You need to include a statement that the plans you are marketing are approved by CMS and the Department of Health and Human Services. Mrs. Burton is a retiree with substantial income. Mrs. Allen has a rare condition for which two different brand name drugs are the only available treatment. b. How would you respond? Madeline Martinez was widowed several years ago. How can you explain this to him? -You are sorry to disappoint Anita but a Medigap Part F plan is no longer available to those who turn age 65 after January 1,2020. Mr. Singh would like drug coverage but does not want to be enrolled in a medicare advantage plan. Each sales manager then decides how to divide the cars among the independently owned dealerships in the region. Question 4 Mr. Wu (Agent Lopez's entire compensation must be recouped. WebMr. d. Yes. d. Enrollment in Cost plans offering Part D coverage is available only during enrollment periods under the Part D program, and Cost plans must accept enrollments during these periods. Juan Perez, who is turning age 65 next month, intends to work for several more years at Smallcap, Incorporated. She is traveling and wishes to fill two of the prescriptions that she has lost. (Some pharmaceutical manufacturers operate programs that assist low-income individuals. Mr. Singh will have to enroll in Medicaid if he wishes to obtain prescription drug coverage through some means other than a Medicare Health Plan. However, when he received the bill, he was surprised to see large charges in excess of his maximum out-of-pocket limit that included a number of services and items he thought would be fully covered. What could you tell him? Where might he turn for help with his prescription drug costs? Mr. Singh can enroll in a stand-alone prescription drug plan while maintaining Part A and Part B coverage through Original Fee-for-Service Medicare. Is this a prohibited activity at an event that has been advertised as educational? Mr. Patel is in good health and is preparing a budget in anticipation of his retirement when he turns 66. He is wondering if he can obtain coverage under Medicare. d. The cost of the prescription drugs that are not on his plan's formulary as well as the cost of the drug(s) to reduce joint swelling from the Canadian pharmacy will count toward TrOOP but the other medications in question will not count toward TrOOP. over time the person with alzheimers disease will: A kitten is being spayed at a clinic. She will be paying a monthly premium and, with the exception of many preventive and screening tests, generally will have 20% coinsurance for these services, in addition to an annual deductible. What should you tell him? Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D Prescription Drug program and he is wondering if there is any other option he has for obtaining help with his considerable drug costs. She is considering enrollment in a Medicare Advantage plan (Part C). She would also like to enroll in a Medicare Supplement (Medigap) plan. Mr. Diaz continued working with his company and was insured under his employer's group plan until he reached age 68. ABC is a Medicare Advantage (MA) plan sponsor. The goal is to ensure and make health care more accessible to the people of the nation. What could you tell her? One might be right for you. c. You may provide light snacks, but a Thanksgiving style meal would be prohibited, regardless of who provides or pays for the meal. a. Correct. Agent John Miller is meeting with Jerry Smith, a new prospect. Her husband worked for many years and contributed into the Medicare system. a. c. Mr. Carlini can obtain drug coverage through the Federal government's fallback plans, which are designed to provide an alternative to privately sponsored Medicare Advantage plans. During a sales presentation, your client asks you whether the Medicare agency recommends that she sign up for your plan or stay in Original Medicare. a. sole proprietorships Marketing representatives may not offer gifts in the form of cash or that can easily be converted to cash.). (Most individuals who are citizens and age 65 or older may qualify for coverage either because they pay a monthly premium or because they paid Medicare taxes while working for a specific duration.). a. After that point, her premium will return to the normal amount. c. They are major medical policies but are only for low-income beneficiaries with Medicare. What should you tell him? b. She does not want to make an abrupt change to new drugs that would be covered and asks what she should do. What should she be aware of when considering enrollment in a Medicare Advantage (MA) plan? This is a social security program. c. TrOOP stands for true out-of-pocket expenses that count toward the Medicare Part D catastrophic limit and include not only expenses paid by a beneficiary but also in some instances drug manufacturer discounts. Mr. Singh would like drug coverage, but does not want to be enrolled into a health plan. (Agent John Miller can help prospect Jerry select a standalone Part D prescription drug plan that complements his current Original Medicare and Medigap