SEP
What SEP can we not use from October - December
LIS
What levels of Medicaid count as an SEP
All of them
What SEP is meant for a client who lost extra help
NLS
How many plan changes can someone make using OEP as the reason?
one
What Period Lasts from October 15th- December 7th each year?
AEP
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 are the months for OEP?
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
How many plan changes can be made during AEP?
unlimited
Jack has had Medicare Part A since August of 2019. He is now getting Part B in July of 2024. What enrollment period can he use to enroll into a MA plan and exactly which months
ICEP
April, May, June
Name 5 states that have SPAP programs
In
ID
CT
DE
MA
WI
NV
OH
NY
MO
A client recently move out of a skilled nursing facility back into their own home. What SEP could we use here?
LTC
What SEP is used for someone who lost Medicaid?
MCD
Which enrollment periods does OEP-N follow?
IEP and ICEP
Betty had Medicare Part A and B starting in February of 2014 due to being disabled. She is turning 65 in June of 2024. What enrollment period can she use to enroll into a new MA plan? And exactly which months?
IEP-2
March - September
What is the code for someone who lost their employer plan?
LEC
A VA client gets everything through the VA. He currently has a Humana MAPD plan. He heard about the Humana honor plan that gives him money back and wants that MA only plan instead. With this information, what SEP(s) can we use?
OCC
The FEMA chart in Agent Guidance shows that Calhoun county in Alabama is in an eligible FEMA area. Cigna shows as the carrier. Which carriers are we allowed to use to enroll someone in Calhoun county?
Cigna, Wellcare, Aetna, Humana and Anthem
Your client has Part A and B that started in April of 2024. What is the last month they can choose to enroll into a Medicare Advantage plan?
July
Tom turned 65 in April of 2024 and got Medicare for the first time. He decided in April to enroll into a MA plan with Humana that will start in May. If he doesn't like that plan what enrollment period can he use to change and how many months will he have?
OEP-N
May and June