Study guides, Class notes & Summaries

What type of event must an agent conduct when they want to be able to collect consumer information, schedule future appointments, and accept enrollment applications? -Marketing/sales event -Member event -Educational event - Answer Marketing/sales event What type of event is an agent conducting when they inform Medicare consumers about Original Medicare, Medicare Advantage, Prescription Drug, or other Medicare programs? -Informal Marketing/sales event -Educational event -Fo...

What are Dual Special Needs Plans (D-SNP)? - Answer Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. When does the Special Election Period for Dual/LIS Change in Status begin for D-SNP members that lose Medicaid eligibility? - Answer After the grace period ends Which statement describes the primary characteristic of a consumer who may benefit from a D-SNP? - Answer Is enrolled in their state Medicaid program, typically as a Full Dual, w...

On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective November 1. Which statement is true for Aries? -He can use the Annual Election Period that runs from October 15 to December 7 and select November 1 as his plan effective date. -There are no rules governing how often he can change plans during the year. -He may be able to use a Special Election Period to change plans if he qualifies for one. -He can use the Medicar...

Lisa turned 65 and is now eligible for Medicare. She already received social security benefits. How does she enroll in original Medicare? - Answer Her enrollment in Medicare parts A and B is generally automatic if she meets all the eligibility requirements Which statement is true about members of a Medicare advantage plan who want to enroll in a Medicare supplement insurance plan? - Answer The consumer must be in a valid MA election or disenrollment period. Provided other eligibility r...

Which of the following is TRUE about UnitedHealthcare Medicare plans carrying the AARP name? -AARP does not endorse any UnitedHealthcare MA and PDP plans but does endorse the AARP Medicare Supplement Insurance Plans. -UnitedHealthcare is one of many insurance companies to have the AARP name on its Medicare Supplement Plans. -AARP does not endorse any UnitedHealthcare MA, PDP and Medicare Supplement plans. - Answer AARP does not endorse any UnitedHealthcare MA and PDP plans but does en...

Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? - Answer Her enrollment in Medicare Parts A and B is generally automatic if she meets all eligibility requirements. Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement Insurance Plan? - Answer When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically dise...

Medicare - Answer Federal health insurance program Medicare is administered by whom? - Answer CMS ( Centers for medicare and medicaid services) Parts A & B of medicare are - Answer federal health insurance program referred to as original medicare Part A? - Answer Hospital insurance Part B? - Answer Medical insurance What doesnt medicare cover? - Answer routine dental, eye care hearing exam,deductibles, coinsurance and copayments Part C? - Answer Medicare Advantage...

Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare helps cover the costs of his inpatient hospital stay? - Answer Part A - Answer The consumer must be in a valid MA election or disenrollment period. Which of the following consumers would be eligible for Medicare? - Answer Consumers age 65 or older, consumers under 65 years of age with certain disabilities for more than 24 months and consumers of all ages with ESRD or ALS Which of the f...

Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her Initial Election Period (IEP), when can she submit an application for a Medicare Advantage or Prescription Drug plan? March 1 through July 31 April 1 through October 31 July 1 through December 30 June 1 through July 31 - Answer Not July 1 - Dec 30 - WRONG April 1 through October 31 - CORRECT Annual Election Period (AEP) is a time when. . . Consumers can only disenroll from their Me...

Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her Initial Election Period (IEP), when can she submit an application for a Medicare Advantage or Prescription Drug plan? March 1 through July 31 April 1 through October 31 July 1 through December 30 June 1 through July 31 - Answer Not July 1 - Dec 30 - WRONG April 1 through October 31 - CORRECT Annual Election Period (AEP) is a time when. . . Consumers can only disenroll from their Me...