MEDICARE ADVANTAGE
SEPs
LIS/EXTRA HELP
PLANS
MEDIGAP
100
This entity administers Medicare Advantage plans.

What is CMS?

100

This SEP code is triggered when a beneficiary has a change in residence. 

What is MOV?

100

Beneficiaries should call this number to apply for LIS/Extra Help

800-772-1213

100

This plan type uses provider networks and referrals.

What is a Health Maintenance Organization (HMO)

100

This entity administers Medicare Supplements.

What is the Department of Insurance?

200

This Cigna MA plan caters to veterans.

What is Cigna True Choice Courage Medicare?

200

An enrollee has both Medicare/Medicaid and wants to switch their prescription drug plan. This SEP should be used on their application.

What is DEP?

200

This agency helps beneficiaries apply and qualify for LIS/Extra Help.

What is the Social Security Adminstration

200

This plan type is offered to Cigna customers who have diabetes. 

What is a Chronic Special Needs Plan (C-SNP)

200

This review process can determine the cost of Medigap coverage and can also determine acceptance or denial.

What is the underwriting process?

300

The MA plan's MOOP caps a members costs for these two expenses only.

What are Medicare Parts A & B?

300

This page number of the 2025 Cigna Healthcare Election Period Booklet displays the beginning of the coding cheat sheet.

What is page 15?

300

Deductible: $0

Generic: $4.90/Brand: $12.15

Catastrophic: $0

What is Level 1 LIS/Extra Help

300

This Medigap plan is no longer offered to enrollees who started Medicare after January 1, 2020. 

What is Plan F?

300

These 4 states have year-round GI protections.

What are Connecticut, Massachusetts, Maine, & New York?

400

"You'll need to contact your Medicare Advantage plan and cancel it as soon as you are approved," is a statement that you might hear when a consumer does this.

What is has a MA plan and enrolls into a Medigap plan?

400

This SEP code is triggered by a voluntary or an involuntary termination of group coverage. 

What is LEC?

400

Ozempic - $4.80

What is LIS Level 2 (Brand)

400

This plan type has elements of both an HMO and a PPO.

What is a Health Maintenance Organization- Point of Service (HMO - POS) plan? 

400

The one-time 6-month window when you can buy a Medigap policy offered in your state.

What is Medigap Open Enrollment

500
This is required for an enrollee to join a Medicare Advantage plan.

What are Parts A & B?

500

This SEP begins December 8th and ends the last day of February of the following year.

Contract Non-Renewal

500

The frequency that an LIS/Extra Help beneficiary is allowed to change their PDP.

What is monthly?

500

These two plan types offer both in and out-of-network benefits.

What are PPOs and HMO-POS?

500

In Landscape, this is the place you go to build the Medigap policy you've just enrolled. 

What is "Policies" ------>"Add New Policy"

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