Enter Title

Basic Medicare

100

What is the Medicare Part B deductible?

$283

200

What is the Medicare Part A Deductible?

The Medicare Part A inpatient hospital deductible is $1,736 per benefit period.

300

What is the part B premium for 2026?

$202.90

400

What is the Part A premium for 2026?

(2 of 3 answers)

If they paid in their 40 quarters $0 

30-39 quarters $311

30& under quarters $565

500

How long does a Medicare beneficiary have to sign up for Part B after leaving employer coverage?

You have an 8-month Special Enrollment Period (SEP) to sign up for Medicare Part B without a penalty after leaving employer coverage.

ACA

100

What must you do at the beginning of any ACA appointment before discussing benefits?

Get a signed consent

200

Name 3 items you need to run a quote for an ACA plan.

Name

Zip Code

Tobacco

Marital Status

Dependents

300

What is the adjusted gross income and where would you find it on a tax return?

Adjusted gross income is your taxable income before taxes after deductions, you can find this on line 11 on tax for 1040

400

If you have a client that has an R1 or R2 Visa Can they get a Marketplace plan?

Yes, however they will not qualify for a tax subsidy.

500

What is the standard range (percentage) Of the FPL do you need to be to qualify for a tax subsidy?

100%-400%

MAPD

100

What document must be completed before discussing Medicare Advantage plan-specific benefits?

Scope of Appointment (SOA)

200

What is the difference between OEP & AEP?

OEP runs Jan 1-Mar 31 and allows MA members to make one change; AEP runs Oct 15-Dec 7 and allows broader enrollment changes.

300

For Duals CMS officially ended the Value-Based Insurance Design(VBID) model and replaces it with?

Special Supplemental Benefits for the Chronically Ill (SSBCI)

400

A beneficiary moves out of their MA plan's service area in December but doesn't notify the plan until March. When does their SEP end?

The move SEP generally begins the month before the move (if reported in advance) or when the move is reported, and lasts for a limited period after notification. Timing of notification matters.

500

What is the difference between a D-SNP, HIDE SNP, and FIDE SNP?

• D-SNP: Dual-eligible beneficiaries only

• HIDE SNP: Highly Integrated Dual Eligible SNP

• FIDE SNP: Fully Integrated Dual Eligible SNP with the highest level of Medicare-Medicaid integration

Med Sup

100

What plans are not available for people turning 65 in on and after January 1, 2020

Plans F and C

200

What distinguishes a Medicare Select plan from a standard Medigap policy?

Network requirements for certain non-emergency services

300

 Several Medigap plans include a foreign travel emergency benefit. Generally, what percentage of covered costs does Medigap pay after the deductible?

80%

400

What Medicare Supplement plan has to pay 75% of the Part A deductible?

Medicare supplement plan L

500

In the Medicare & You book, Medicare supplement (medigap) is referred to as Medicare part ____?

Medicare Part E

PDP

100

What is the 2027 Standard Deductible?

$700

200

What is the 2027 TRooP?

$2400

300

What is the approved copay for the GLP-1 Bridge?

$50

400

If you switch from a MAPD to a PDP plan during OEP will your Deductible and Troop transfer to the new plan?

Yes.

500

Medicare Part D PDP sponsors can instantly remove a brand-name drug from their formulary if they replace it with a newly released generic equivalent. However, what specific notification requirement must they meet for affected enrollees who are already taking the drug?

• A) They must provide 60 days advance written notice.
• B) They must provide 30 days advance written notice.
• C) They can provide notice after the change, alongside a 1-month refill supply.
• D) No direct notice is required if the generic is placed on the same or lower tier.

C) They can provide notice after the change, alongside a 1-month refill supply.