Mr. Lee was intending… Mr. Lee was intending to enroll in MaxCare’s Medicare Advantage plan this year. However, due to his current medical condition, his daughter Debbie has been appointed as his legal representative over both health and financial matters. Debbie would like to ensure that her father is still able to enroll in MaxCare’s … Read more

Mr. Anderson is… Mr. Anderson is a very organized individual and has filled out and brought to you an enrollment form on October 10 for a new plan available January 1 next year. He is currently enrolled in Original Medicare. What should you do? Tell Mr. Anderson that you cannot accept any enrollment forms until … Read more

You would like… You would like to market a MA plan at a neighborhood pharmacy. What should you keep in mind to comply with the marketing requirements for MA plans? You must set up your table, make marketing presentations, and accept enrollment applications only in common areas outside of where the patient waits for services … Read more

Which of the following……….. Which of the following steps may a Part D sponsor adopt for beneficiaries who are at risk of misusing or abusing frequently abused drugs? I. Identifying at risk individuals by using criteria that includes the number of opioid prescriptions the beneficiary has and the number of prescribers who have written those … Read more

ACA Section 1557… ACA Section 1557 rules for disability concern Policies and procedures, physical access, and communication. Correct

Mrs. Walters is… Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an employer retiree plan. She is not enrolled in Part B. Since the employer plan does not cover prescription drugs, she wants to enroll in a Medicare prescription drug plan. Will she be able to? Yes. Mrs. … Read more

The consumer must… The consumer must submit proper documentation with the enrollment application to prove guaranteed issue eligiblity EX: termination notice from prior coverage