Medigap
True or False
Social security deduction is a payment option for Medigap plans
What is " False"
True or False (Medicare Advantage)
A payment method choice is by credit card
What is "False"
Enrollment Period that runs from October 15th- December 7th
What is "AEP"
What do you add in the summary field
What is "EEC"
Who would you contact if participant doesn't understand the summary of benefits?
Who is " Licensed Specialist" (LS)
True or False
Madigap plans include prescription drug coverage.
What is "False"
If participant states “Yes” to the question “Do you have End Stage Renal Disease (ESRD)?”, would you accept their answer and continue or would you contact an LS for assistance?
What is "yes"
Enrollment Period that runs from January 1st-February 14th
What is " Annual Disenrollment period
Whose manager do you put in the EEC ticket
Who is "The BA (benefits advisor) "
On applications for New York residents how would you answer the following question? “Will this New Medigap plan be replacing a Medicare Supplement or Medicare Advantage Plan?” (Usually Last question on the application). Would you answer that yes or no?
What is “Yes”
If a participant states they are in assisted living, how would you answer the following question? “Are you a resident in a long term care facility such as a nursing home?”
What is "No"
Special Enrollment Period starting 3 months prior to the loss of coverage and lasting for 2 months after the loss
What is "SEP-LEC" (losing Employer Coverage)
What error category do you select when the zipcode is incorrect?
What is "Profile Issues"
Participant is eligible for Medicare Due to a Disability. They state they are 62 years old. What age would you enter in the AGE field on a supplement application?
What is "62"
Someone who is Aging into Medicare and Losing Employer coverage, what would you use as their Enrollment Period?
What is “Losing Employer Coverage SEP-LEC”
Special Enrollment period that last 7 months
What is "ICEP"
Which person would you add in the associate category?
What is "BA's name" ( benefit advisors name )
What information if any do you have to read for summary of benefits for Supplement Plan N's?
What is " Medical Expenses"
True or False
Medigap plans are regulated by CMS
What is "False"
Applicant states that they do not work, but their spouse does. How would you answer the following question? “Do you or your spouse work?”
What is “Yes”
This question should be answered "YES" if either the participant or the spouse works, regardless of who is applying for coverage.
Special Election period where participant relocates out of their plan's service area.
What is "SEP MOV"
For something you as an ADP could correct on your own such as incorrect enrollment reason. What would you select in the contact resolution section?
What is "self resolved."
When entering in the credit expiration date and it asks for Month, day, and year what would the day be if participant provides you with 04/2020
What is " 04/30/2020 "