She only needs to enroll in the new MA-PD plan and she will automatically be disenrolled from her old MA plan. With the help of Agent James Chan, she enrolls in FeelBetter Medicare Advantage plan with an effective date of July 1st. Plan sponsors must include a disclaimer on all marketing materials promoting a prize or drawing or any promise of a free gift that there is no obligation to enroll in the sponsors must track and document promotional activities and items given to current enrollees during the year.
Mrs. Quinn has just turned 65, is in excellent health, and has a relatively high income. Employed or independent agents/brokers must be state-licensed and follow all state appointment regulations in order to sell Medicare Advantage plans. For MA and Part D plans the individual must Permanently reside in the service area of the plan. If the application does not include information supporting a permissible election period, plans must contact the beneficiary to decide if enrollment is and Part D Enrollment periods are:MA Initial Coverage Election Period (ICEP)Part D Initial Enrollment Period (IEP)MA and Part D Annual Election Period (AEP)MA and Part D Special Enrollment Periods (SEP)Open Enrollment Period for Institutionalized Individuals (OEPI)MA 45-Day Disenrollment Period (MADP). Cover the following services even when provided by non-network providers: • emergency services; • out-of-area urgently needed services; and • out-of-area renal dialysis. You have set up an appointment for an in-home sales presentation with Mrs. Fernandez, who expressed interest in the Medicare plans you represent. However, individuals who already have Plans C and F will be able to keep their current versions of the plans and individuals eligible for Medicare prior to January 1, 2020, can purchase the current version of Plans C and F on or after January 1, 2020. For example, the SEP for calendar year 2018 can be used from December 8, 2017 through November 30, 2018. AHIP Exam Practice with 100% Correct Answers. In setting up the enrollment site, which of the following must Phiona consider? Mr. Mrs. paterson is concerned about the deductibles costs crippling middle. Decaro has looked at Medicare prescription drug plans available in his area and noted a wide range in premiums. What step(s) would you recommend that Mark take?
Agent Armstrong is an independent agent under contract with MarketCo, a third party marketing organization. You are meeting with Ms. Berlin and she has completed an enrollment form for a MA-PD plan you represent. BestCare Health Plan has received a request from a state insurance department in connection with the investigation of several marketing representatives licensed by the state who sell Medicare Advantage plans. You have had a good meeting with Mr. Claggett and he has selected a Medicare Advantage plan. 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. Mrs. paterson is concerned about the deductibles are usually. Mrs. Ramos is considering a Medicare Advantage PPO and has questions about which providers she can go to for her health care. Which of the following is a correct statement about state laws as they pertain to marketing representatives? 2) Beneficiaries who lose their LIS eligibility during the year outside of the annual redetermination does the SEP take place? Later in the year, Mr. Rivera needs dentures, a service only covered under Medicaid. • If a beneficiary is considering this option, he/she should call the plan first. MA MSA may only obtain Part D benefits through a standalone PFFS plan that offers Part D coverage may only obtain Part D benefits through that plan. Part D enrollees have three options for paying their Part D premium. Examples of foods that may be considered "light snacks" include: ▪ Fruit and raw vegetables ▪ Pastries and muffins ▪ Cookies or other small bite-size dessert items ▪ Crackers ▪ Cheese ▪ Chips ▪ Yogurt ▪ Nuts.
Medicaid: help with health care costs. What can you tell her about Medigap as an option to address this concern? Mr. Carter, who is enrolled in a stand-alone Part D plan, receives the Part D low-income subsidy and just received a letter from the Social Security Administration informing him that he will no longer qualify for the subsidy? She has decided to enroll in a Medicare Advantage plan. Medicare-Medicaid beneficiaries have a continuous special enrollment period that permits them to enroll in a MA, MAPD, PDP, or MMP (in applicable states and subject to state-specific eligibility rules) during any month. One plans on giving door prizes worth $5, refreshments valued at $8 per anticipated attendee, and coupon books with discounts worth $10. Wendy Park becomes eligible for Medicare for the first time in July. ▪ Enrollee communications including rules; agreements; handbooks; contractual changes; changes in providers, premiums, or benefits; plan procedures; and wallet card instructions to enrollees. Disenroll from an MA plan, PDP or Cost plan or leave Original Medicare Enroll in a 5-star MA plan, PDP or Cost plan Eligible individuals may enroll in a 5-star plan through 1-800-MEDICARE,, or directly through the 5-star plan. ▪ Medicare Advantage plans are the same as Medigap plans. Beneficiaries who have moved into a plan service area from a location where there was no Part D plan available (e. overseas) qualify for an SEP just for Part D election purposes MA eligible and Part D eligible beneficiaries who experience certain qualifying events are allowed an SEP Timeframes for SEPs are variable, however, most begin on the first day of the month in which the qualifying event occurs and last for a total of three months. Cash gifts include charitable contributions on behalf of an attendee and those gift certificates or gift cards that can be readily converted to cash. You need to get Mr. Schmidt's phone number and include it on the enrollment form because the plan must call him after you leave to ensure that he understood the nature of the PFFS plan he selected and to verify his intent to enroll.
