What is the allowed timeframe with no creditable coverage before an LEP is added to a beneficiary’s premium?
63 days
100
Who might offer creditable coverage? (name at least 2)
Qualified SPAPs
Military coverage (VA, TRICARE)
Some Medigap policies
100
Where do you look for enrollment gap start & end dates? (be specific)
MARx
--Beneficiary
---Eligibility
100
When (for a prior Part D/RDS member) does the calculation of the disenrollment period begin?
On the effective date of the member’s disenrollment from the prior Part D or RDS plan
100
Who won the 2016 NBA Finals?
Cavs
200
What is creditable coverage?
Drug coverage which meets or exceeds Medicare’s minimum standards
200
Who determines whether a beneficiary previously had creditable coverage?
Plan sponsor
200
Where does a TRC 011 come from? (who sends it?)
CMS
200
When (for a prior Part D/RDS member) does the calculation of the disenrollment period end?
The day before enrollment becomes effective with the new plan
200
Who has the must followers on Instagram?
Selena Gomez
300
What is the length of time a beneficiary needs to pay an LEP?
As long as s/he has Medicare prescription drug coverage
300
Who determines the amount of the LEP?
CMS
300
Where are attestation documents typically sent, if they are needed?
To the member/beneficiary
300
When does an LEP end if:
- an enrollee turns 65 while already enrolled in a Part D plan,
and
- in the subsequent IEP enrolls in a new plan?
The day before the subsequent (new) IEP begins
300
Zayn Malik left what band?
One Direction
400
What length of time for a gap in coverage is NOT reported?
2 months or less
400
Who must act to remove the LEP if a beneficiary is already enrolled in a Part D plan when a subsequent IEP begins?
Plan Sponsor
400
Where will you find a CRCO event documented, if one exists?
FACETS
400
When is a CRCO event initially documented/noted?
During initial enrollment
400
Marilyn Monroe had how many toes in one foot?
six toes Yuck!
500
What two conditions of a PACE enrollee make him/her not subject to LEP?
Those who:
Are dual-eligible
Remain enrolled in a Med-D plan
500
Who might have a gap in coverage, yet still pay no penalty when enrolling in Med-D?
Those who qualify for LIS
500
Where can you find copies of letters sent to members?
OneClick
500
When will the plan sponsor not initiate or continue with a coverage determination?
When the member:
Has cancelled enrollment prior to the effective date,
is LIS eligible, or
has died.
500
These very old iconic symbols were responsible for what modern system? - the moon, the sun, the planet Saturn, and the Anglo-Saxon gods: Thor, Tiw, Woden, and his wife Frig.