plans certification test ACTUAL
UPDATED QUESTIONS AND CORRECT
ANSWERS
AARP an its affiliates are not - CORRECT ANSWERS✅✅insurers
med sup plans cover some or all OOP expenses for medicare eligible care such as -
CORRECT ANSWERS✅✅medicare coinsurance
copayments
deductibles
before enrolling your consumer, make sure you have presented and the consumer -
CORRECT ANSWERS✅✅understands ALL COSTS associated with the plan
what is helpful for explaining costs to the consumer - CORRECT ANSWERS✅✅the
enrollment kit
who regulates med sup insurance - CORRECT ANSWERS✅✅each states department of
insurance
_____ automatically update to match annual changes to original medicare coinsurance,
copayments, and deductibles - CORRECT ANSWERS✅✅plan benefits
are med sup plans available all year round? - CORRECT ANSWERS✅✅yes
if leaving a MA plan for a med sup plan, disenrollment is NOT what? - CORRECT
ANSWERS✅✅automatic
to disenroll, the consumer must contact who and join what - CORRECT
ANSWERS✅✅must contact the MA carrier or join a part D plan ( PDP)
, what happens if the insured member cancels within 30 days after coverage begins? -
CORRECT ANSWERS✅✅premiums are refunded less any claims paid
What does MACRA stand for? - CORRECT ANSWERS✅✅Medicare Access and CHIP
Reauthorization Act of 2015
When does the new MACRA legislation go into effect? - CORRECT ANSWERS✅✅jan 1st
2020 and it affects a consumer's qability to enroll in plans C and F
Consumers eligible for Medicare Part A before janurary 1, 2020 - CORRECT
ANSWERS✅✅can enroll in plans C and F even after jan 1st 2020 and can keep their plans
as long as they choose
Consumers newly eligible for Medicare Part A on or after jan 1, 2020 - CORRECT
ANSWERS✅✅will NOT be able to purchase Medicare sup insurance Plans C or F
Consumers already enrolled in plans C or F do NOT need to - CORRECT
ANSWERS✅✅take any action and they can keep the plan they have if they choose
to be eligible for med sup insurance, a consumer must: - CORRECT ANSWERS✅✅be
enrolled in Medicare parts A and B at the time of the plans effective date
Be a resident of the state in which he/she is applying for coverage ( usually residency is
defined as the location where the consumer files their tax return)
be age 65 or older ( some states require insurers to offer coverage for medicare beneficiaries
under age 65)
A consumer may NOT be eligible for Med sup insurance for various reason, including but not
limited to the following: - CORRECT ANSWERS✅✅consumer does not qualify for med
sup open enrollment or guaranteed issue and does not pass medical underwriting