Ahip Module 5 Continued... Flashcards

Thursday, 11 July 2024

He may choose withholding from his Social Security check when he completes the enrollment form. I. Edward (enrolled in MA and Part D) moves to a new home within the same neighborhood in his existing plan's service area. Source: Enrollment Periods Annual Election Period; Enrollment Periods MA Disenrollment Period (MADP) 1. C. Chen must convert his current coverage to employer-sponsored retiree cove in an MA or Part D plan. It is a type of Medicare Advantage plan that allows you to go to any doctor anywhere. Mrs. roberts has original medicare vs. Agent Armstrong follows up with individuals who request more information about ABC MA plans via the website and tries to persuade them to enroll in ABC plans. He will need to begin obtaining his drug coverage through his state's Medicaid program.

Mrs. Roberts Has Original Medicare Vs

Roberts is about to be discharged. She will be paying a monthly premium preventive and screening tests, generally will have 20% co-payments for these serv deductible. No, marketing representatives can only request information from providers on all beneficiaries, not just those with specific conditions. Mrs. roberts has original medicare card. Olsen is concerned that a Medicare Advantage plan will not cover the same range of services that would be covered under Original fee-for-service Medicare. Mrs. McCain likes a PFFS plan available in her area that does not offer drug coverage. Xi will soon turn age 65 and has come to you for advice as to what services are provided under Original Medicare. They must obtain their care through their state's Medicaid program. As long as his employer offers coverage that is equivalent to Medicare's, he cannot enroll in Part B.

Mrs. Roberts Has Original Medicare Advantage Plan

Choose one answer.... She wishes to enroll in a MA MSA plan that she heard about from her neighbor. Bizzo will be able to see any provider he likes, so long as that provider participates in Original Medicare. How would the guidelines for marketing Medicare Advantage and Part D plans apply to this practice? Mrs. roberts has original medicare advantage plan. D. You need to ask Mr. Schmidt a few final questions to ensure he understands the nature o also should tell Mr. Schmidt that after you leave, he should not answer any questions abou could result in a disenrollment.

Mrs. Roberts Has Original Medicare Approved

She will need to pay no premiums for Part B as she qualifies for premium free cov she has worked. Klasen if he is enrolled in Part A and Part B and if he needs drug coverage. You should tell your colleague no because participation in an educational event may n. c. Whether or not a sales presentation is allowed at this educational event is entirely up t. d. As long as your sales presentation includes information that is about healthy living or c could talk about the Medicare plans in your presentation. The Medicare Advantage plan is a top rated plan. Question8 Mrs. Schmidt is covered by Original Medicare. D. He became eligible for Medicare when his disability eligibility determination was Source: Medicare Entitlement-Part B. Mr. Davis is 49 years old and has been receiving disability benefits from the Social Security Administration for 12 months. No, providers are legally prohibited from sharing such information. You should plan to conduct sales presentations, but must not accept enrollment forms. AHIP Exam Test Review Unit 1 to 5 - Question and Answe - Study-Guide. D. You may set up personal sales appointments with any beneficiary who expres Source: Educational Events, cont'd; Educational Events, cont'd. He is a very good speaker and was asked to make a presentation at a local event that was advertised as educational. The prescription is for a controlled substance with a quantity of 160. You could suggest he call the doctor who performed the surgery to complain about the costs and ask for a discount on the charges. 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.

Mrs. Roberts Has Original Medicare Cover

D. The VA will not offer drug coverage to Mrs. Fiore once she qualifies for th Source: Employer/Union Coverage of Drugs. Thomas is not physically or mentally capable of filling out and signing the form. You must set up your table, make marketing presentations, and accept enrollment applications near the pharmacy counter where people wait for their prescriptions. You must tell him you are not permitted to take the form. Mrs. roberts has original medicare and would like to enroll in a private fee-for-service (pffs) plan. - Brainly.com. How would you advise Agent John Miller to proceed? Last month, while reviewing a Centers for Medicare & Medicaid Services (CMS) monthly report, you identified multiple individuals not enrolled in the plan but for whom the Sponsor is paid.

Mrs. Roberts Has Original Medicare Card

Carlini can stay with Original Medicare and also enroll in a Medicare prescription d has contracted with the government to provide only such drug coverage to eligible Medic b. Carlini can obtain drug coverage through the Federal government's fallback plans, alternative to privately sponsored Medicare Advantage plans. Auxiliary aids and services must be provided to individuals with disabilities, such as those suffering from vision or hearing impairments, free of charge, and in a timely manner. You must disclose to him that he does not have to provide you with any information. Individuals receiving such disability payments from the Social Security Administr payments, but only become eligible for Medicare upon reaching age 65. c. Individuals who become eligible for such disability payments only have to wait 12 coverage under Medicare.

Mrs. Roberts Has Original Medicare Advantage

D. The Part D low income subsidy is designed for Medicare beneficiaries who also qualify for Medicaid, she would likely not qualify for the extra help and therefore should not take the time Source: Encourage Individuals with Limited Income/Resources to Apply to the State Medicaid Office. Standard Part D coverage would require payment of an annual deductible, 25. gap, a portion of costs for both generics and brand-name drugs in the coverage after the coverage gap. At the beginning of the presentation, Mrs. Brown tells you that she has a copy of her medical record available because she thinks this will help you understand her needs. The MA PPO plan does not include drug coverage, but the other two plans do. He will have to enroll in Part B prior to enrolling in the PFFS plan.

Tavenner can charge the beneficiary more than the cost sharing specified in the PFFS plan's benefits as long as she treats all beneficiaries the same. During 2006, many people experienced significant problems with deductions from their Social Security check for their Part D premium. Source: Light Snacks vs. Wendt suffers from diabetes which has gotten progressively worse during the last year. Gonzalez can purchase a Medigap plan that covers drugs, but it likel to that provided under Part D. Gonzalez should purchase a K or L Medigap plan. If the enrollment form is countersigned by one of Mr. Tully's treating physicians, d. Tully's daughter can do so only, if she is authorized under state law as a cou power of attorney for health care decisions, or is authorized under state surrogate decisions. You should consult with your state insurance department to see what they say. Source: Other Medicare Health Plans cont'd: Employer Union Plans. It would not be unusual for her costs to be substantially less because a new requ being automatically substituted for brand name drugs in the coverage gap.