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

Under ACA Section… Under ACA Section 1557, a health plan sold through a state exchange may, based on an individual’s age, charge higher premiums. Correct

Under ACA Section… Under ACA Section 1557, sex discrimination includes a person’s sex, pregnancy, sex stereotypes, or gender identity. Correct

If a consumer… If a consumer qualifies for guaranteed issue, the insurance company CANNOT deny the consumers application apply pre-existing condition exclusions charge the consumer more due to past or present health problems