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Medicare health plans establish provisions in marketing representative contracts

Medicare health plans… Medicare health plans establish provisions in marketing representative contracts to ensure compliance with applicable laws and policies. If non-compliance occurs, CMS can penalize a plan in which of the following ways? CMS requires plan sponsors to create and complete a corrective action plan and may terminate a sponsor’s contract.

By contacting plans available in your area, you have learned that the plan you represent

By contacting plans… By contacting plans available in your area, you have learned that the plan you represent has a significantly lower monthly premium than the others. Furthermore, you see that the plan you represent has a unique benefit package. What should you do to make sure your clients know about these pieces of information? … Read more

Ordinarily, you obtain referrals from a third-party that initiates contact with potential clients

Ordinarily, you obtain… Ordinarily, you obtain referrals from a third-party that initiates contact with potential clients and usually sets up appointments for you. How would the guidelines for marketing MA and Part D plans apply to this practice? Third parties may NOT make unsolicited calls, visits, or emails to Medicare beneficiaries in order to set … Read more

A Medicare beneficiary has walked into your office and requested that you sit down with her and discuss

A Medicare beneficiary… A Medicare beneficiary has walked into your office and requested that you sit down with her and discuss her options under the Medicare Advantage program. Before engaging in such a discussion, what should you do? You must have her sign a scope of appointment form, indicating which products she wishes to discuss. … Read more