A member's 65th birthday is on July 25. He enrolls in Medicare on his birthday. This is the date his plan becomes effective
What is August 1st
100
This is commonly known as hospital insurance
What is Part A.
100
Member's addresses/phone numbers may be changed by_________
What is the member and a POA (Power of Attorney).
100
Part D is commonly known to cover __________
What is Prescription drugs
100
Who can initiate the submission of an application for a tiering exception?
What is a member or provider.
200
A member is eligible to Medicare on her birthday of June 1st. This is the entitlement month.
What is May 1
200
This part of Original Medicade covers hospice care.
What is part A.
200
Hipaa stands for Health Insurance ___________ and __________ Act
What is Portability and Accountability
200
A list of prescription drugs covered by a plan.
What is a formulary
200
How old does a member have to be to receive medicare if you have ESRD?
What is any age
300
LIS (Low Income Subsidy), Moving, Going in/or of a Long Term Care Facility, No longer eligible to Medicaid, Leaving employer coverage are fall forms of what election period?
What is the Special Enrollment Period.
300
Also known as medical insurance.
What is part B.
300
If a call is received from a member's representative stating he has a specific question about an Anthem document he has in his hand and can provide the specific HIPAA guideline answers, the customer service agent can ___________
What is discuss only the contents of that document.
300
An LEP (late enrollment penalty) for signing up for part D plan after a member is eligible lasts how long?
What is for life.
300
True or False: A wife can receive medicare (when eligible)based on her husband's 10 years of work service.
What is True
400
Member wants to disenroll from their MAPD plan and go back to original Medicare and enroll in a stand alone Part D plan. He can do that during the period January 1 to February 14. This is called what?
What is MADP (Medicare Advantage Disenrollment Period)
400
This part of original medicare covers DME (Durable Medicare Equipment).
What is Part B.
400
If a member is incapacitated, a caller representative can be considered to have ___________
What is implied consent.
400
Appeals pertaining to Late Enrollment Penalties are submitted to this agency.
What is Maximus
400
LIS stand for this
What is a Low Income Subsidy.
500
During what election period can a member submit multiple applications and the one with the latest received date will be accepted?
What is Annual Enrollment Period
500
Parts and B are collectively known as what
What is original Medicare.
500
Has a customer service agent violated HIPAA laws if only the member's name and date of birth are obtained.
What is yes
500
True or False: The shingles Vaccine is covered by part D.
What is True
500
True or false: Our company has a strict dress code of formal attire at all times.