The Dual/LIS Special Election Period (SEP) begins the month the beneficiary becomes eligible for Low Income Subsidy (LIS) or receives any type of assistance from Medicaid. It is available one time per-calendar-quarter du
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The Dual/LIS Special Election Period (SEP) begins the month the beneficiary becomes eligible for Low Income Subsidy (LIS) or receives any type of assistance from Medicaid. It is available one time per-calendar-quarter during the first nine months of the year. - ANSWER True
Which of the following statements is NOT true about a disenrollment? - ANSWER Disenrollment requests can be taken verbally
How does a cancellation differ from a disenrollment? - ANSWER Both A and B are correct
Prior to making an enrollment decision, beneficiaries must review and complete the pre-enrollment checklist. - ANSWER True
Which of the following statements about the Star Ratings Program are true? - ANSWER All of the above statements are true
When reviewing an enrollment application with a prospective member, which of the following steps should NOT be done? - ANSWER Collect plan premiums at the time of enrollment
The Open Election Period (OEP) is for beneficiaries who are enrolled in a MA-only or MA-PD plan, or those who are enrolled in Original Medicare, including those enrolled in stand-alone PDPs. - ANSWER False
An agent must not: - ANSWER All of the above are prohibited
A member can add or drop prescription drug coverage during the Annual Election Period (AEP). - ANSWER True
Which of the following is not a valid reason for involuntary disenrollment? - ANSWER Moving to a new address in the same plan service area
What dates reflect the Annual Election Period (AEP)? - ANSWER October 15 through December 7
If a beneficiary has agreed to an in-home appointment to discuss a PDP product, an agent can discuss an HMO product with them during that same meeting, if the beneficiary requests it and a new scope of appointment form is completed. - ANSWER True
Receipt of a grievance will be acknowledged within: - ANSWER 5 business days
A Late Enrollment Penalty (LEP) may be assessed if an eligible member does not enroll in Part D when they were first eligible for Part D or if they had a break in creditable prescription drug coverage of at least 63 consecutive days. - ANSWER True
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