Original Medicare
This part of Medicare covers Hospital.
What is Part A?
You must have all of these to enroll into a Medicare Advantage Plan.
What is Medicare A and B and a valid SEP?
This is another name for Medicare Supplement Plans.
What is Medigap?
This is an additional monthly premium added to your Medicare drug plan if you don't enroll in a Part D plan when you're first eligible, or if you have a 63-day or longer gap in creditable prescription drug coverage
What is the Part D Late Enrollment Penalty?
This is the Time Frame for the Annual Enrollment Period. This is when plans become effective using this SEP.
What is Oct. 15 - Dec 7th? What is Jan. 1
This is the Part B premium for 2025.
What is $185?
The Deductible for the Part B Credit plan is.
What is $600?
This is what Medicare Supplement covers.
What is Covers the 20% of Hospital and Medical that Original Medicare does not for a monthly premium?
This is the amount of Tiers on our plans.
What is 5?
This is the Time Frame for Initial Enrollment Period.
What is 3-1-3?
This is the Part A Deductible for 2025
What is $1,676?
MAPD covers the following:
What is Hospital, Medical, Prescription, Dental, Vision, Hearing and sometimes OTC/Food Allowance?
True or False: We should offer a PDP while on a Supplement Call.
True. Supplements do not cover RX and the prospect needs RX coverage to not get a Late Enrollment Penalty.
Beneficiaries must have this to enroll into a PDP.
Medicare A OR B and a valid SEP
This is the Time Frame for a Move Election
What is 1 month before 2 months after?
This is the amount that Original Medicare covers for beneficiaries.
What is 80%?
This benefit will give additional coverages for Dental and Vision.
What is the Optional Supplemental Benefit? (OSB)
These are the times someone can add OSB to their supplement plan.
During initial enrollment
Within the first 30 days following their enrollment effective date
February 1st-April 30th
This is the cost of a 1 month supply of insulin.
What is $35?
This is how many times a beneficiary can change their plan during AEP.
What is unlimited?
These are the ways to become eligible for Original Medicare.
What is Turning 65, 2 years drawing on SS Disability if under 65, ALS, ESRD?
If someone goes to the ER and gets admitted into the hospital within 3 days for the same condition this is how much they pay for the ER Copay.
What is $0 as it would roll into their first night of inpatient?
This disclaimer must be read on every call discussing supplements.
What is DIFS?
True or False: RX coverage covers over the counter Vitamins, supplements, pain relievers, and allergy medication.
False
True or False: You can reuse an SEP if the plan has already gone into effect. (Example: Customer Signed up for coverage starting on 8/1. You spoke to them on 7/15 to change to a different plan during their IEP.
True. It goes by last application submitted.