Mrs. Lopez is…. Mrs. Lopez is enrolled in a Medicare Advantage cost plan. She has recently lost creditable coverage previously available through her husband’s employer. She is interested in enrolling in a Medicare Part D prescription drug plan (PDP). What should you tell her? If a Part D benefit is offered through her plan she … Read more

Under HIPAA, a… Under HIPAA, a covered entity (CE) is defined as: All of the above

which of the… which of the following is not required when conducting a marketing/sales event providing refreshments and giveaways

One of your… One of your colleagues argues that face to face meetings with potential enrollees should be required because they can’t make an appropriate decision with the minimal information that can be provided over the phone or in small brochures. How should you respond to this argument? This is INCORRECT. Brokers and agents CAN’T … Read more

Agent Jennings makes… Agent Jennings makes a presentation on Medicare advertised as an educational event. Agent Jennings distributes materials that are solely educational in nature. However, she gives a brief presentation that mentions plan-specific premiums. Is this a prohibited activity at an event that has been advertised as educational? Yes. When an event has been … Read more

Agent Lopez helps… Agent Lopez helps Ralph to enroll in Top Choice Medicare Advantage plan during the Annual Open Enrollment Period. Ralph’s effective enrollment date is January 1st. Ralph disenrolls on February 12th because he discovers that the plan does not cover services furnished by several of his longtime providers. Which of the following statements … Read more

Grievances may be… Grievances may be filed by which of the following methods? Phone Fax A written request to the WellCare Grievance Department