Queenie

Under ACA Section… Under ACA Section 1557, prohibited actions involve eligibility, claims, and marketing. Correct

Dr. Elizabeth Brennan… Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan’s terms and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge? Dr. Brennan can charge Mary Rogers no more than the cost sharing specified in the PFFS plan’s terms and … Read more

Another agent you… Another agent you know has engaged in misconduct that has been verified by the plan she represented. What sort of penalty might the plan impose on this individual? The plan may withhold commission, require retraining, report the misconduct to the state dept. of insurance or terminate the contract.

Applications can be… Applications can be tracked from start to finish within your Agent Connect portal. True

You have set… You have set up an appointment for an in-home sales presentation with Mrs. Fowler, who expressed interest in the Medicare plans you represent. In preparation for the sales presentation, what must you do? Prior to conducting the presentation, obtain, and document having obtained her permission to visit, along with her interest in … Read more

Which Medicare programs… Which Medicare programs are covered by ACA Section 1557? Parts A, C, and D, but not B. Correct

Ms. Edwards is… Ms. Edwards is enrolled in a Medicare Advantage plan that includes prescription drug plan (PDP) coverage. She is traveling and wishes to fill two of the prescriptions that she has lost. How would you advise her? She may fill prescriptions for covered drugs at non-network pharmacies, but likely at a higher cost … Read more