When you market Medicare Advantage and Part D plans, what may you offer as a gift to induce enrollment in a plan? - ANSWER You may provide gifts or prizes to all potential enrollees during an event that does not exceed $15 in retail value.
By contacting plans available in your area, you have lea...
when you market medicare advantage and part d plans
what may you offer as a gift to induce enrollment in a plan
by contacting plans available in your area
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AHIP 2023 Final Exam Answers
When you market Medicare Advantage and Part D plans, what may you offer as a gift to
induce enrollment in a plan? - ANSWER You may provide gifts or prizes to all potential
enrollees during an event that does not exceed $15 in retail value.
By contacting plans available in your area, you have learned that the plan you represent
has a significantly lower monthly premium than the others. Furthermore, you see that
the plan you represent has a unique benefits package. What should you do to make
sure your clients know about these pieces of information? - ANSWER You may make
comparisons between plans if you can support them by studies or statistical data and
such comparisons are factually based.
Mr. Cole has been a Medicaid beneficiary for some time, and recently qualified for
Medicare as well. He is concerned about changes in his cost-sharing. What should you
tell him? - ANSWER He should know that Medicaid will pay cost sharing only for
services provided by Medicaid participating providers.
If a beneficiary is enrolled in a stand-alone prescription drug plan and wants to keep that
plan, what type of Medicare health plan could the individual also enroll in, without being
automatically disenrolled from the stand-alone prescription drug plan? - ANSWER The
beneficiary could enroll in a private fee-for-service (PFFS) plan that does not include
prescription drug coverage; a cost plan; or a Medicare Medical Savings Account (MSA)
plan.
Which of the following statements about Medicare Part D are correct?
I. Part D plans must enroll any eligible beneficiary who applies regardless of health
status except in limited circumstances.
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but
may choose to have one.
III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only obtain
Part D benefits through a standalone PDP.
IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits through a standalone
PDP or through their plan. - ANSWER I, II, and III only
Mr. Olsen is concerned that a Medicare Advantage plan will not cover the same range
of services that would be covered under Original fee-for-service Medicare. What should
you tell him? - ANSWER Though their cost-sharing may differ from Original Medicare's,
Medicare Advantage plans are required to cover all services covered by original
Medicare.
Mrs. Sanchez lives in a state located near Canada. She has recently become eligible for
Medicare and is considering enrollment in Part D prescription drug coverage. One of her
friends has told her that she needs to be aware of something called TrOOP. What
should you tell her when she asks you about TrOOP? - ANSWER TrOOP are out-of-
pocket costs that count toward the annual out-of-pocket threshold to move into
catastrophic coverage and generally include the annual deductible(s) and costs for
drugs on the plan's formulary purchased at a plan's participating pharmacy. In some
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