Skilled nursing and rehabilitative care only after a three day hospital stay, up to 100 days in a benefit period (as defined by Medicare). You are seeking to represent an individual Medicare Advantage plan and an individual Part D plan in your state. • When withholding begins, it will be for the 2-3 months of premiums owed. If Mr. Johannsen gains the Part D low-income subsidy, how does that affect his ability to enroll or disenroll in a Part D plan? Regional PPOs are PPOs that serve an entire region, made up of one or more states. CMS may offer services through non-network providers at the in-network enrollee cost-sharing level. Most individuals who are citizens and over age 65 are covered under Part A by virtue of having paid Medicare taxes while working, though some may be covered as a result of paying monthly premiums. A meal CAN'T be provided, but light snacks would be permitted. She uses no medications and sees no reason to spend money on a Medicare prescription drug plan if she does not need the coverage. You plan to participate in an educational event sponsored by a large regional health care system. What could you tell her?
CMS facilitates her enrollment into a PDP, effective October 1st. He wants to know if Medicare covers cancer screening. Plan sponsors and their marketing representatives may not willfully structure pre-enrollment activities with the intent to give people more than $75 per year. ▪ There is an exception where state law requires that the gift certificate or gift card must be convertible to cash and the cash value is no more than $2. ▪ If your doctor accepts Medicare, she accepts this plan. Marketing representatives should contact plan sponsor regarding the appropriateness of the food products provided and must ensure that items provided could not be reasonably considered a meal and/or that multiple items are not being "bundled" and provided as if a meal. Plans/Part D Sponsors must submit to CMS social media (e. g., Facebook, Twitter, YouTube, LinkedIn, Scan Code, or QR Code)posts that meet the definition of marketing materials, specifically those that contain plan-specific benefits, premiums, cost-sharing, or Star Ratings. Each individual must be advised at the beginning of the electronic enrollment process that he or she is completing an enrollment request.
Agents/brokers must be licensed in the State in which they do business, annually complete training and pass a test on their knowledge of Medicare and health and prescription drug plans, and follow all Medicare marketing rules. Some cost plans transitioning to MA contracts will have "deemed" or facilitated enrollment. You have been providing a pre-Thanksgiving meal during sales presentations in November for many years and your clients look forward to attending this annual event. After you explain that it is way for consumers to judge plan performance, what else would you say? Medicare Module 1 – Flashcards.
But to me - maybe that was overly violent and people would sue you today, but, you know, what? There's a fair amount of violence in a lot of these stories. In recent years, Lansdale's work has gained a wider audience thanks to Sundance's 2016-2018 Hap and Leonard series based on his crime-solving duo, and from movie adaptations of his Cold In July and Bubba Ho-Tep. He is a member of both the United States and International Martial Arts Halls of nsdale began donating his literary papers to the Southwestern Writers Collection/The Wittliff Collections in 1992. Hap Collins, a straight, white liberal, and Leonard Pine, a black, gay conservative, have long challenged genre conventions, and the friendship and camaraderie between these two hard cases as they suit up against injustice and hypocrisy is at the heart of these seven tales. And when I read that, I thought, hey, I can do this. I was a bouncer, I worked in the rose fields, I teach martial arts and he's a martial artist.
Veil's Visit – If possible, read it before Captains Outrageous. In Michael Kenneth Williams and the most un-Texan of James Purefoy, they have captured that element so vital to these stories. You know their past and where they're coming from. The story starts simply enough when Hap, a former 60s activist and self-proclaimed white trash rebel, and Leonard, a tough black, gay Vietnam vet and Republican with an addiction to Dr. Pepper, are working a freel... Hap and Leonard investigate a racially motivated murder that threatens to tear apart their East Texas town. And one day we were out playing. As always, things get complicated. But after you've been involved in a number of things, it's just the opposite. And of course, you know, there's a long history of racial issues there, and you have been called the conscience of east Texas. His characters will also make their television debut tonight in Hap and Leonard, a new SundanceTV series starring James Purefoy as Hap and Michael K. Williams as Leonard. No, it tastes like squirrel. It's not a full length new story, now published in Born For Trouble: The Further Adventures of Hap and Leonard. Joe Lansdale's mind is wonderful and just a little scary. There has been a car crash and her husband is dead.
I have a job, I'm going out - she was working for what was Southland Corporation then wearing, like, a little freezer suit that would protect her, and she would pack lunch meat. They have a down to earth and often ribald sense of humor. DAVIES: What did you do for fun as a kid? "Otherwise, I don't know, but I've always been of the opinion that you're always writing about now, whether you write about the old West, whether you write about the future, it's still now, because that's what you know, and that's what you're experiencing. Leonard is based on a lot of people, but he's also that doppelgänger side to an extent. Paste: [Hap and Leonard showrunners] Nick Damici and Jim Mickle previously adapted your novel Cold in July for film. If you like Hap and Leonard, you may also want to see our C. J. And he told some stories, but mostly it was the relatives that told stories 'cause he didn't like to talk that much about himself.
