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 prescrip If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a Medical Savings Account plan, Mrs. Berkowitz can do this.

Mr. Ford enrolled… Mr. Ford enrolled in an MA-only plan in mid-November during the Annual Election Period (AEP). On December 1, he calls you up and says that he has changed his mind and would like to enroll into a MA-PD plan. What enrollment rules would apply in this case? He can make as many … Read more

Mrs. Quinn has… Mrs. Quinn has just turned 65, is in excellent health and has a relatively high income. She uses no medications and sees no reason to spend money on a Medicare prescription drug plan if she does not need the coverage. She currently does not have creditable coverage. What could you tell her … Read more

What types of… What types of tools can Medicare Part D prescription drug plans use that affect the way their enrollees can access medications? Part D plans do not have to cover all medications. As a result, their formularies, or lists of covered drugs, will vary from plan to plan. In addition, they can use … Read more

Daniel is a… Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis, putting him at severe risk for pneumonia. Otherwise, he has no problems functioning. Which type of SNP is likely to be most appropriate for him? C-SNP

Which statement is… Which statement is an example of one that must appear on advertisements for educational events for accommodation of persons with special needs call 555-555-1234 tty 711

Another agent working…. Another agent working for your agency claims that because you are not employed by the MA plan that you represent, you are not subject to the same requirements as the plans themselves. How should you respond to such a statement? Your coworker is NOT correct. Marketing on behalf of a plan is … Read more