For a beneficiary who enrolled in a MA-only plan during the Annual Election Period, they will not be able to enroll in a plan that offers prescription drug coverage until the following Annual Election Period; unless the beneficiary chooses to use their one-time election during the Open Enrollment Period or qualifies for a Special Election Period. … Read more

If the member obtains preventive care and screening tests from out-of-network providers, neither Medicare nor the HMO plan will be responsible for the costs.  The member will be responsible for the costs in this case. Select one: True

Which of the following statements regarding eligibility criteria for Medicare Advantage HMO plans is true?d. All of the above statements are true.

The beneficiary must continue to pay the Medicare Part B premium in order to be eligible for the HMO plan. Select one: True

For a beneficiary who enrolled in an MA-only plan during the Annual Election Period, the beneficiary will not be able to enroll in a plan that offers prescription drug coverage until the following Annual Election Period. EXCEPTION:  The beneficiary chooses to use their one-time election during the Open Enrollment Period or qualifies for a Special … Read more

If you are meeting with an existing member about their plan needs for the coming year, you may want to review their ANOC letter.  Reviewing this information with your clients, will help them decide whether or not they may need to change plans based upon their needs. ANOC stands for: a. Annual Notice of Changes

What elements are included in the Medicare Advantage or Part D marketing materials/sales kit? e. All of the above