Compliance
Company Facts
Dates
Medicare Acronyms
Medicare 101
100
Promotional items to potential enrollees may not exceed what amount?
$15
100
For the 2014 selling season Aetna has expanded into how many counties?
58
100
Medicare Open Enrollment Period
October 15th through December 7
100
What does "ESRD" stand for?
End-Stage Renal Disease
100
List the 4 parts of Medicare.
Parts A, B, C & D
200
CMS expects SOA's to be collected how far in advance to appoinments?
48 hours
200
How many of Aetna counties for 2014 are $0 premium?
132
200
Medicare Advantage Disenrollment Period
January 1 through February 14
200
What does "SAE" stand for?
Service Area Expansion
200
The 2013 Medicare Part A deductible is how much?
$1,184
300
How long does CMS require a Scope of Appointment to be on file?
10 years
300
Name one of the production requirements for Aetna's AHIP reimbursement?
10 new MAPD or PDP plans
300
What Year was Medicare started?
1965
300
What does "EOC" stand for?
Evidence of Coverage
300
How many months is a New to Medicare "Initial Enrollment Period?"
7 months
400
What form of communication can be used to request referrals from current MA clients?
Mail Only
400
Healthspring is based out of what City & State?
Nashville, TN
400
What President signed the Medicare amendment?
Lyndon B Johnson "LBJ"
400
What does "MSN" stand for?
Medicare Summary Notice (Used to file claim appeal)
400
Medicare Part A "Benefit Period" is how many days?
60 days
500
Name the 2 types of Sales Event practices.
Formal and Informal
500
What year was CIGNA formed?
1982
500
What year did Medicare Advantage originate?
1997, with the Pass of the Balance Budget Act
500
What does "ANOC" stand for?
Annual Notice of Change (plan send each fall to client)
500
Name 3 services that Medicare Part A & B does not cover.
LTC (Custodial Care), Routine dental, eye care, dentures, cosmetic surgery, acupuncture, hearing aids and fitting exams
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