When the retiree is losing their employer coverage from employer.
100
Does part A and B have the same requirements?
No
100
Is part B Medical or Hospital?
Medical
100
Who can enroll during AEP?
Beneficiaries with Original Medicare and those already enrolled in a Medicare Advantage or PDP can add, drop, or switch coverage.
100
After how many minutes do you ask the LS if you need to stay on the line?
10 minutes.
200
What is I am losing or leaving an employer coverage?
its the preferred enrollment reason for a participant who is aging in and losing employer coverage
200
What are the requirements to qualify for part A?
Disability, have end stage renal disease or age 65 or older.
200
When one turns 65 Medicare Part B is automatically given. True or False?
FALSE
200
What are the dates for Annual Disenrollment Period?
January 1 - February 14
200
What is the first thing you do before calling an LS?
Place the retiree on hold
300
What is SEP?
allows you to sign up for Original Medicare Part A and/or Part B outside of regular enrollment periods or have moved out of the services area where your insurance won’t cover
300
How many years do you have to work in order to not pay a monthly premium for Part A?
a) 15 years
b) 5 years
c) 10 years
10 years
300
Do some retirees pay a premium for their part B? Yes or No?
Yes
300
How long is the Initial Coverage Election Period?
7 months. 3 months before the month they turn 65, the month of the bday and ends 3 months after the month of their 65th birthday.
300
If part B effective date is incorrect who do you contact?
Licensed Specialist
400
What is ICEP?
When one is calling in because they are 65 years of age and enrolling into Medicare for the first time.
400
People living in ________ who are eligible for automatic enrollment are only enrolled in premium free part A.
a) USA
b) Puerto Rico
c) Mexico
Puerto Rico
400
Can you enroll a retiree in a plan without part B?
Yes
400
What does ICEP stand for?
Initial Coverage Election Period
400
An LS can change the county on an application True or False?
TRUE
500
What is Individual Major medical?
its medical insurance for individuals and families who do not have access to a health plan through an employer or public program
500
Part A doesn't cover skilled nursing facility care. True or False?
False
500
True or False the Medicare Part B form is found in the funding packet?
True
500
What are the dates for AEP?
October 15- December 7
500
From the list below what can an agent change without conferencing a Licensed Specialist:
a) Zip code
b) Gender
c) Phone number