Medicare 101
Drugs & LIS
Medicaid
Carriers
Systems
100

Part A and B of original Medicare covers

What is Hospital and Medical

100

LIS is defined as

What is a federal program that helps medicare beneficiaries pay for prescription medications 

100

Medicaid is defined as

What is a state program that helps with medical costs for individuals with limited incomes and resources

100

This carrier covers lenses for glasses at no cost

What is United Healthcare

100

Two ways to find a doctors name

What is Prescription bottle, facility name, or location

200

Part C is defined as

What is Part A and B through a private insurance company which often includes additional benefits not covered by Original Medicare

200

The 3 phases of Part D coverage

What is (1) Drug deductible (2) Initial coverage (3) catastrophic coverage

200

List 3 benefits of Medicaid

What is (1) pays part b premium, (2) offers cost share protection for those with full Medicaid, and (3) DSNP eligibility for qualifying levels

200

This carrier offers essential extras (and 2 things you can use it for)

What is Anthem. What is Food, utilities, Transportation, DVH, assistive devices

200

Two tools we use to look up a medicaid report

What is Jarvis and Humana

300

Max Out of Pocket refers to 

What is a limit on the amount of money you have to pay for covered health care services in a plan year before your health plan covers 100% of all covered health care costs
300

Two most common memory medications

What is Donepezil and Memantine

300

The levels of medicaid that are cost-shared protected

What is QMB, QMB+, SLMB+ and FBDE

300

One way Humana DSNP healthy allowance card differs from other DSNPs

What is the benefit rolls over

300

These carrier apps are done through Sunfire

What is Humana, Careplus, Zing and Aetna

400

Three ways an HMO plan differs from a PPO plan

What is must have a primary care doctor, must get referrals for specialists, and cannot receive coverage OON

400

When gathering a list of medications, these four things must be verified

What is Name Strength Form and Quantity

400

This indicates a DSNP plan accepts partial Medicaid

What is sliding scale for copays/coinsurances for hospital and medical

400

This carrier offers coverage for implants

What is Anthem

400

Other than Workday, the first thing you log into when you arrive

What is Five9

500

Four ways Medigap plans differ from MAPD plans

What is Medigap plans have higher premiums and no copays, freedom to choose doctors, does not cover routine services, covered anywhere in US

500

List four benefits of Extra Help

What is (1) lowers the cost of prescriptions (2) lowers part d deductible (3) Lowers MAPD/PDP monthly premiums (4) eliminates any LEP

500

Four things you can use OTC card for besides OTC items on a DSNP

What is Healthy food, utilities, personal care items, gas for car, rent/mortgage

500

This Carrier allows you to use your otc benefit at Sams Club, Costco, and Uber Eats

What is United Healthcare

500

7 things that need to be included in your Broker Office notes

What is (1) docs (2) meds (3) current and pitched plans (4) needs (5) reason for plan switch (6) medicare and medicaid number (7) DOB (8) Enrollment code (9) preferred hospital and pharmacy