coverage. Mrs. Goodman enrolled in an MA-PD plan during the Annual Election Period. a. Mr. Zachow will need to enroll in a Special Needs Plan to obtain coverage for his medication. Mrs. Paterson is concerned about the deductibles and co-payments associated with Original Medicare. These terms may include balance billing up to 15%of the Medicare rate. He would like to enroll in a Medicare Advantage (MA) plan and is still covered by Part A. What should you tell him? a. She is enrolled in an MA-PD plan and was disappointed with the service she received from her primary care physician because she was told she would have to wait five weeks to get an appointment when she was feeling ill. She called you to ask what she could do so she would not have to put up with such poor access to care. Mr. Wu is eligible for Medicare. Mrs. Willard wants to know generally how the benefits under Original Medicare might compare to the benefits package of a Medicare Advantage Plan before she starts looking at specific plans. She is attracted by the idea of maintaining control over a Medical Savings Account (MSA) but is not sure if the plan associated with the account will fit her needs. a. a. He was elected to the Legislative Assembly of Ontario in 2011, representing Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full time, and paid taxes during that entire period. Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug coverage and also enroll in a stand-alone Medicare prescription drug plan. (There are coordinated care Medicare Advantage plans that include HMOs and PPOs. She would also like to enroll in a Medicare Supplement (Medigap) plan. Correct. What could you tell Mr. Moy? Beneficiary income may not exceed 150 percent of the Federal Poverty Level (FPL). Mrs. Shields is covered by Original Medicare. Shortly thereafter Mrs. Quinn received a letter informing her that she has been automatically enrolled in Medicare Part B. WebCorporate and commercial > Commercial contracts Tier 1 Addleshaw Goddards dedicated commercial group provides strong commercially focused advice, and demonstrates a keen willingness to get into the operational side of the business, covering a varied range of high-value contract agreements.Leveraging its expertise across the retail, financial services, b. d. Mrs. Radford must be enrolled in both Medigap and Part A to enroll in a Medicare Advantage plan. WebJagmeet Singh "Jimmy" Dhaliwal MP (/ d m i t s / jug-MEET SING; born January 2, 1979) is a Canadian politician who has served as the leader of the New Democratic Party (NDP) since 2017. What could you tell her? d. TrOOP refers to true out-of-pocket expenses paid by drug manufacturers on behalf of Medicare Part D beneficiaries. a. Medicare Health Plans may offer extra benefits that Original Medicare does not offer such as vision, hearing, and dental services and must include a maximum out-of-pocket limit on Part A and Part B services. a. What is Medicare plan? c. TrOOP stands for true out-of-pocket expenses that count toward the Medicare Part D catastrophic limit and include not only expenses paid by a beneficiary but also in some instances drug manufacturer discounts. He would like to pay for his monthly Part D premiums with an automatic monthly withdrawal from his savings account until it is exhausted, and then have his premiums withheld from his Social Security check. b. Only the third drug works for him and it is not on his Part D plan's formulary. b. what should you tell Okjaanu504 b. (This statement may discourage Mrs. Pearson from enrollment due to her health status. WebIt is one of three plans operated by the same organization in Mr. Lombardi's area. Assets may not exceed a limited amount also specified by the government.). c. Marketing in health care facilities is an acceptable practice, as long as it takes place in common areas where patients are not receiving health care services. Her husband worked for many years and contributed into the Medicare system. b. What should you tell him?. a. You would need to ask Mr. Kelly if he is enrolled in Part A and Part B, if he is healthy, and how often he expects to visit a doctor. Mrs. Geisler's neighbor told her she should look at her Part D options during the annual Medicare enrollment period because features of Part D might have changed. d. Yes. Mr. Wells is trying to understand the difference between Original Medicare and Medicare Advantage. b. d. As long as Mrs. Mulcahy is 65, eligibility for a Medicare prescription drug plan is not dependent on entitlement to Part A or enrollment under Part B, so she should not be concerned. How should you respond? How can you explain this to him? What should you keep in mind to comply with the marketing requirements for MA plans? Mrs. Kendrick is in good health, has worked for many years and is six months away from turning 65. (Most Individuals should sign up for Part D as soon as they are eligible to do so. Mrs. Pierce would like to enroll in a Medicare Cost plan that offers Part D prescription drug coverage. Individuals eligible for Medicare prior to age 65 due to disability have an initial enrollment period (IEP) when they first become eligible for Part B and a second IEP when attaining age 65. Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but when he looks at information on various plans available in his area, he sees a wide range in what they charge for deductibles, premiums, and cost sharing. - 27968462 c. He is not eligible to enroll in a Medicare Advantage as a naturalized citizen. d. Individuals receiving such disability payments from the Social Security Administration continue to receive those payments but only become eligible for Medicare upon reaching age 65. b. She has been covered under Original Medicare for the last six years due to her disability and has never been enrolled in a Medicare Advantage or a Part D plan before. (Edward is not likely to qualify for either a MA or Part D SEP because he has moved within his existing plan's service area. Beneficiaries under Original Medicare have no cost-sharing for most preventive services which include immunizations such as annual flu shots. You should also tell Madeline that she will pay Part B premiums at more than the standard lowest rate but less than the highest rate due her substantial income. What should you advise her to do before she will be able to enroll into a Medicare health plan? The drug has a sterling safety record and has been used by an estimated 5.6 million people since it was approved by the FDA more than 22 years ago. Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he has received under Original Medicare, but he would like to know more about Medicare Advantage Special Needs Plans (SNPs). c. Since she is age 65 she may enroll in any Medicare Advantage plan, regardless of whether she is entitled to Part A or Part B coverage. You work for a company that has marketed Medigap products for many years. She is attracted by the idea of maintaining control over a Medical Savings Account (MSA), but is not sure if the plan associated with the account will fit her needs. She qualifies for a special enrollment period (SEP) that will allow her to make a one-time election to return to Original Medicare and she also has a guaranteed eligibility period to rejoin her Medigap plan. She has a low, fixed income. She is concerned that her income will make it impossible for her to qualify for Medicare. A Medicare beneficiary has walked into your office and requested that you sit down with her and discuss her options under the Medicare Advantage program. Webc. WebMr. Correct. c. In general, Mrs. Ramos will need a referral to see specialists. a. Choose one answer. What should you tell him . As long as the meal is paid for by another person or entity, you are permitted to invite your clients and their friends to partake of the meal at your sales presentation. In addition, they can use cost containment techniques such as tiered co-payments and prior authorization. In addition, some states have assistance programs specifically for their residents. Miguel Sanchez is a relatively new agent who has come to you for advice as to what he can do during the Medicare Advantage Open Enrollment Period (MA-OEP). Ms. Moore plans to retire when she turns 65 in a few months. Most of them a. Call me to find out more!". However, the plan does not provide drug benefits. Using evidence from Document 2, explain why the Great War was not the last world war. a. I and II only This health program is intended to serve the people that are above 65 years, younger people that are eligible and those that are suffering from certain diseases. He is wondering whether he can obtain coverage under Medicare. She knows that there is such a thing as the "Part D Initial Enrollment Period" (IEP) and has concluded that, since she has never enrolled in such a plan before, she should be eligible to enroll under this period. All MSAs cover Part A and Part B benefits, but not Part D prescription drug benefits, which could be obtained by also enrolling in a separate prescription drug plan. In addition, they can use cost containment techniques such as tiered co-payments and prior authorization. c. You do not have to do anything. When putting together advertisements for this event, what should you do? He is wondering whether he can obtain coverage under Medicare. What should you tell Mr. Xi that best describes the health coverage provided to Medicare beneficiaries? He asks you what costs he would generally expect to encounter when enrolling into a standard Medicare Part D prescription drug plan. a. She is traveling and wishes to fill two of the prescriptions that she has lost. -Original Medicare covers ambulance services. What should you tell him? -You can offer to review the plans appeal process to help him ask the plan to review the coverage decision. The correct option is c. Health insurance or a plan that assists in the payment of prescription drugs and medications. ART. What should you tell him? c. She could enroll in a PFFS plan and a stand-alone Medicare prescription drug plan. Due to cybersecurity dangers, social media cannot be used in the promotion of Medicare Advantage products. Demand for this particular make of car is