Which of the following is true about Medicare Supplement Insurance underwriting criteria in states where underwriting applies? –
ANSWER Underwriting is required if the consumer is not in their Medicare Supplement Ope
...
Which of the following is true about Medicare Supplement Insurance underwriting criteria in states where underwriting applies? –
ANSWER Underwriting is required if the consumer is not in their Medicare Supplement Open Enrollment period or does not meet Guaranteed issue criteria.
Can a consumer who qualifies for low Income Subsidy receive financial assistance for their part of Medicare Part D costs? - ANSWER Yes, through subsidies such as lower or no monthly plan premiums and lower or no copayments
What is the amount added to the member's monthly plan..........etc. –
ANSWER Late Enrollment Penalty (LEP)
What are two options for Medicare consumers to get Part D prescription drug coverage (Select 2) –
ANSWER Enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription coverage
and
Enroll in a stand-alone Medicare Prescription Drug Plan (PDP)
Which of the following is a fact about Medicare Prescription Drug Plans? –
ANSWER To enroll, the consumers must reside in the plan's service area
What is Medicare Part D? –
ANSWER A voluntary program ............
When is Mary's Medicare Supplement Open Enrollment period is she turns 65 on September 23,2021, and her Medicare –
ANSWER September 2021 through February2022
Which of the following are MA Plans that focus on using Network Providers to Maximize the benefits and reduce out-of-network expenses –
ANSWER HMO, POS, PPO
Medications that are covered in a Plan's formulary have various levels –
ANSWER Out of pocket expenses
Which statements true of Medicare Supplement Insurance Plans? –
ANSWER To see a specialist, insured members must obtain referrals from primary care providers.
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) –
ANSWER TRUE
How does a consumer who qualifies for low income subsidy receive financial assistance for their part of Medicare Part D costs –
ANSWER Through subsides such as lower or no monthly plan premiums and lower copayments
Which of the following statements is true about a Medicare Supplement Insurance Plan member who wants to enroll in an MA plan –
ANSWER Medicare Supplement Insurance cannot be used in conjunction with an MA Plan; therefore .... ect
Lisa turned 65 and is now eligible for Medicare. She already receives Social Security –
ANSWER Her enrollment in Medicare
Being 65 or older, being under 5 years of age with certain disabilities for more than 24 –
ANSWER Original Medicare
Which of the following defines a Medicare advantage (MA) plan? –
ANSWER MA Plans are health plan options approved by Medicare and offered by private insurance companies
*Which of the following statements does Not correctly define prescription drug stages? –
ANSWER Initial coverage is the stage when the plan pays part and the member pays part, usually as coinsurance or copayments
or
A deductible is the amount the member must pay for every prescription medication, regardless of what stage they are in.
*Aside from a standalone Medicare Prescription drug plan –
ANSWER They could enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription drug coverage
or
There is no other way a Medicare consumer could get Part d prescription drug coverage
*Which of the following statements is true about eligibility requirements for stand-alone Medicare Prescription Drug Plans? –
ANSWER A consumer must be entailed to Medicare Part A and/ or enrolled in Medicare Part B
* Which of the following best defines Medicare Part D? –
ANSWER . which provides prescription drug coverage
Roger wants to know what counts toward the Out of pocket Maximum on the Medicare
- ANSWER The out of pocket maximum includes costs the member pays for any Medicare-covered Part A or B service
When does Medicare supplement Insurance take place? –
ANSWER During the first six moths
***Which type of MA Plan is an HMO Plan that also covers some benefit out of network, generically at a higher cost. –
ANSWER Point of service (POS) Plan
Janice wants to enroll in a Medicare Advantage plan Which of the following is NOT an Eligibility requirement? –
ANSWER Its not "Entailed to Medicare Part A"
Which of the following consumers are eligible for Medicare if other eligibility requirements are met? –
ANSWER Consumers age 65 or older eligibility requirements are met?
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) –
ANSWER Go back to pictures
To be eligible for this plan type, consumers must meet the following requirements:
- Entitled to Medicare Part A and enrolled in Part B
- Reside in the plan's service area
Which plan is being described? –
ANSWER Medicare Advantage
A consumer currently has original Medicare and is enrolled in a standalone Prescription drug coverage? –
ANSWER The consumer will be automatically disenrolled from their standalone PDP upon enrollment
Which consumer is eligible for a stand-alone Med
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