Mr. Garrett has just entered his MA Initial Coverage Election Period (ICEP). What
action could you help him take during this time?
Give this one a try later!
He will have one opportunity to enroll in a Medicare Advantage plan.
Plan sponsors may undertake the following marketing activities with current Medicare
Advantage plan members?
Give this one a try later!
Market non-health related items or services such as life insurance or
annuities policies to current members as permitted following HIPAA
Privacy Rules.
,Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal
disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain
coverage under Medicare. What should you tell him?
Give this one a try later!
He may sign-up for Medicare at any time however coverage usually begins
on the fourth month after dialysis treatments start.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA
Initial Coverage Election Period (ICEP) has just begun. Which of the following can she
not do during the ICEP?
Give this one a try later!
She can enroll in a Medigap plan to supplement the benefits of the MA
plan that she's also enrolling in.
Mrs. Margolis contacts you in August because she will become eligible for Medicare
for the first time in November. She would like to meet and discuss plan choices with
you. What advice should you give her?
Give this one a try later!
Tell her to wait until October to discuss plan choices with you so that you
can share plan benefits for the current year as well as any changes for the
following year that may impact her choice.
,You have approached a hospital administrator about marketing in her facility. The
administrator is uncomfortable with the suggestion. How could you address her
concerns?
Give this one a try later!
Tell her that Medicare guidelines allow you to conduct marketing activities
in common areas of a provider's facility.
Mr. Zachow has a condition for which three drugs are available. He has tried two but
had an allergic reaction to them. Only the third drug works for him and it is not on his
Part D plan's formulary. What could you tell him to do?
Give this one a try later!
Mr. Zachow has a right to request a formulary exception to obtain coverage
for his Part D drug. He or his physician could obtain the standardized
request form on the plan's website, fill it out, and submit it to his plan.
When Myra first became eligible for Medicare, she enrolled in Original Medicare
(Parts A and B). She is now 67 and will turn 68 on July 1. She would now like to enroll in
a Medicare Advantage (MA) plan and approaches you about her options. What
advice would you give her?
Give this one a try later!
She should remain in Original Medicare until the annual election period
running from October 15 to December 7, during which she can select an
MA plan.
, 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?
Give this one a try later!
She may fill prescriptions for covered drugs at non-network pharmacies,
but likely at a higher cost than paid at an in-network pharmacy.
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but she has
been working with Agent Neil Adams in the selection of a Medicare Advantage (MA)
plan. It is mid-September, and Mrs. Young is going on vacation. Agent Adams is
considering suggesting that he and Mrs. Young complete the application together
before she leaves. He will then submit the paper application before the start of the
annual enrollment period (AEP). What would you say If you were advising Agent
Adams?
Give this one a try later!
This is a bad idea. Agents are generally prohibited from soliciting or
accepting an enrollment form before the start of the AEP.
Mrs. Kumar would like her daughter, who lives in another state, to meet with you
during the Annual Election Period to help her complete her enrollment in a Part D
plan. She asked you when she should have her daughter plan to visit. What could you
tell her?
Give this one a try later!
action could you help him take during this time?
Give this one a try later!
He will have one opportunity to enroll in a Medicare Advantage plan.
Plan sponsors may undertake the following marketing activities with current Medicare
Advantage plan members?
Give this one a try later!
Market non-health related items or services such as life insurance or
annuities policies to current members as permitted following HIPAA
Privacy Rules.
,Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal
disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain
coverage under Medicare. What should you tell him?
Give this one a try later!
He may sign-up for Medicare at any time however coverage usually begins
on the fourth month after dialysis treatments start.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA
Initial Coverage Election Period (ICEP) has just begun. Which of the following can she
not do during the ICEP?
Give this one a try later!
She can enroll in a Medigap plan to supplement the benefits of the MA
plan that she's also enrolling in.
Mrs. Margolis contacts you in August because she will become eligible for Medicare
for the first time in November. She would like to meet and discuss plan choices with
you. What advice should you give her?
Give this one a try later!
Tell her to wait until October to discuss plan choices with you so that you
can share plan benefits for the current year as well as any changes for the
following year that may impact her choice.
,You have approached a hospital administrator about marketing in her facility. The
administrator is uncomfortable with the suggestion. How could you address her
concerns?
Give this one a try later!
Tell her that Medicare guidelines allow you to conduct marketing activities
in common areas of a provider's facility.
Mr. Zachow has a condition for which three drugs are available. He has tried two but
had an allergic reaction to them. Only the third drug works for him and it is not on his
Part D plan's formulary. What could you tell him to do?
Give this one a try later!
Mr. Zachow has a right to request a formulary exception to obtain coverage
for his Part D drug. He or his physician could obtain the standardized
request form on the plan's website, fill it out, and submit it to his plan.
When Myra first became eligible for Medicare, she enrolled in Original Medicare
(Parts A and B). She is now 67 and will turn 68 on July 1. She would now like to enroll in
a Medicare Advantage (MA) plan and approaches you about her options. What
advice would you give her?
Give this one a try later!
She should remain in Original Medicare until the annual election period
running from October 15 to December 7, during which she can select an
MA plan.
, 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?
Give this one a try later!
She may fill prescriptions for covered drugs at non-network pharmacies,
but likely at a higher cost than paid at an in-network pharmacy.
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but she has
been working with Agent Neil Adams in the selection of a Medicare Advantage (MA)
plan. It is mid-September, and Mrs. Young is going on vacation. Agent Adams is
considering suggesting that he and Mrs. Young complete the application together
before she leaves. He will then submit the paper application before the start of the
annual enrollment period (AEP). What would you say If you were advising Agent
Adams?
Give this one a try later!
This is a bad idea. Agents are generally prohibited from soliciting or
accepting an enrollment form before the start of the AEP.
Mrs. Kumar would like her daughter, who lives in another state, to meet with you
during the Annual Election Period to help her complete her enrollment in a Part D
plan. She asked you when she should have her daughter plan to visit. What could you
tell her?
Give this one a try later!
