補助計劃

Mr. Bickford did….. Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D Prescription Drug program and he is wondering if there is any other option he has for obtaining help with his considerable drug costs. What should you tell him? He could check with the manufacturers of … 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. What could you tell her about the implications of such a decision? … Read more

These are examples… These are examples of issues that can be reported to a Compliance Department: suspected fraud, waste, and abuse (FWA); potential health privacy violation; and unethical behavior/employee misconduct. True

Some of the laws…. Some of the laws governing Medicare Parts C and D Fraud, Waste, and Abuse (FWA) include the Health Insurance Portability and Accountability Act (HIPAA); the False Claim Act; the Anti-Kickback Statute; the List of Excluded Individuals and Entities (LEIE); and the Health Care Fraud Statute. False

Mrs. Andrews was…… Mrs. Andrews was preparing a budget for next year because she takes quite a few prescription drugs, she will reach the coverage gap, and wants to be sure she has enough money set aside for those months. She received assistance calculating her projected expenses from her daughter who is a pharmacist, but … Read more

Ordinarily, you ask….. Ordinarily, you ask your clients for referrals to people they think would benefit from the products you offer. When selling MA or Part D products, how might you solicit referrals? You may solicit referrals from current MA and Part D enrollees and offer one thank you gift per member per year of … Read more

Keep up to… Keep up to date with FWA policies and procedures, standards of conduct, and Medicare & Medicaid Services (CMS) guidance Verify all information provided to you True