Medicare 101
What does part A and B of original medicare cover
What is Hospital and Medical
What 4 things must be confirmed for each med
What is Name Strength Form and Quantity
What is the definition of Medicaid
What is a state program that helps with medical costs/part b premium
What carrier covers lenses for glasses at no cost
What is United Healthcare
List 2 ways to find a clients doctor when the client doesn't remember the name
What is prescription bottle, name of the facility, location of the facility, insurance card (if pcp)
What does Part C cover?(6)
What is Hospital and medical, drug coverage, and additional benefits like dental vision and hearing
!DAILY DOUBLE! What are the 4 benefits of LIS
What is lowers the cost of prescriptions, lowers part d deductible, lowers monthly premiums, eliminates late enrollment penalty
What 3 things are needed to run a medicaid report
What is Name, Dob and Zipcode
What advantage do Humana DSNP OTC cards have over other carriers
What is the benefit rolls over
What tools are used to look up a clients medicaid information (2)
What is Jarvas and Humana
!DAILY DOUBLE! Name 3 differences between an HMO and PPO network
What is hmo plans must have a primary care doctor, must get referrals for specialists and doesn't cover OON doctors
What are the 2 most common memory medications
What is Donepezil and Memantine
What is a sign that a D-SNP plan takes partial medicaid?
What is copays/coinsurance for hospital/medical
What is Anthem
Which carries do you do a legacy application for? (4)
What is Humana, Aetna, Devoted and Zing
What is required to be eligible for a part c plan (4)
What is client must have part a and b, must live in the plans service area, must continue to pay part b premium and must continue to pay plan premium (if applicable)
What are the stages of Part D (3)
What is Deductible, Initial Coverage, Catastrophic coverage
What are the benefits of medicaid (3)
What is pays your part b premium, qualifies you for dsnp, cost share protection for those with full medicaid
What carrier offers essential extras and list 2 choices given
What carriers do you transfer to tier 3 to complete the application (4)
What is Anthem, Cigna, UHC, Wellcare,
Name 4 differences between medigap and medicare advantage plans
What is Medigap plans have higher premiums and no copays, freedom to choose doctors, does not cover routine services, client covered anywhere in US
MA plans have low premiums with copays, could have restricted network, may need referrals, may include extra benefits
What must be read regarding meds during the SOB (3)
What is drug deductible, tier costs, drug tiers/restrictions
What is (csp) QMB, QMB+, SLMB+, FBDE (NON CSP) QI & SLMB
!DAILY DOUBLE! This carrier allows you to use your otc benefit at sams club, costco and uber eats
What is United healthcare
What are 7 things should be included in broker notes
What is Doctors, meds, preferred hospital & pharmacy, Current plan/pitched plan, MBI/medicaid, dob, a&b start dates, needs, reason for the change, transfer/enrollment code