Original Medicare
Enrollment
Periods
MARX
Medicaid and LIS
OCC
100

The Part B annual deductible

What is $233?

100

The 3 month period before Medicare eligibility, the month of, and 3 months after  


What is IEP and ICEP?

100

The start date and SEP if I'm calling on Dec 6th

What is none?

(Leave it alone) 

100

The LIS cost shares for LIS LVL 1 for 2023 

What is $0, $4.15 for generics, $10.35 for brand names 

100

The effective date and SEP if I call on Oct 14th and all my meds are through the VA mail order, I am on an MA plan currently 

What is Jan 1st and AEP

200

The part that covers physical Therapy, outpatient hospital Services, labs and imaging, and medical equipment 

What is Part B?

200

The SEP allowing a person on disability turning now 65 to get into a plan

IEP2

200

The start date if I call in on Nov 3rd, and I am moving to a new zip code, same county with the same plans available, on Dec 1st. 

What is Jan 1st?

200

The process you follow when you get an opportunity in an area where no DSNPS are offered. 

What is try to verify with the carriers to see if they're cost share protected OR call the state as a last resort?

200

All my drs and all my meds are covered by the Indian Health Services, I am looking for money back, can you help me?

DAILY DOUBLE: The products you can help me with in this situation 

What is yes?


What is all of them?

300

The Part A Cost Sharing 

What is $1,556 Annual Deductible, Days 1- 60 $0, Days 61-90 $389 per day, 91-150 $778 per day (Lifetime Reserve Days) 

300

The sep after returning to the US after residing in a different country 

What is RUS?

300

The start date and SEP if I'm calling Nov 15th

What is 12/01 and DIF?

300

Medicaid may cover some of your Medicare cost sharing for medical services and may or may not cover the part B premium, depending on your state’s Medicaid program. You’re eligible for full Medicaid

What is FBDE?

300

I have PACE in Pennsylvania that helps with drugs, can you assist me?


DAILY DOUBLE: Define this program 

What is yes?


What is a pharmaceutical program that assists certain individuals in Pennsylvania

400

The part that pays for skilled nursing facilities, rehabilitation facilities, and hospice

What is Part A?

400

The SEP when you select an MA/MAPD during IEP/ICEP surrounding the 65th birthday and you want to go back to OG Medicare with or without a PDP selection 


DAILY DOUBLE: If I get Medicare prior to age 65 do I qualify for this SEP?

What is 12J?


What is no?

400

The start date and SEP if I'm calling on Oct 15th 

What is 11/01 and NLS?

400

The Medicaid level that only covers your Medicare Part A premium 

What is QDWI?

400

The effective date and SEP if I call you on Nov 1st with a current Humana MAPD plan, but I am looking for more dental, I am telling you that I have VA cov and I use my local CVS for prescriptions.   

What is Jan 1st and AEP?

500

Medicare law that regulates Medicare cost plans, Medicare Supplements, and PACE

What is Part E 

500

Sep for beneficiary's who requested their plan documents in an accessible format and did not receive in time and missed the deadline of the election period have this sep

What is ACC?

500

The start date and SEP if I'm calling on Oct 20th 


DAILY DOUBLE: The SEP in the scenario that I just lost credible prescription drug cov from an employer 

What is Nov 1st and IEP for Part D?

What is LCC?

500

The coverage I receive with partial LIS 


DAILY DOUBLE: The subsidy percentages of partial LIS covers ________

What is up to $104 of the yearly deductible and up to 15% of the cost of each prescription covered by the plan

What is that percentage of the monthly premium?

500

The effective date and Sep you would use if I'm calling on Oct 20th and I state that my workers comp is no longer covering me fully for medications 


DAILY DOUBLE: Provide the reasoning 

What is Jan 1st and AEP?


What is workers comp is not considered credible cov because it does not pay on average as much as the standard Medicare prescription drug coverage, it only covers meds related to the workers comp injury claim