Basic Life
What is the Plan Code for our Basic Life Products?
13z/29k
What is covered under Part A?
Room and Board
Skilled Nursing
Hospital Stays
What is a MOOP?
Maximum out of pocket
The period of time a client must actively be receiving care before Bankers will pay.
Elimination Period
What is needed to begin the C.I. Claims process?
What is the minimum age for a Graded Basic Life product?
Fiddy (50) Years Old
What are the three requirements for Skilled Nursing?
Extra 100pts for the ongoing requirement.
30 day plan of care
Must be doctor recommended
Must have had 3 night stay in hospital
* Must have constant gradual improvement
Part B premium and cost share
$185 and 20%
The maximum duration of care and the elimination periods for STC and LTCF
360(15 or 30 days)
730( 15 to 730 days)
How would you calculate the monthly premium for a critical illness policy?
Multiply the Annual Premium listed in the brochure by .08583 and Add $1
Which product is more suitable for someone with diabetes who uses insulin daily?
29K
Explain Part C of medicare
You sell your rights and entitlement to Medicare parts A and B, in exchange for networks and extra benefits outside of Parts A and B.
Lifetime reserve days
Days 91-150
The feature on a STC that allows for “reinstatement” of a policy’s benefit following a gap of 180 days without care being needed
Restoration of benefits
Agent guide page 18
Can I sell a Hospital Indemnity policy as a stand alone Coverage?
No, they must have a source of primary health coverage prior to selling.
What is the look back period on Skin Cancer?
There isn’t one! Q3 asks about Internal Cancer
Explain a Plan N supplement
Most similar to group health insurance
You can go to any doctor that accepts Medicare
They may charge a copay up to $20 or $50
Plan deductible for $257
What is the difference between a HMO and PPO plan?
Include the full name of both.
HMO- Health management organization
PPO- Preferred provider organization
HMO has networks, PPO you pay less for staying in the network but can use outside providers
What are your 2 choices for insuring for Extended care? (Not STC and LTCF)
Explain how they work?
Self pay and private insurance
Medicaid spend down and Bankers pay
Explain how the hospital Admission rider helps cover the expenses not covered by Medicare.
Medicare part A has a deductible of $1,736 that is due for the first day of an inpatient hospital stay. Using 1 day of benefit from an HI policy could cover you for a 60 day expense.
I’m 25 years old and have Sickle Cell Anemia, I am prescribed an opioid for chronic pain and complications. What can I get?
Likely a 13z, depending on other medicines prescribed over the last 3 years
What the guaranteed issue windows
ICEP, T65
Double Beopardy:
Give a Full T65 Medicare PresentationI lied you are an instant winner
What does it mean for a LTCF to be tax qualified?
Benefits from a tax-qualified policy are not considered taxable income. Premiums paid for a tax-qualified policy may be deductible as medical expenses.
Source of premium may be from a qualified retirement account (1035 exchange).
What conditions are covered under plan G-224 and the critical conditions rider?
Heart attack, Stroke, ESRD, Cancer, Blindness, Paralysis, Amputations above the ankle, Deafness