Burger King
List all the ways to be eligible for Medicare
Turn 65(age in) -- ALS -- ESRD -- 24 mos on disability
Medicare Coverage for ESRD starts when?
1st day of the fourth month on dialysis
When would you use IEP as an enrollment code? (two part Q)
Part A & B same -- MAPD or PDP enrollment
When is the MA - OEP?
January 1 - March 31
When is OEP?
6 months after turning 65/Part B date
There is IRMAA for Part -- and Part --
Part B and Part D
When does Medicare coverage end after a successful kidney transplant?
36 months after the month you have a kidney transplant
List the 4 states we offer Regence
UT, WA, OR, ID
List five of the Insurance companies we sell for.
Humana, Aetna, Regence, Cigna, MOO, UHC, Wellcare
What does SPAP stand for?
State Pharmaceutical Assistance Program
The Part B penalty is ----- for every full --- month period you go without coverage. This penalty is for ------.
10% -- 12 -- life
When does Medicare Coverage for ESRD patients who get off dialysis without a transplant?
12 months after the month you stop dialysis treatments.
What is the income limit for IRMAA? (How much does someone have to make for IRMAA to apply?)
$87,000 in 2018
Name the 3 systems we use to quote/enroll/save customer info.
Ignite/Aim, Sunfire, CSG tool
Where do we go to find specific information about coverage on an MAPD/MA?
Evidence of Coverage / EOC
Your plan increases only once per year from the market influence and it is cheaper the younger you were when you enrolled.
Issue Age Premium
When is the 5 star plan enrollment period?
December 8 - November 30
When is the GEP? What would you enroll in?
Jan 1 - Mar 31 -- Part B
Generally, how does Aetna cover dental, vision and hearing plans?
Reimbursement
What is PACE? Spell it out
Programs of All-Inclusive Care for the Elderly
What letters are not included in the Medicare Claim Number?
You must list them all to be correct
S L O B I Z
List the four phases of drug coverage in order.
Deductible - Initial - Donut/Coverage Gap - Catastrophic
Susan already had Part A. She missed her Part B enrollment last year. She signed up for Part B on January 23 during the GEP. Now she wants to enroll in an MAPD plan. When can she do that? (assuming her Part B has been delayed by GEP)
April 1 - June 30
List 5 Medicaid eligibility acronyms
QDWI, QI, QMB, QMB+, SLMB, SLMB+, FBDE
List 5 types of Medicare Advantage Plans.
PFFS, PPO, HMO, HMO-POS, De-SNP, C-SNP, I-SNP, MSA