Gimme That Gap
What Plan covers the Part B deductible?
Plan C or F
Max deductible in 2021
$445
What type of MedAdvantage plan can never be offered as an MA-only plan?
SNP plan
When would Extra Help Pay for the Part B premium?
Never!
Which carrier does not accept an enrollment 30 days before the birthday, in regards to the birthday rule in OR & CA?
Cigna
Which two plans have a Maximum out of Pocket?
Plan K & Plan L
What are the copays in the catastrophic phase, in 2021?
$3.70 Generics, $9.20 Brand/All others
List two changes a beneficiary can make during the MA-OEP
MAPD-->MAPD, MA only --> MA only, MAPD-->MA only, any MA --> OM + PDP
What does LIS stand for?
Low Income Subsidy
Which carrier requires you to be physically located in the state you are applying for coverage in?
Mutual of Omaha (MOO)
Name two states that have GI rights year round, for people with or without current gap plans?
New York Mass, or Connecticut
The Part D penalty is %-- for every ____ you go without coverage multiplied by the national base premium, $---.---- in 2021.
1%, month, $33.06
What type of MA-Only Plan can we add a stand-lone PDP to?
PFFS - Private fee for service
What two things will Extra Help pay for?
Prescription costs and drug plan premium
What is the only plan that does not require a PCP assignment? (List carrier and plan type)
Aetna PPO
What percent of foreign travel emergency is covered on Plan K?
It's not covered / 0%
How many days must one go without creditable coverage before the Part D penalty starts?
63 days
List 4 things on the FIRST page of the SOB that discusses benefits - After the Plan Name.
Premium -- Deductible -- Part D deductible -- MOOP - - Inpatient -- Outpatient -- Doc Copays
List the Extra Help costs for 2020 and 2021
UP TO : $3.60/$8.95 -- $3.70/$9.20
List the Part B deductible, The Part B premium, and finally, what percentage is the Part B late enrollment penalty?
198, 144.60, 10%
What are the copays for Plan N? $---- for what & and $--- for what other item?
$20 for some doc visits & $50 for ER visits that do not result in inpatient admission
What does IRMAA stand for?
Income Related Monthly Adjustment Amount
List all elections for contracted plans.
AEP -- SEP -- IEP -- ICEP
What extra charge will you not have to pay while eligible for Extra Help?
Part D Late enrollment penalty
Medigap plans give an additional --- days in addition to what medicare covers for inpatient hospital stay.
365