Medicare Basics
SEP Logic
LIS / Medicaid
Plan Types
Compliance
100

This is Medicare Part C.

What is Medicare Advantage?

100

This type of assistance provided by medicare allows its recipients to change their plan once a month. 

What is LIS?

100

LIS is also called this.

What is Extra Help?

100

This plan usually requires staying in-network except emergencies.

What is an HMO?

100

This is the word that is mostly not accepted when comparing 1 plan over the other. 

What is the word best?

200

Original Medicare includes these two parts.

What are Parts A and B?

200

This enrollment period is typically used when medicaid is gained or lost nor the level changed

Whast is MCD

200

LIS mainly helps with this type of cost.

What are prescription drug costs?

200

This plan usually offers more out-of-network flexibility.

What is a PPO?

200

You must verify these before recommending a plan.

What are doctors, medications, pharmacy, benefits, and eligibility?

300

This part covers prescription drugs.

What is Part D?

300

This enrollment period is used for people that have Chronic conditions. 

What is CSN? 

300

A client with Medicaid and Medicare may qualify for this type of plan.

What is a D-SNP?

300

This plan is designed for people with specific chronic conditions.

What is a C-SNP?

300

Before discussing plan details, the agent needs this documented permission.

What is Scope of Appointment?

400

This part usually covers hospital care.

What is Part A?

400

You cant just use a disaster SEP make sure you have this as well.

What is a missed enrollment period.

400

This is a benefit of both full and partial medicaid recipients. 

What is having the part B premium paid?

400

This plan is designed for people with Medicare and Medicaid.

What is a D-SNP?

500

This is the difference between Medicare Advantage and a Medicare Supplement.

What is MA replaces how benefits are received, while a supplement only helps cover Original Medicare costs?

500

This enrollment period is used when taking someone off of a c-snp

What is SNP?

500

These are the Full medicaid levels, 

What are QMB,QMB+,FBDE,SLMB+

500

Other than diabetes and heart plans this is the second most seen C-SNP

What are lung disorder plans?

500

An agent should never enroll a client unless the client clearly understands this.

What are the plan benefits, costs, network, and coverage rules?