For example, bringing Soldier and Angel in early throughout season 1, the additions of Sheriff and Beau Otis in season one to affect season 2, the childhood of MeMaw and the truly devastating open of season 2's "Holy Mojo" episode (don't think I'll ever be able to play hide and seek again), all bring additional dimensions to the tale. If it's your first time or two doing something like that, going into the midst of danger and uncertainty, you have tunnel vision. "Sometimes I do it to point at certain things and say, 'Look at this' — and not to get a gross out, but to consider what this is about and why it occurred. In crafting Hap and Leonard for the small screen, Jim Mickle and Nick Damici have Lansdale form. It features the characters Hap and Leonard, which is the title of a new Sundance original TV series based on his books. But what happened was that when we'd go squirrel hunting, he would kill two or three extra and he would bring them to a black family that he knew who were more desperate than we were, and the same thing when he went fishing. I also know about tunnel vision because when you are beginning to be experienced, or less experienced or not experienced at all, when something frightening happens, it is, it's like a tunnel vision. Leonard is a black homosexual Vietnam vet.... Laughter is the common bond. Then using each episode's opening tease to give colour to the tale we are watching is an inspired choice. I see my characters. So it was a real bad time to be working in the fields because everything was cold, it was wet, we were having these floods. And the comics then led me to be interested in just stories in general.
They've been hired by a client who thinks that her husband may be cheating on her. Jun 13, 2019one of the best series made, good script, good drama, good comedy, and good mystery. Death by Chili – Another short story that can be found in the new Hap and Leonard anthology. CFL Rating: 3 Stars. This is proper adaptation.
Everybody tells you hunting's a sport. The first Hap and Leonard book, Savage Season, was published in 1990 and "did nothing, " Lansdale says. Hap and Leonard are unlikely friends, but friends nevertheless. And she walked to some house down the road and called my father. Black, gay, and outrageously unconventional, Leonard is in deep trouble, and his old pal, Hap Collins, is the only one willing to believe his innocence. But I could write, and I liked the stories better than the art. Everything to the right and the left of you is a black wall. A little research turns up a slew of murders. Giving the supporting characters fully formed backstories that are explored in the teases, adds the depth that is needed. One example is the plot of his novel "Bubble Ho-Tep. "
You'll love these books, and will surely find your way to Blood and Lemonade down the line. Hap wants to call the police. We follow Hap Collins, a white working-class laborer who spent time in federal prison for refusing to fight in the Vietnam War, and his best friend, Leonard Pine, a gay, black Vietnam vet with anger issues.
You make gumbo with them. Inheriting one hundred thousand dollars and a smal…. To Leonard, Williams brings the heart, steel and wit that makes Leonard such a wonderful character. It is their misfortune that they are spotted by a hillbilly family out on the river at night to recover a stolen shipment of heroin sunk in the river after a double-cross.
The show is peppered with some dark humour yet serious and brutal enough to include some bloody violence. If you haven't read any of them, you might have read our appreciation of Savage Season, the first in the series. 'Surprise, ' she said. And a guy came out of the house and he grabbed my dog by the hind legs, hit him in the back of the head with a pipe or a stick or whatever it was and threw him in that creek.
Paste: Why did you go against the grain and not make them traditional badge-and-gun detectives or established private investigators? Paperback - 240 pages - 978-1-61696-253-1. It's that moment when you really know how much they care. The two are as close as friends can get. Referring to me - and says, case dismissed.
Lansdale: If it was a television show say 10 years ago, I probably wouldn't have done it. If we don't have it today, create a 'Want' and receive an automated email when the item is listed for sale. Hap Collins and Leonard Pine are best friends, yet they couldn't be more different. Linguist Geoff Nunberg will reflect on what idiosyncratic spelling in English and French tells us about our cultures and jazz critic Kevin Whitehead reviews recently released Thad Jones/Mel Lewis Orchestra recordings that he says were an explosion of creative energy.
His work has appeared in national anthologies, magazines, and collections, as well as numerous foreign publications. A young black man – Leonard – has challenged a group of young white boys to a fight, and has made short order of the first two, but the mood is going sour and Leonard won't stand a fair chance if the group turns on him en masse. Why don't they back off from the situations they get themselves into? There's not much else, but read on If you feel so inclined. He says, you know, this isn't a sport. Apr 05, 2018One of the best seasons of the show!! Adaptation is attempting to capture lightning in a bottle and then to try to make it strike twice. Paste: You've had these characters with you for more than 25 years. But one time we were chasing another car with kids in it. Adaptation is someone taking that same joy of discovery and wonderment and the distilling it through the lens of many, many people. So when started I writing this crime novel, it just naturally found its place.