SPAP YOUR IT
SEP DIGGING
NAME THAT SEP
ALL ABOUT THE ELECTION
CHANGE MY PLAN
100
I have Epic! Where do I live?

What is New York

100

What Resource for Election Periods should you have up on every call 

What is: MAPD Election Period Guide

100

I just moved to a new state!

What is: SEP-MOV

100

My Part A started February 1 2024. My part B started March 1 2024. I lost Employer coverage February 28th 2024. What election period can you use. 

What is SEP-LEC

100

Today is May 14. Your BFC just started Medicaid on April 1 and enrolled into a DSNP as of May 1 using SEP-MDE. You found a better DSNP plan. What Election can you use?

What is: SEP-MCD

200

 I have Pace. Where do I live?

What is Pennsylvania  

200

What Resources can I use to check if a DST applies? (name three) 

What is: SEP-DST in SharePoint, FEMA Website, Carrier Website (UHC and Humana have lists no their site) 

200

Marx shows that the BFC's LIS level moved from a tier 1 to a tier 2

What is: SEP-NLS

200

I signed up for my part B during Medicare's General Enrollment Period.  My part B started March 1st. What is my Election Period?

What is: SEP-PRE 

200

It is April 2nd. BFC lost their UHC Medicare Chronic plan on March 31st due to them not having the qualifying condition to have the plan. What SEP do you use to get them in a different plan?

What is: SEP-SNP

300
Pace and National Pace are the same thing. True or False

False 

300

When should you start digging for SEP 

What is: Throughout the Entire call flow, as you are having a conversation with the BFC

300

BFC has VA coverage and an MAPD. He only uses the VA and wants a plan with a part b give back. What election could you use knowing only this?

What is: SEP-CDC to enroll into MA only plan 

300

BFC recently moved to a new town with a new zip code. Same county. The agent can enroll the BFC using SEP-MOV. True or False 

What is: False 

300
You received a call on April 1st from a BFC who delayed getting their part B and it just started April 1st.  You can enroll them using ICEP-Delayed Part B True or False

What is: False 

400

I have PAAD. Where do I live?

What is New Jersey 

400

Name a minimum of Five SEP's that you could infer from just looking at Marx?

What is: OEP, MDE, NLS, INC, MOV, IEP, ICEP, RETRO, LEC, MRD, 

400

You are talking to a BFC on June 2nd who was enrolled into a MMP plan that started June 1 and they did not enroll into that plan on their own. They already used MDE to enroll into the plan they wanted for May 1. What is the sep to get them back on their plan?

What is: SEP-DIF

400

Part A started 01/01/2024. Part B started March 1 2024. You are speaking to him today and he just found out that his part B had started at the begging of the month so that is why he didn't sign up for anything.  What is his election period. 

What is:  SEP-RET

400

During the needs conversation you discovered that the BFC recently was in a Rehab facility for the last three month and just got back home. What is the SEP?

What is: SEP-LTC

500

How many times per year can you enroll someone using SEP-PAP?

What is One election per year

500

What Resource can you use in our SharePoint to assist with types of questions to ask to determine an SEP?

What is: SEP Discovery Questions

500

Today is April 1st. Your BFC started Medicare A and B on 2/1/2024 using IEP and joined an MAPD on that date as well. They want to change to another MAPD plan. Knowing only this what is the SEP?

What is OEP-  MAPD OEP 2  

500

How many times can you use the election period SEP-CSN for Chronic Conditions?

What is: Once per Chronic condition

500

I have been on Medicare for three years and just turned 65 yesterday. What is the SEP, if any?

What is: SEP-MRD