Milton is retiring on his 65th birthday. He is eligible for Medicare and already receives Social Security benefits. How does he enroll in Original Medicare? His enrollment in Medicare Parts A and B is generally automatic if he meets all eligibility requirements Which statement is true about members of a Medicare Advantage (MA) Plan … Read more
Step Therapy, Prior Authorization, Quantity Limit, 7-day limit, Dispensing Limit and Limited Access are all examples of what? Utilization Management Rules Can a consumer who qualifies for Low Income Subsidy receive financial assistance for their part of Medicare Part D costs? Yes, through subsidies such as lower or no monthly plan premiums and lower … Read more
Which of the following consumers are eligible for Medicare if other eligibility requirements are met? Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) An MA Plan is a health plan option approved by Medicare and offered by private insurance companies. An MA Plan provides Medicare hospital and medical insurance (Medicare … Read more
Whose email address may the agent enter into the LEAN enrollment application? Only the consumer’s email (or leave it blank). Which election period runs from October 15 to December 7 and allows consumers to elect to join a Medicare Advantage Plan or switch to a different plan? A) Special Election Period (SEP) B) Initial … Read more
Which of the following does not describe a personal/individual marketing appointment? agent Santana has developed a relationship with doctor Westberry a primary care physician contracted with several Medicare Advantage plans doctor Westbury is asked to attend a formal marketing/sales event conducted by agent Santana which of doctor Westberry’s actions is non compliant offers blood … Read more
A consumer may have to pay a Late Enrollment Penalty (LEP) if they did not enroll in a Medicare Advantage plan with Part D benefits or stand-alone prescription drug plan when they were first eligible for Medicare Parts A and/or B or went without creditable prescription drug coverage for ______________. 63 continuous days or more … Read more
True Any request of distribution of PHI should contain only the minimum amount of PHI required to complete the intended task. False When completing an application, you should ensure that you enter the provider ID of a specialist and not a Primary Care Physician (PCP). Must include most of the required elements necessary to complete … Read more
