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Terms in this set (50)


Mr. Carlini has heard that Mr. Carlini can stay with Original Medicare and also
Medicare prescription enroll in a Medicare prescription drug plan through a
drug plans are only private company that has contracted with the
offered through private government to provide only such drug coverage to
companies under a eligible Medicare beneficiaries.
program known as
Medicare Advantage
(MA), not by the
government. He likes
Original Medicare and
does not want to sign up
for an MA product, but he
also wants prescription
drug coverage. What
should you tell him?

,During a sales The Medicare Advantage plan received a 5-star rating
presentation to Ms Daley in customer service and care coordination with an
for a Medicare Advantage overall performance rating of 4-stars
plan that has a 5-star
rating in customer service
and care coordination,
and received an overall
plan performance of a 4-
star, which of the
following would be the
correct statement to say
to her?

Mrs. Pena is 66 years old, She may enroll at any time while she is covered under
has coverage under an her employer plan, but she will have a special eight-
employer plan and will month enrollment period that differs from the
retire next year. She heard standard general enrollment period, during which she
she must enroll in Part B at may enroll in Medicare Part B
the beginning of the year
to ensure no gap in
coverage. What can you
tell her?

Mr. Bickford did not quite He could check with the manufacturers of his
qualify for the extra help medications to see if they offer an assistance program
low-income subsidy under to help people with limited means obtain the
the Medicare Part D medications they need. Alternatively, he could check
Prescription Drug to see whether his state has a pharmacy assistance
program and he is program to help him with his expenses.
wondering if there is any
other option he has for
obtaining help with his
considerable drug costs.
What should you tell him?

, Alice is a marketing Betty and Denise, but not Alice (the employee) or Carl
representative employed or Edward (to whom exceptions apply).
by a health plan. Betty is a
captive agent of a health
plan who markets to
multiple plans and
sponsors. Carl is a captive
agent who markets to only
one plan/sponsor. Denise
is an independent agent
who markets to different
types of groups. Edward is
an independent agent
who markets only to
employer and union
groups. CMS marketing
representative
compensation rules
generally apply to:

Mrs. Valentino is currently Mrs. Valentino can submit a written request to
enrolled in a Medicare Medicare to be disenrolled from the Cost plan and
Cost plan. This plan is no enroll in Original Medicare.
longer meeting her needs,
but it is now mid-year and
past the annual election
period (AEP). What would
you say to Mrs. Valentino
regarding her options?

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