You Are Seeking To Represent An Individual Medicare Advantage Plan And An Individual Part D Plan In Your State. You Have Completed The Required Training For Each Plan, But You Did Not Achieve A Passing Score On The Tests That Came After The Training. What (2023)

FAQs

When you market Medicare Advantage and Part D plans what may you offer as a gift to induce enrollment in a plan quizlet? ›

When you market Medicare Advantage and Part D plans, what may you offer as a gift to induce enrollment in the plan? You may provide gifts or prizes to all potential enrollees during an event that do not exceed $15 in retail value.

Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement Insurance Plan? Correct Answer: When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically disenrolled from their MA Plan.

Individuals eligible for Medicare coverage are also eligible for the Medicare drug benefit (Part D). The individual must be enrolled in Part A and/or Part B to enroll in Part D.

You must have Medicare Parts A and B and live in the plan's service area to be eligible to join. People with End-Stage Renal Disease (permanent kidney failure) generally can't join a Medicare Advantage Plan.

You can join a separate Medicare drug plan to get Medicare drug coverage (Part D). plans. In most types of Medicare Advantage Plans, you can't join a separate Medicare drug plan.

Medicare Part C (Medicare Advantage) combines hospital and medical coverage, while Medicare Part D is a separate plan just for prescription medication coverage. Part C and Part D policies are only provided by private insurers.

Medicare Part D plans cover prescription drugs and may cover vaccines and immunizations. Medicare Advantage plans are complete health insurance plans that cover prescription drugs and medical and hospital care.

Like all Medicare beneficiaries, dual eligible beneficiaries can choose whether to receive care through Original Medicare, or enroll in a Medicare Advantage plan, sometimes called “Part C” or “MA Plans.” In California there are several types of Medicare Advantage plans, and plan options vary by county.

Medicare Advantage Plans provide all of your Part A and Part B benefits, including new benefits that come from laws or Medicare policy decisions. Plans must cover all emergency and urgent care (both physical and mental), and almost all medically necessary services Original Medicare covers.

Getting drug coverage with Medicare

There are two ways to get prescription drug coverage with Medicare. You can get a stand-alone Part D plan (also known as a PDP plan). Or, you can opt to get a Medicare Advantage plan that includes drug coverage.

Are Part D prescription drug plans restricted to local service areas? ›

Some plans, but not all, offer national coverage, which means that you can go to their in-network pharmacies in other parts of the United States. If you use the Medicare plan finder tool to choose a Part D plan, you'll see a blue “N” icon flagging plans that offer national coverage.

Medicare Part D, the prescription drug benefit, is the part of Medicare that covers most outpatient prescription drugs. Part D is offered through private companies either as a stand-alone plan, for those enrolled in Original Medicare, or as a set of benefits included with your Medicare Advantage Plan.

Premium-Free Medicare Part A Based on Age

A person must be age 65 or older; and. Be eligible for monthly Social Security or Railroad Retirement Board (RRB) cash benefits.

You are 65 or older. You currently receive Social Security or Railroad Retirement Board benefits – or – are eligible to but haven't started yet. Receiving Social Security Disability Insurance (SSDI) Have Amyotrophic Lateral Sclerosis (ALS)

When you market Medicare Advantage and Part D plans, what may you offer as a gift to induce enrollment in a plan? You may provide gifts or prizes to all potential enrollees during an event that do not exceed $15 in retail value.

In a December 7, 2016 ruling, the Office of Inspector General (OIG) determined that $75 was an allowable annual aggregate value of nominal gifts that a Medicare health plan may provide to a prospective or existing Medicare beneficiary. CMS agrees, and will be increasing the MA limit from $50 to $75 per year.

PPOs usually offer Medicare prescription drug coverage, but they're not required to offer it. If the PPO doesn't offer Medicare prescription drug coverage, you're not permitted to get coverage by joining a separate Medicare Prescription Drug Plan (PDP).

The names “Medicare Plan D”, “Medicare Supplement Plan D”, and “Medigap Plan D all mean the same thing. But these plans are not the same thing as Medicare Part D, which is for prescription drug coverage. Medicare Supplement Plan D policies do not cover prescription drugs.