MEDICARE ADVANTAGE 2025
WHICH COMPANY OFFERS $160+ GIVEBACKS
HUMANA
What is the 2025 Part B premium?
$185
Name 3 companies that will offer a medicare supplement plan g?
United American, AARP, Cigna, Liberty Bankers, Humana, Aflac, etc
What is a hospital indemnity?
A supplemental health product that can fill in the gaps of a major medical plan/mapd
WHAT DO YOU NEED A SOA TO SELL?
PDP & MAPD
WHICH COMPANIES OFFER PPO DSNP PLANS
HUMANA & UNITED HEALTHCARE
What does IRMAA stand for
Income related medicare adjusted amount
What is another name for a medicare supplement?
Medigap
Name 3 companies that offer hospital indemnity
Cigna, liberty bankers, GTL, Heartland, Golden Rule, Aetna, Wellabe, Surebridge
HOW SOON DO YOU NEED A SIGNED SOA BEFORE A MEDICARE APPOINTMENT
48 HOURS
WHAT IS THE MAXIMUM OUT OF POCKET ON THE HUMANA 393 GIVEBACK?
$6700 IN NETWORK, $6700 OUT OF NETWORK
Which government agency administers Medicare?
CMS
What doctors can you see on a Humana Plan G
Any doctor who accepts original medicare
Name 2 companies that offer a guaranteed issue hospital indemnity around the time of turning 65
Heartland, GTL, Cigna, Liberty bankers
WHAT HEALTH PRODUCTS CAN YOU POTENTIALLY SELL TO A SENIOR CLIENT THAT DO NOT NEED A SOA
MEDICARE SUPPLEMENT, HOSPITAL INDEMNITY, DENTAL & VISION
What is the significant change taking effect on April 1,2025?
You will not have to call Medicare to confirm FEMA SEP. You cannot make the election yourself.
What are 3 things part a pays for?
First 3 pints of blood, hospice, home health care, inpatient hospital
Explain how a plan N works?
Client responsible for deductible, excess charges, $20 copay office visit, $50 copay for ER visit, waived if admitted.
What happens if you write a hospital indemnity/cancer/heart stroke for a client with medicaid and they file a claim which pays out?
The payout is taxable and raises their income potentially kicking them off of medicaid
What 5 things are listed on your scope of appointment as products that can be discussed during medicare appointment?
MAPD, PDP, Medicare supplement, DVH, Hospital indemnity/supplemental health
Which plan category will not Advent Health hospital for any planned surgeries or procedures?
Humana Gold plus hmo
How does somebody typically get their Medicare part b if they are NOT drawing social security when they are approaching 65?
Call SS and set up phone interview to apply for medicare part b/ or apply online
If a client wants to leave an MAPD during AEP and go back to Original Medicare, what is your process?
Apply for the medicare supplement, wait for approval, THEN write the PDP
What is the commission on a liberty bankers HI?
42.5%
If you have a signed SOA for an appointment name 2 product lines cannot be sold?
Life insurance & annuities