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2020-2021 Test Questions and Answershttps://www.stuvia.com/user/filwe1099salmin
2020-2021 Test Questions and Answers
a. She may make such a change during the Annual Election Period that runs from Oct. 15 to December 7,
or during the MA Open Enrollment Period which takes place from January 1- March 31 of each year.
Ms. Gardner is currently enrolled in an MA-PD plan. However, she wants to disenroll from the MA-PD
plan and instead enroll in a Part D only plan and go back to Original Medicare. According to Medicare's
enrollment guidelines, when could she do this?
b. New plans and part D sponsors must provide a projection of the Star Rating they will receive until
they have been officially awarded an overall Star Rating by CMS.
Mr. Albert has heard about something called the Star Rating system for Medicare Advantage plans. He
asks you to explain it to him since he is interested in enrolling in a plan that is newly available in his area.
After you explain that it is the way for consumers to judge plan performance, what else would you say?
b. The beneficiary could enroll in a private fee-for-service (PFFS) plan that does not include prescription
drug coverage; an 1876 cost plan; or a Medicare Medical Savings Account (MSA) plan.
If a beneficiary is enrolled in a stand-alone prescription drug plan and wants to keep that plan, what
type of Medicare health plan could the individual also enroll in, without being automatically disenrolled
from the stand-alone prescription drug plan?
c. Materials need only be reviewed and approved by the company(s) she represents.
Ms. Hernandez has marketed several different types of insurance products in her home state and has
typically sought approval of her materials from her State Department of Insurance. What would you
advise her regarding seeking such approval for materials she uses to market Medicare Advantage plans?
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https://www.stuvia.com/user/filwe1099salmin
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2020-2021 Test Questions and Answershttps://www.stuvia.com/user/filwe1099salmin
2020-2021 Test Questions and Answers
a. She may make such a change during the Annual Election Period that runs from Oct. 15 to December 7,
or during the MA Open Enrollment Period which takes place from January 1- March 31 of each year.
Ms. Gardner is currently enrolled in an MA-PD plan. However, she wants to disenroll from the MA-PD
plan and instead enroll in a Part D only plan and go back to Original Medicare. According to Medicare's
enrollment guidelines, when could she do this?
b. New plans and part D sponsors must provide a projection of the Star Rating they will receive until
they have been officially awarded an overall Star Rating by CMS.
Mr. Albert has heard about something called the Star Rating system for Medicare Advantage plans. He
asks you to explain it to him since he is interested in enrolling in a plan that is newly available in his area.
After you explain that it is the way for consumers to judge plan performance, what else would you say?
b. The beneficiary could enroll in a private fee-for-service (PFFS) plan that does not include prescription
drug coverage; an 1876 cost plan; or a Medicare Medical Savings Account (MSA) plan.
If a beneficiary is enrolled in a stand-alone prescription drug plan and wants to keep that plan, what
type of Medicare health plan could the individual also enroll in, without being automatically disenrolled
from the stand-alone prescription drug plan?
c. Materials need only be reviewed and approved by the company(s) she represents.
Ms. Hernandez has marketed several different types of insurance products in her home state and has
typically sought approval of her materials from her State Department of Insurance. What would you
advise her regarding seeking such approval for materials she uses to market Medicare Advantage plans?
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