Medicare Certification 2022 ( WITH QUESTIONS & 100% VERIFIED CORRECT ANSWERS)In order to qualify for Medicare, an individual must be 65 years old, lawfully present in
the United States, and meet one more CMS enrollment
...
Medicare Certification 2022 ( WITH QUESTIONS & 100% VERIFIED CORRECT ANSWERS)In order to qualify for Medicare, an individual must be 65 years old, lawfully present in
the United States, and meet one more CMS enrollment criteria. What is that? - ✔✔Be
eligible to recieve Social Security
A plan is not required to disenroll a member under CMS guidelines if the member..... -
✔✔Fails to pay plan premium. In fact an MAO is never required to terminate a member
on their own.
Mrs. Smith submits an enrollment request on November 11 and has no special election
period. What regular election period may she use and what will her coverage effective
date be? - ✔✔Annual Election Period, Jan 1
Are there open enrollment risks when a beneficiary has a Employer Group Plan? -
✔✔Yes, members should check with their benefits administrator at work to avoid
possibly losing coverage. Beneficiaries may still be able to use employer coverage with
the plan that they join
What is the first step in finding appropriate Medicare coverage? - ✔✔The first step is to
determine if the individual is elegible to be covered under employer group coverage.
What is the second step in finding appropriate Medicare coverage? - ✔✔Decide
whether to select original Medicare A & B or Medicare part C
If an individual chooses Medicare Part C, what is the next important choice? - ✔✔To
decide if they want medical benefits only or Part C with drug coverage.
If an individual wants Parts A and B original Medicare, what are the next two choices to
be made? - ✔✔Decide if they want Part D perscription Drug coverage, and decide if
they want supplemental coverage.
Can a Part D PDP be added to Original Medicare without cancelling Original Medicare?
- ✔✔Yes, these work together
Can a Part D PDP be added to another Part D PDP without cancelling the original Part
D PDP? - ✔✔No, only one plan is allowed
Can a Part D PDP be added to a Med Sup plan without cancelling the Med Sup plan? -
✔✔Yes, a stand alone works with Medigap
Can a Part D PDP be added to a Medical only part C plan without cancelling the
Medical only part C plan? - ✔✔Not unless the Medical only part C plan is a PFFS plan,
an MSA plan or a 1876 cost plan
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