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Which of the following is NOT a consideration when making the change? What could you tell her to address her concern? How do the CMS compensation rules apply to these three agents? Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. Mr. Mr. lombardi is interested in a medicare avantage concurrentiel. Decaro has looked at Medicare prescription drug plans available in his area and noted a wide range in premiums. Since this is her first experience with Medicare Advantage, she is concerned that she will be locked into a plan and unable to make any coverage changes for at least a year if not longer.

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That are not on her Part D plan's formulary. In the MA-only PPO plan and a stand-alone prescription drug plan. He can give away more than one gift during a single event, - but the aggregate retail value cannot exceed $15. Compliance is the responsibility of the Compliance Officer, Compliance Committee, and Upper Management only. In considering these sources of leads, what rules must you be sure to abide by? It won't cost him much more and, because he has the means to do so, he wishes to enroll in the stand-alone prescription drug plan in addition to his MA-PD plan. Mr. AHIP Questions - 2023 AHIP EXAM Q&A. Singh would like drug coverage but does not want to be enrolled in a Medicare Advantage plan. I find Docmerit to be authentic, easy to use and a community with quality notes and study tips.

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She has recently reviewed her Medicare Summary Notice (MSN) and disagrees with a determination that partially denied one of her claims for services. When you market Medicare Advantage and Part D plans, what may you offer as a gift to induce enrollment in a plan? Mrs. Schneider has Original Medicare Parts A and B and has just qualified for her state's Medicaid program, so the state is now paying her Part B premium and she is considered a dual eligible. AHIP BUNDLED EXAMS WITH COMPLETE SOLUTIONS(All AHIP exams are here)Full solution pack AHIP bundle 100% verified. How would you advise Ms. Thomas?

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He has heard that there is a premium penalty for those who did not sign up for Part B when first eligible and wants to know how much he will have to pay. Mrs. Paterson is concerned about the deductibles and co-payments associated with Original Medicare. Mr. Shapiro gets by on a very small amount of fixed income. She asks her agent, Josh, to enroll her in the 5-star plan. May correct this information as long as you add your initials and date next to. Recent flashcard sets. Which option is the preferred method to submit enrollment? Mr. Mr. lombardi is interested in a medicare advantage pitch. Polise requested a description of the Part D plan, his agent must have Mr. - Polise sign a new scope of appointment form that includes Part D, and then the. Anita might instead consider other Medigap plans that offer foreign travel benefits but do not cover the Part B deductible.

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Ensure you coordinate with other payers. Marketing Medicare Advantage and Part D plans, what must you do about. Mr. Chen is enrolled in his employer's group health plan and will be retiring soon. Melissa Meadows is a marketing representative for Best Care which has recently introduced a Medicare Advantage plan offering comprehensive dental benefits for $15 per month. Mr. lombardi is interested in a medicare advantages. Confirm coverage of the beneficiary's current and/or anticipated prescriptions. Prescription Drug plans, which activity must you do?

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Wendt has heard certain MA plans might provide him with more specialized coverage for his diabetes and wants to know if he must wait until the next annual open enrollment period (AEP) before enrolling in such a plan. Phiona is placed in charge of BestCare's efforts to facilitate electronic enrollment in its Medicare Advantage plans. And will be retiring soon. What additional types of insurance can you present during the MA and Part D marketing appointment? During an appointment scheduled to discuss a Medicare Advantage Prescription Drug plan (MA-PD), Mr. Peters asked his agent to describe a stand-alone prescription drug plan (Part D plan) that his neighbor told him about. Presentation, she asks you to stay in contact to ensure that she is being well. During the meeting, she asks to discuss a stand-alone prescription drug plan. The plan is suitable for her needs and service area. Mr. Mayhew accepted an invitation to present information on. Beneficiaries enrolled in an MA-PPO may not obtain Part D benefits through a standalone PDP or through their plan. There are ___ LIS copay categories that could be assigned to a member, depending on the level of need. She is concerned that since no generic prescription drug is available and these drugs are very high cost, she will not be able to find a Medicare Part D prescription drug plan that covers either one of them. She is considering enrollment in a Medicare health plan.

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He would like to know his options since he has decided to drop his retiree coverage and is eligible for Medicare. Wellcare 2023 Exam key. Received incorrect plan benefit information or were dissatisfied with plan benefits. Chose to enroll into a Part D plan you represent. Search for providers and formularies to validate physician and prescription availability. Eleanor takes several high-cost prescription drugs. Mr. Alonso receives some help paying for his two. One plans on giving door. Ramos can obtain care from any provider who participates in Original Medicare, but generally will have a higher cost-sharing amount if she sees a provider who/that is not part of the PPO network. C. He cannot enroll in a stand-alone prescription drug plan because you do not represent such a plan. He recently suffered complications following hip replacement surgery.

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Roberts is about to be discharged. What should you tell her about obtaining drug coverage? She is eligible for Medicare Part A and did not enroll for Part B when first eligible because she has insurance through her employer - Coffee Brew, Inc. She also did not enroll in Part D because she had creditable coverage. He heard about a neighbor's MA-PD plan that you represent and because he takes numerous prescription drugs, he is considering signing up for it. Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. 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 of the following is a correct statement about state laws as they pertain to marketing representatives? Mrs. Slade apply in this situation? Many also cover Part D prescription drugs.

Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic enrollments. She may enroll in an MA plan beginning three months immediately before her first entitlement to both Medicare Part A and Part B. Goodman enrolled in an MA-PD plan during the Annual Election Period. Prescription drug plan because his retiree plan does not cover two important. What action would you recommend he take in order to have this cost covered? Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA Initial Coverage Election Period (ICEP) has just begun. Increase member satisfaction. Which of the following individuals is most likely to be eligible to enroll in a Medicare Advantage or Part D Plan? You may then proceed with the discussion. She asks you to explain it. You are preparing for a marketing presentation and have. D. In-person reporting to the compliance department/supervisor. Which of the following defines a Medicare Advantage (MA) Plan? You spoke to your supervisor who said don't worry about it.

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