Question6 Mr. Zachow has a condition for which three drugs are available. Source: Drugs Excluded from Part D Coverage. Mr. Any MA plan he joins will assign him to a primary care physician and he can request a change if he has a valid reason that the plan will approve. Accept the form and immediately send it in to the plan for processing. What step(s) would you recommend that Mark take?
Mrs. Mulcahy must be entitled to Part A and enrolled under Part B. You may not require RSVPs, but when people arrive, you may require completion of contact information on a signup sheet. One of your colleagues suggests that you do a presentation on one of the Medicare Health plans you market, and modify it to include information about preventive screening tests showcased at the event. CMS requires the dismissal of senior plan management. AHIP Module 5 Continued... Flashcards. What could you tell Mr. Meoni? You will have to attend one of several remedial training events sponsored by the Medicare agency before being allowed to retake the test. "If you're not in very good health, you will probably do better with a different product. " Source: Required Practices: Marketing Activities; Prohibited Practices: Marketing Activities, cont'd. The prescription is for a controlled substance with a quantity of 160.
Cole has been a Medicaid beneficiary for some time, and recently qualified for Medicare as well. Chen has heard about a Medical Savings Account (MSA) but wants to know if it is just about saving money, or if he will get insurance coverage for his health care expenditures as well. Chou likes a Private Fee-for-Service (PFFS) plan available in her area that does not include drug coverage. You know from the water bottling company specifications that the standard deviation of the amount of water per bottle is 0. She should not tell anyone about her concern with her enrollment in a PFFS plan, because the marketing representative could lose his/her commission. What does this mean? The Part B deductible will no longer be covered for individuals newly eligible for Medicare starting January 1, 2020. Source: Enrollee Protections Question2. A sales agent, employed by the Sponsor's first-tier, downstream, or related entity (FDR), submitted an application for processing and requested two things: 1) to back-date the enrollment date by one month, and 2) to waive all monthly premiums for the beneficiary. ABC may provide residents that meet the I-SNP criteria an explanatory brochure, reply card, and phone number for additional information for each I-SNP with which it contracts. Where might he turn for help with his prescription drug costs? D. MA plans are only available to those who have been enrolled in a Medigap p before enrolling in an MA plan, she must first use a Medigap plan to supplemen Source: Question2 Ms. AHIP Exam Test Review Unit 1 to 5 - Question and Answe - Study-Guide. His prescriptions have not changed, he is keeping the same Part D plan and the benefits, cost-sharing, and coverage of his drugs are all the same as last year. Jerry is currently enrolled in Medicare Parts A and B. Jerry has also purchased a Medicare Supplement (Medigap) plan which he has had for several years.
D. Brown's health conditions only to advise her to choose a different plan if she is experiencing significant health problem Source: Enrollment Discrimination Prohibition and Exceptions. She asked you when she should have her daughter plan to visit. Agent Mary Jennings makes a presentation on Medicare advertised as an educational event. Mr. Because he reached the coverage gap last year, he will not have to go through it again this year. Source: Employer/Union Coverage of Drugs, cont'd. What should you tell Mr. Rainey (or his representative) about the length of an inpatient psychiatric hospital stay that Medicare will cover? Authorization may be obtained by directing a beneficiary to a website to provide consent. Because he reached the coverage gap last year, he will not have to g. c. Because he reached the coverage gap in August last year, he probab. He can return to Original Medicare, but must then enroll into a Medicare Part D p. c. Mrs. roberts has original medicare plan. He can only make a single enrollment change during the Annual Election Period, enrollment. She should not expect to get in to see her doctor any more quickly since she is a Medicare patient.
A PFFS plan is one of various types of Medicare Advantage plans offered by in one if it is available in her area. Question2 If you are to be in compliance with Medicare's guidance regarding educational events, which of the following would be acceptable activities? Mrs. roberts has original medicale.com. The rehabilitation hospital is located outside the geographic area served by her current Medicare Advantage (MA) plan. © © All Rights Reserved. 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. Question2 Mrs. Townsend would like her daughter, who lives in another state, to meet with you during the Annual Election Period to help her complete her enrollment in a Part D plan.
D. Source: Part 4, Frequently Asked Questions; Promotional Activities: Nominal Gifts. ABC is a Medicare Advantage (MA) plan sponsor. D. He may only use the SEP to disenroll from his MA plan and return to Origina Source: Enrollment Periods: Special Enrollment Periods (SEPs), cont'd. One of your colleagues argues that it is better to focus your time and energy exclusively in neighborhoods with single-family homes. Wendt suffers from diabetes which has gotten progressively worse during the last year. Mrs. roberts has original medicare advantage plan. You should not discuss the phone call with Mr. Schmidt to avoid influencing his answers. Her doctor recently confirmed a diagnosis of end-stage renal disease (ESRD). Source: Prohibited Practices: Inducements, Light Snacks vs.
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