Medicare quiz

Card Set Information

Author:
Anonymous
ID:
306933
Filename:
Medicare quiz
Updated:
2015-08-27 14:03:05
Tags:
medicare quiz priscription drugs
Folders:

Description:
ahip medicare advantage plans quizes to prepare for final exams
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user Anonymous on FreezingBlue Flashcards. What would you like to do?


  1. Mr. Carlini has heard that Medicare prescription drug plans are only offered through private companies under a 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?
    • .
    • Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug plan through a private company that has contracted with the government to provide only such drug coverage to eligible Medicare beneficiaries.
  2. Mrs. Grant uses several very expensive drugs and anticipates that she will enter catastrophic coverage at some point during the year.  To help her determine when she is likely to qualify for catastrophic coverage, she asked which expenses count toward the out-of-pocket limit that qualifies her for catastrophic coverage.  Which one of the following would count?
    Prescription drugs she purchases when in the Part D coverage gap.
  3. Mrs. Quinn has just turned 65, is in excellent health, and has a relatively high income.  She uses no medications and sees no reason to spend money on a Medicare prescription drug plan if she does not need the coverage.  What could you tell her about the implications of such a decision?
    . If she does not sign up for a Medicare prescription drug plan as soon as she is eligible to do so, if she does sign up at a later date, her premium will be permanently increased by 1% of the national average premium for every month that she was not covered.
  4. Mr. Carlini has heard that Medicare prescription drug plans are only offered through private companies under a 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?
    . Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug plan through a private company that has contracted with the government to provide only such drug coverage to eligible Medicare beneficiaries.
  5. Since 1999, Mrs. Patel has had a Medigap policy that covers drugs.  This year she received a letter from her Medigap insurer telling her that her Medigap drug coverage is not “creditable.”  She wants you to explain what this means and what she should do.  What should you tell her?
  6. The letter is letting her know that her Medigap drug coverage is coverage that does not expect to pay, on average, at least as much as Medicare’s standard Part D coverage expects to pay. If she signs up for a Medicare prescription drug plan now, she may have to pay a premium penalty if her special enrollment period has expired
  7. Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but when he looks at information on various plans available in his area, he sees a wide range in what they charge for deductibles, premiums and cost sharing.  How can you explain this to him?
  8. Medicare Part D drug plans may have different benefit structures, but on average, they must all be at least as good as the standard model established by the government.
  9. Mrs. Grant uses several very expensive drugs and anticipates that she will enter catastrophic coverage at some point during the year.  To help her determine when she is likely to qualify for catastrophic coverage, she asked which expenses count toward the out-of-pocket limit that qualifies her for catastrophic coverage.  Which one of the following would count?
  10. Prescription drugs she purchases when in the Part D coverage gap.
  11. Mr. Shapiro gets by on a very small fixed income.  He has heard there may be extra help paying for Part D prescription drugs for Medicare beneficiaries with limited income.  He wants to know whether he might qualify.  What should you tell him?
  12. The extra help is available to beneficiaries whose income and assets do not exceed annual limits specified by the government.
  13. During a sales presentation, your client asks you whether the Medicare agency recommends that she sign up for your plan or stay in Original Medicare.  What should you tell her?
    • T
    • ell her that the Medicare agency does not endorse or recommend any plan.
  14. Ordinarily, you provide clients who purchase various types of insurance products from you with a gift when they enroll and you let them know that they will receive it after their enrollment is complete.  When you market Medicare Advantage and Part D plans, what may you offer as a gift to induce enrollment in a plan?
  15. You may not provide any gift or prize as an inducement to enroll
  16. This year you have decided to focus your efforts on marketing to employer group plans.  One employer provides you with a list of their retirees and asks you to contact them to explain the characteristics of the plan they have selected.  What should you do?
  17. You may go ahead and call them.
  18. Mr. Yoo’s employer has recently dropped comprehensive creditable prescription drug coverage that was offered to company retirees.  The company told Mr. Yoo that, because he was affected by this change, he would qualify for a Special Election Period.  Mr. Yoo contacted you to find out more about what this means.  What can you tell him?
  19. It means that he qualifies for a one-time opportunity to enroll into an MA-PD or Part D prescription drug plan.
  20. Mrs. Brown wants to enroll in a Medicare Advantage plan that does not include drug coverage and also enroll in a stand-alone Medicare prescription drug plan.  Under what circumstances can she do this?
    • .
    • If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a Medical Savings Account, Mrs. Brown can do this.
  21. Mr. Grant has just entered his MA Initial Coverage Election Period (ICEP).  What action could you help him take during this time?
  22. He will have one opportunity to enroll in a Medicare Advantage plan
  23. Mr. Grace was told he qualifies for a Special Election Period (SEP), but he lost the paper that explains what he could do during the SEP.  What can you tell him?
  24. If the SEP is for MA coverage, he will have one opportunity to change his MA coverage.

What would you like to do?

Home > Flashcards > Print Preview