Mrs. Ridgeway enrolled… Mrs. Ridgeway enrolled in Original Medicare and Medigap coverage following her retirements several years ago. Four months ago, Mrs. Ridgeway dropped her Medigap policy to enroll in a Medicare Advantage (MA) plan for the first time. Unfortunately, Mrs. Ridgeway has found that many of her providers are not in the MA plan’s … Read more

Under what conditions…. Under what conditions can a Medicare prescription drug plan reduce its coverage for a given drug during the first 60 days of the year? When a formulary change is in response to a drug’s removal from the market. Correct

Mrs. Berkowitz wants… Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug coverage and also enroll in a stand-alone Medicare prescription drug plan. Under what circumstances can she do this? c. If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or … Read more

Mr. Hutchinson has…. Mr. Hutchinson has drug coverage through his former employer’s retiree plan. He is concerned about the Part D premium penalty if he does not enroll in a Medicare prescription drug plan, but does not want to purchase extra coverage that he will not need. What should you tell him? If the drug … Read more

You meet with Mrs… You meet with Mrs. Wilson to complete her enrollment in a Medicare Advantage plan. You tell her that there will be an enrollment verification process to confirm that she is enrolled in the plan that she requested and understands the plan features and rules. What should Mrs. Wilson expect regarding the … Read more

These are examples…. These are examples of issues that should be reported to a Compliance Department: suspected fraud, waste, and abuse (FWA); potential health privacy violation; and unethical behavior/employee misconduct. True

AARP and its affiliates are not insurers med sup plans cover some or all OOP expenses for medicare eligible care such as  medicare coinsurance copayments deductibles before enrolling your consumer, make sure you have presented and the consumer understands ALL COSTS associated with the plan what is helpful for explaining costs to the consumer the … Read more