Mr. Jacob understands… Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but when he looks at information on various plans available in his area, he sees a wide range in what they charge for deductibles, premiums, and cost sharing. How can you explain this to him? Medicare Part D … Read more
Mrs. Johnson calls… Mrs. Johnson calls to tell you she has not received her new plan ID card yet, but she needs to see a doctor. What can she expect to receive from the plan after the plan has received her enrollment form? Evidence of plan membership, information on how to obtain services, and the … Read more
This year you… This year you have decided to focus your efforts on marketing to employer group plans. One employer provides you with a list of their retirees and asks you to contact them to explain the characteristics of the plan they have selected. What should you do? You may go ahead and call them.
Mrs. Shields is… Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being successfully treated for that condition. However, she and her physicians feel that after her lengthy hospital stay she will need a month or two of nursing and rehabilitative care. What should you tell them about Original Medicare’s … Read more
The consumer states… The consumer states they currently pay a percentage of charges when they receive medical care. This means: The consumer is not likely to be a Full Dual-Eligible; however, the DSNP is always the best option in which to enroll this consumer.
What dates reflect… What dates reflect the Annual Election Period (AEP)? October 15 through December 7
Mr. Lee was intending… Mr. Lee was intending to enroll in MaxCare’s Medicare Advantage plan this year. However, due to his current medical condition, his daughter Debbie has been appointed as his legal representative over both health and financial matters. Debbie would like to ensure that her father is still able to enroll in MaxCare’s … Read more
