Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? A) PDP plan B) HMO plan C) PPO plan D) ESRD plan B) HMO Which plan type allows members to see preferred doctors in network, doctors out of network and does not require referrals … Read more
When does Permission to Contact for Medicare Advantage and/or Prescription Drug Plans expire? 9 months (or 90 days if on federal do not call list) from the date the consumer provided permission (e.g., consumer signature date on BRC). Aside from a stand-alone Medicare Prescription Drug Plan, how else could a Medicare-eligible consumer get Part D … Read more
Dino, an agent, received a phone call on September 29 from a consumer interested in Medicare Advantage plans for the new plan year. Dino proceeded to verify the consumer’s Medicare eligibility, describe the costs and benefit coverage of the plan, and explained that he could not accept an enrollment application until October 15. What did … Read more
Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? A) PDP plan B) HMO plan C) PPO plan D) ESRD plan B) HMO Which plan type allows members to see preferred doctors in network, doctors out of network and does not require referrals … Read more
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
Which of the following consumers is best suited for a CSNP? Mary Mr. Shapiro gets by on a very small amount of fixed income. He has heard there may be extra help paying for Part D prescription drugs for Medicare beneficiaries with limited income. He wants to know whether he might qualify. What should … Read more
John, 68, is currently enrolled in a Medicare Supplement Plan with a stand-alone Prescription Drug Plan. Newly diagnosed with a chronic condition, he calls agent Charles on May 3 to ask if there are plans that will help him manage his condition. Can John enroll in a Chronic Special Needs Plan (CSNP) that covers his … Read more
