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It is a type of Medicare Advantage plan that allows you to go to any doctor anywhere. FeelBetter will pay Agent Chan initial year compensation for the months July through December. You may proceed with the discussion and enroll the individual, if she so desires.
He would like to enroll in a Medicare health plan, but does not want to be limited in terms of where he obtains his care. They state's Medicaid program. He believes he's entitled to a SEP since he is now a dual eligible. Mrs. roberts has original medicare and would like to enroll. He must apply for the extra help at the same time he applies for enrollment in a opportunity, he will not be able to apply for the extra help again until the next ann. SNPs only serve individuals eligible for both Medicaid and Medicare, so he cannot enroll. What advice would you give him regarding his health coverage options? 162. Who is most likely to be eligible to enroll in a Part D prescription drug plan? You may go ahead and call them.
You may leave enrollment kits for several MA plans and offer to discuss a Medigap and Part D prescription drug plan may like. You may use any marketing techniques that do not invo enrollees. The vitamins the Vaughns are taking will be covered under Part D, because their phys vitamins, but the hair loss medication cannot be covered. D. CMS requires plan sponsors to publish in local newspapers the names and misdeeds of not complied with the terms of their contracts, so that potential clients can know whom to a Source: Oversight and Enforcement: By CMS, cont'd. Roberts has just received a new Medicare identity card in the mail. ENROLLMENT GUIDANCE MEDICARE ADVANTAGE AND PART D PLANS PART 5. Levi is considering enrollment in a Medicare Advantage HMO plan offered in her area. Source: Enrollment Discrimination Prohibitions. Source: Medicare Marketing Rules: Materials and Practices. Zachow will have to wait until the Annual Election Period when he can switch Part D plans. Mrs. roberts has original medicare advantage. Medicare health plans must include in all marketing representative contracts requirements to abide by all guidance from the Federal agency overseeing Medicare and all applicable state laws. Any time that she is dissatisfied with the plan's network coverage or customer service she may make such a change. 1 During a sales presentation to Ms. Daley for a Medicare Advantage plan that has a 5-star rating in customer service and care coordination, and received an overall plan performance rating of a 4-star, which of the following would be the correct statement to say to her?
He must apply for the extra help at the same time he applies for enrollment in a Part D plan. © © All Rights Reserved. She is concerned that her income will make it impossible for her to qualify for Medicare. He will have to enroll in Part B. AHIP Exam Test Review Unit 1 to 5 - Question and Answe - Study-Guide. c. He will not need to do anything. Anita intends to enroll in Original Medicare Part A and Part B. He is wondering whether he can obtain coverage under Medicare. Part B will cover her dental and vision needs. Prescription drugs she purchases on her own that are not on her Part D plan's formulary.
Seven days prior to the appointment, you must notify the company(s) you represent regarding which products you will be presenting, so they can report the nature of your meeting to the Medicare agency. He will need to enroll in a Medicare prescription drug plan upon becoming eligi a premium penalty. D. Only a single prize or give away can be made at any one event, regardless Source: Promotional Activities: Nominal Gifts. You only need to comply with requirements of federal and state "Do Not Call" r. c. AHIP Module 5 Continued... Flashcards. You will have to avoid calling any potential client, unless he or she initiates con you give him or her a call. This is a reasonable argument, but requiring face-to-face meetings in order to answer questions or complete an enrollment application is not permitted unless an agent first communicates with the beneficiary via phone, e-mail or reply card.
You may distribute business cards to individuals who request information on h the plan(s) you represent. No, the retail cost of the items would be more than $15. C. Anderson is a new Medicare beneficiary, you can accept the form for the cu Medicare beneficiary, he must wait until the Annual Election Period to submit his form. You may use e-mail as a method of initial contact with potential enrollees about Medicare Advantage plan information, but must not send additional email messages if the beneficiary does not give permission. If she or her husband were ever employed by the federal government, she can enroll in Medicare. D. Source: Part 4, Frequently Asked Questions; Promotional Activities: Nominal Gifts. In the meantime, he will have to pay for his drug out of pocket. Mrs. roberts has original medicare approved. Before taking this action, your plan must post a public notice in the physicians' office and then the physicians can release information about Medicare beneficiaries with certain illness or diseases to agents. She is concerned that she will not qualify for coverage under part A because she was not born in the United States. Releases of information by physicians to brokers or agents concerning their patients is permitted by state law, however, you should consult an attorney who specializes in your state privacy laws before proceeding.
Tell her that Medicare recommends that beneficiaries enroll in a Medicare Advantage plan because it will serve her better than Original Medicare. Within three months of meeting with the client, you will need to turn the scope of appointment forms over to the Medicare agency for audit purposes. Question6 One of your colleagues argues that face-to-face meetings with potential enrollees should be required because they cannot make an appropriate decision with the minimal information that can be provided over the phone or in small brochures. Mrs. Raskin is a widow who will attain aged 65 and enroll in Medicare in just a few weeks. Mr. Styles would like to plan for retirement and has asked you what is covered under Original Fee-for-Service (FFS) Medicare? B. Medicare Health Plans are not permitted to offer any benefits beyond those program and must have the same maximum out-of-pocket limit on Part A and P c. Medicare Health Plans may offer extra benefits that Original Medicare does dental services and must include a maximum out-of-pocket limit on Part A and. You may offer meals to existing enrollees of the plan(s) you represent, but potential enrollees may not have a meal. Plans may not participate in advertising such an event. What can you ask the physician group to do?