SEP
List these SEPs in order of priority if you were to have all 3 available? FEMA, LIS, OEP
LIS
OEP
FEMA
What levels of Medicaid count as an SEP
All of them
What SEP is meant for a client who lost extra help
NLS
What SEP can be used once a Quarter?
MDE
LIS/Medicaid
What is the time frame to use moving SEP
30 days before 60 days after move
What's levels of extra help count as an SEP?
A client just used the Extra help SEP in March to get on a plan for April 1st. When can we use LIS again?
April
What SEP is meant for a client that lost Medicaid
MCD
What dates are considered SEP season?
Apr 1st - Oct 14th
What is the time frame to use IEP
3 months before, month of, and 3 months after getting parts A and B
When someone has Medicaid, the SEP code is MDE, what is the code for LIS on the app?
MDE
If a client has no SEP's, whats the next step?
LIS APP
If a client moved 2 weeks ago, what else must be true to use the move as an SEP?
Must have moved to a different Zipcode / City
What two SEPs can be used as "Last app in"?
MDE, OEP
What is the time frame to use ICEP
3 months before Part B
I already have Medicare Part A and recently signed up for Medical Part B. What enrollment period can be used 3 months prior to the Part B taking effect
ICEP
You are speaking to a client on February 23rd who used their OEP SEP on February 4th for a new plan to start on March 1st. What SEP "concept" could be used if you had absolutely no other SEPS?
OEP last app in
Name 3 Hidden SEP's that can be used.
SPAP
OCC
Institutionalized
LOC / LEC
Moving
Name 5 Obvious SEPs can you see without having to ask the client?
FEMA
MDE
IEP
5 Star
OEP
IEP 2
What are the income limits for an LIS APP?
$1,700 Single
$2,300 Couple
Name two facilities that count as an "Institution" for an SEP and one that does not.
Does count : Nursing Home, Psychiatric hospital, Long term care hospital, Rehabilitation hospital
Does not count : Assisted living facility, Residential home
List 5 states where SPAP programs exist.
Indiana, Idaho, Minnesota, New Jersey, New York, Texas, Ohio, Oregon, Virginia, Washington
When using FEMA as your SEP, you see that agent guidance has North Carolina listed as having Wellcare as accepting enrollments. What other carriers can we use FEMA with in this situation?
Humana, Anthem and Aetna
A client is turning 65 next month but has already had Medicare for 7 years. What SEP can we use given this information?
IEP 2 - When a client already has Medicare due to disability but is turning 65. "Ageing in"
I am enrolled into a Medicare Advantage plan and have had Medicare Parts A and B for less than 3 months. I want to make a change. What enrollment period can I use?
OEP - New