Mary Samuels recently… Mary Samuels recently suffered a stroke while visiting her daughter and grandchildren. As a result, Mary has been admitted to a rehabilitation hospital where she is expected to reside for several months. The rehabilitation hospital is located outside the geographic area served by her current Medicare Advantage (MA) plan. What options are … Read more

Miguel Sanchez is… Miguel Sanchez is a relatively new agent who has come to you for advice as to what he can do during the Medicare Advantage Open Enrollment Period (MA-OEP). What advice should you give Miguel? During the MA-OEP, Miguel can have one-on-one meetings with beneficiaries who have requested such meetings.

Which of the following statements is not true about the Coverage Gap? All members reach the Coverage Gap Which of the following options are drug utilization management (UM) rules? (Select 3) … Which of the following best describes the Late Enrollment Penalty (LEP)? The amount added to the member’s monthly plan premium if they did … Read more

Mr. Jackson just… Mr. Jackson just turned 65. He has been seeing the same general practitioner for annual check-ups for the past 15 years, likes these yearly visits, and would like to continue obtaining these services as a Medicare beneficiary. What should you tell him about annual check-ups? Medicare will cover an annual wellness visit, … Read more

Ms. Gardner is… 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? She may make such a change during the Annual … Read more

Mrs. Kendrick is… Mrs. Kendrick is in good health, has worked for many years and is six months away from turning 65. She wants to know what she will have to do to enroll in a Medicare Advantage (MA) plan as soon as possible. What could you tell her? She may enroll in an MA … Read more

Ms. Gonzales decided… Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part D during the Annual Enrollment Period (AEP). At the beginning of January, her neighbor told her about the Medicare Advantage (MA) plan he selected. He also told her there was an open enrollment period that she might be … Read more