CMS guidelines, and developed in collaboration with physicians and pharmacists.
From the following options, select the THREE actions an agent must take when they need to
cancel a reported formal marketing/sales event that was supposed to occur in three weeks.
Note: The only advertising was a flyer posted at the event venue. (Select 3)
– ANS
i. Submit a CANCEL Event Form to UnitedHealthcare.
ii. Remove the event advertisement posted at the venue and replace it with a
cancellation notification.
iii. Notify any consumers who RSVP'd and document all notification steps taken.
Ginny just enrolled in a C-SNP that uses the post-enrollment verification method. When will the
plan send her a termination notification letter if it has not yet been able to verify a qualifying
chronic condition? – ANS At the end of her first month of enrollment
How does a consumer who qualifies for Low Income Subsidy receive financial assistance for
their part of Medicare Part D costs? – ANS Through subsidies such as lower or no monthly plan
premiums and lower or no copayments
, How is a C-SNP or D-SNP member's care management health risk levels determined initially? –
ANS The member completes a Health Assessment that asks a series of questions about their
health status and assistance they may need with activities of daily living.
Melanie wants to enroll in a D-SNP. Which of the following must her agent do? – ANS Confirm
that Melanie is entitled to Medicare Part A, enrolled in Part B, and her Medicaid level
On July 19, each of the following consumers met with an agent. Based on the information
provided, which consumer must wait until the Annual Election Period (AEP) or Medicare
Advantage Open Enrollment Period (MA-OEP) to enroll?
– ANS
Joy has a cardiovascular disorder, is enrolled in a C-SNP that covers the condition, and wants
to enroll in another C-SNP offered by the plan that covers the same condition.
Sam has an educational event scheduled at the public library on Tuesday, October 17
from 10-11am. The library is open daily from 9am-8pm. When is the earliest he can
conduct a marketing/sales event at that library? – ANS Tuesday, October 17 at 12pm,
as there must be a minimum of 1 hour separating the events. -Please review the Study
Guide section called Marketing/Sales Events, Prohibited Activities.
Select the option that describes the coverage combinations a member can be enrolled
in at the same time. – ANS MA-Only PFFS plan and a stand-alone PDP
Select the option that reflects what an agent must do when conducting a formal
marketing/sales event. – ANS When presenting a Medicare Advantage plan, state that
CMS endorses the plan-. Please review the Study Guide section called
Marketing/Sales Events.
Select the statement that best describes a feature of D-SNP? – ANS The state
government pays half of the plan premium Sorry, that is not correct. Please review the
