Enrollment Periods
Oct 15- Dec 7th is considered
AEP
Which 2 parts are considered Original Medicare?
Part A and B
What are the requirements to enroll in a Medicare Advantage?
65 and older, under 65 with a disability , and must have Parts A and B
A lead becomes an opportunity by...?
Converting
How many plans does Tufts offer in 2024?
9
What dates make up OEP?
Jan 1 - March 31
What are the eligibility requirements for Original Medicare?
65 and older, and people under 65 who meet certain criteria. (if you have a disability, End-Stage Renal Disease (ESRD), or ALS )
Which 2 parts are required to enroll in a MAPD(Part C)?
Parts A and B
In order to receive credit on an enrollment you must _____ every call
Document /Notate
Which TMP-HMO plan always includes drug coverage?
Saver
How many different enrollment periods are there?
4 (IEP/ICEP, AEP, OEP, SEP)
A ___% late enrollment penalty is applied to your monthly premium for twice the number of years you did not have Part A/B despite being eligible.
10%
Medicare Advantage offers extra benefits including
Vision, Dental, Hearing, OTC, Wellness, Acupuncture etc.
What needs to be changed in the opportunity before transferring to enrollment?
The stage needs to be changed to "Application Submitted"
Which Tufts HMO have a medical deductible?
None of them
What enrollment period occurs when there is a Qualifying Event, such as moving into or out of a service area, losing coverage because a plan is discontinued, becoming eligible for Medicaid and/or LIS, or if a 5 Star Plan is available in your service area.
SEP
You may have to pay a late enrollment penalty if at any time after your Initial Enrollment Period is over, there's a period of 63 or more days in a row when you don't have Medicare drug coverage or other creditable prescription drug coverage.
True
How many prescription drug phases are there?
4 ( Deductible, Initial Coverage, Coverage gap, and Catastrophic Coverage)
After ending a call you MUST __________ the call
Disposition
Which TMP-HMO plan is NOT offered in every service area (county)?
Saver Rx
If a consumer has a SEP and IEP during AEP , which enrollment period needs to be selected on application?
IEP
What are the Original Medicare Part A and B deductibles?
Part A - $1600
Part B- $226
Medicare Advantage Plans also called Part C or MA plans are offered by private companies approved by Medicare. _________ pays these companies to cover your Medicare benefits.
Medicare
If a consumer calls in with an existing account and lead already made do you proceed with that lead or make a new one?
Proceed
3650