AARP medicare supplement insurance plans certification test, Questions and answers, 2022/2023

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AARP medicare supplement insurance plans certification test, Questions and answers, 2022/2023 AARP an its affiliates are not - ✔✔insurers med sup plans cover some or all OOP expenses for m... edicare eligible care such as - ✔✔medicare coinsurance copayments deductibles before enrolling your consumer, make sure you have presented and the consumer - ✔✔understands ALL COSTS associated with the plan what is helpful for explaining costs to the consumer - ✔✔the enrollment kit who regulates med sup insurance - ✔✔each states department of insurance _____ automatically update to match annual changes to original medicare coinsurance, copayments, and deductibles - ✔✔plan benefits are med sup plans available all year round? - ✔✔yes if leaving a MA plan for a med sup plan, disenrollment is NOT what? - ✔✔automatic to disenroll, the consumer must contact who and join what - ✔✔must contact the MA carrier or join a part D plan ( PDP) what happens if the insured member cancels within 30 days after coverage begins? - ✔✔premiums are refunded less any claims paid What does MACRA stand for? - ✔✔Medicare Access and CHIP Reauthorization Act of 2015 When does the new MACRA legislation go into effect? - ✔✔jan 1st 2020 and it affects a consumer's qability to enroll in plans C and F Consumers eligible for Medicare Part A before janurary 1, 2020 - ✔✔can enroll in plans C and F even after jan 1st 2020 and can keep their plans as long as they choose Consumers newly eligible for Medicare Part A on or after jan 1, 2020 - ✔✔will NOT be able to purchase Medicare sup insurance Plans C or F Consumers already enrolled in plans C or F do NOT need to - ✔✔take any action and they can keep the plan they have if they choose to be eligible for med sup insurance, a consumer must: - ✔✔be enrolled in Medicare parts A and B at the time of the plans effective date Be a resident of the state in which he/she is applying for coverage ( usually residency is defined as the location where the consumer files their tax return) be age 65 or older ( some states require insurers to offer coverage for medicare beneficiaries under age 65) A consumer may NOT be eligible for Med sup insurance for various reason, including but not limited to the following: - ✔✔consumer does not qualify for med sup open enrollment or guaranteed issue and does not pass medical underwriting Consumer is enrolled in another med sup plan or a MA plan which they do not intend to replace under federal law, med sup open enrollment is the - ✔✔first 6 months a consumer is 65 or older and enrolled in medicare part B. some states have additional open enrollments when a consumer first enrolls in Medicare Part B at age 65 or older, they have a ______right to buy a medicare sup insurance policy for 6 months - ✔✔guaranteed right in most states, they can apply 3 months prior to the start of their - ✔✔medicare initial enrollment period ( IEP) during this time, an insurer must offer a consumer any plan it sells and CANNOT charge consumers more for a policy because of... - ✔✔past or present health problems if a consumer does not apply during heir Med sup open enrollment, they can apply at any time, but they may be_____ - ✔✔charged a higher rate or denied coverage if a consumer qualifies for guaranteed issue, the insurance company CANNOT - ✔✔deny the consumers application apply pre-existing condition exclusions charge the consumer more due to past or present health problems The consumer must submit proper documentation with the enrollment application to prove guaranteed - ✔✔issue eligiblity EX: termination notice from prior coverage do guaranteed issue vary by state? - ✔✔yes it does consumers who are voluntarily switching from one med sup insurance company to another are generally NOT_______ - ✔✔entitled to guaranteed issue key reasons consumers choose ed sup insurance are: - ✔✔1) to be able to choose any doctor that accepts original medicare 2) to have predictable OOP costs 3) to have coverage when traveling within the US medicare open enrollment and guaranteed issue to med sups insurance plans - ✔✔1) med sup open enrollment is the first 6 months a consumer is 65 or older and enrolled in part B 2) during med sup open enrollment an insurer must offer the consumer any plan it sells 3) there are federal and state requirements for guaranteed issue and open enrollment 4) some states have additional med sup open enrollment periods 5) consumers have guaranteed issue and med sup open enrollment rights under federal and state law generally, consumers who drop another company's med sup [Show More]

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