Medicare Supplements
These GIs are located in all states that sell Med. Supp. plans
What is Federal 7 GIs
Provider must obtain approval before plan allows rx usage
What is a Prior Authorization
Month of the move and 2 months after
What is SEP MOVE
T or F. Agents are not required to look up doctors for PPO plans
What is False
One could learn of benefits covered in a plan without detailing every benefit, limitation, etc...
What is the Summary of Benefits (SOB)
Medicare Supplement Open Enrollment Period Timeframe....
What is 6 months
Preferred Generic Drugs are classified on what level of tier?
What is Tier 1
Has to be retrieved from Siebel before saving all data and returning to the search and/or tier 1 screen to copy/paste to another system
What is Contact ID
ANOCs and EOCs are.....
What is Annual Notice of Change and Evidence of Coverage
A computer left unattended or unlocked for any reason is a direct violation of_____.
What is HIPPA
State of CO Med. Supp. ratings are based on....
What is Attained Age Rated
CMS Part D Standard Deductible for 2022
What is $480
7-month timeframe from which a person can enroll into Original Medicare
What is ICEP/IEP
Qualifications to enroll into a MA/MAPD
What is have Both A/B, Live in service area, and valid SEP
Process allows T2 agent to sell/quote a plan, then call client back 10/15 to enroll via e-sign process
What is E-signature Process
One can apply for a Med. Supp any day of the year under this circumstance....
What is Guaranteed Issue
Part B vs Part D drugs could be covered under____as determined by Medicare or where they may be administered, but not both
What is either Part B or Part D
Has to be read at the beginning of every call per CMS guidelines
What is CMS Statement
Agents should offer to look up rx before quoting a MAPD or PDP to a client. True or False
What is True
Establishing a relationship of trust, communication, and understanding
What is Building Rapport
In WI, what riders can be added to the basic Med. Supp. Plans to reduce costs?
What is Medicare Part B Coinsurance or Co-Payment Rider
Three Most commonly used drug restrictions....
What is PA, ST, and QL
OSB information about a plan can be found.....
What is landing page, EOC, SOB, and Plan Details
All Medicare Advantage plans include the non-emergency transportation benefit. True or False Where would one look to find additional information?
What is False; What is Evidence of Coverage (EOC)
Individual spends 9 mths. in CA. & 3 mths. in FL. which physical address is used to buy a MAPD plan?
What is the residence used when filing their income taxes