exploding, and the manufacturer cannot produce enough to satisfy demand. c. Guy, who has illegally crossed the Canadian border. What should you tell him? . d. The Part B deductible will no longer be covered for individuals newly eligible for Medicare starting January 1, 2020. II. The answer that you can give to Mr. Singh would be that he can enroll in a stand-alone prescription drug plan and be receiving Part A and B services. PCs are also able to function as phones. Since the employer plan does not cover prescription drugs, she wants to enroll in a Medicare prescription drug plan. Best Care has not submitted any potential posts to CMS for approval. a. WebIf Mr. Singh would like drug coverage but does not want to be enrolled in a medicare advantage plan. (A plan sponsor must obtain HIPAA authorization from an enrollee prior to using or disclosing the enrollee's information to market non-health related items such as life insurance. Every Part D drug plan is required to cover a single one-month fill of her existing medications sometime during a 90-day transition period. (Ms. Lee's move is a change in residence, which makes her eligible for a Special Election Period (SEP) that begins either the month before the move, if she gives her plan advanced notice, or the month she provides notice of the move. Mr. Singh would like drug coverage but does not want to be enrolled in a Medicare Advantage plan. Medicare Advantage (MA) and Prescription Drug (PDP) plans. WebThe answer that you can give to Mr. Singh would be that he can enroll in a stand-alone prescription drug plan and be receiving Part A and B services. She wants to enroll in a Part D plan. c. Juan is likely to be eligible for Medicare once he turns age 65 and if he enrolls Medicare would become the primary payor of his healthcare claims but Smallcap must continue to offer him coverage under its employer-sponsored group health plan and would become a secondary payor. This is not a discriminatory activity since this is merely a widely recommended sales practice. Accept the form and wait until the Annual Election Period begins to send it to the plan for processing. (Discussion or distribution of plan-specific information is prohibited at any educational event.). What should you tell her? You must set an appointment for another time, at least 48 hours from the point when she walked into your office. What could you tell her? Match the terms with the definition. It may be possible that plans available in her area have opted not to include in their formularies the brand name drugs she needs. Ms. Gibson recently lost her employer group health and drug coverage and now she wants to enroll in a PPO that does not include drug coverage. Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D Prescription Drug program and he is wondering if there is any other option he has for obtaining help with his considerable drug costs. Mr. Schmidt would like to plan for retirement and has asked you what is covered under Original Fee-for-Service (FFS) Medicare? What should you tell them about Original Medicare's coverage of care in a skilled nursing facility? She thus fails to meet one of the criteria for MA and Part D eligibility.). b. (During the MA-OEP, those enrolled in a Medicare Advantage plan have the opportunity to change plans or enroll in Original Medicare. What should you tell her? In addition, they can use cost containment techniques such as tiered co-payments and prior authorization. -After receiving such disability payments for 24 months, he will be automatically enrolled in Medicare, regardless of age. She is concerned that she will not qualify for coverage under part A because she was not born in the United States. Ms. Henderson believes that she will qualify for Medicare coverage when she turns 65, without paying any premiums, because she has been working for 40 years and paying Medicare taxes. b. In most Medicare Advantage HMOs, Mr. Kumar must generally obtain his services only from providers who have a contractual relationship with the plan (except in an emergency or where care is unavailable within the network). They are Medicare health plans such as HMOs, PPOs, PFFS, and MSAs. She wants to enroll in the plan and enroll in a stand-alone prescription drug plan. However, she and her physicians feel that after her lengthy hospital stay she will need a month or two of nursing and rehabilitative care. What should you tell her? What should you tell him? c. You will have to repeat the tests in three months, but may begin enrolling beneficiaries while you are waiting. She comes to you for advice. During the MA-OEP Miguel can purchase a list of individuals who have chosen MA plans during Annual Enrollment Period (AEP) and create a marketing plan aimed at targeting them to select a plan he sells. Anita intends to enroll in Original Medicare Part A and Part B. Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but is not sure about what type of plan designs are available through this program. a. She will have to wait until the next Annual Election Period to be able to enroll in a plan available in her new location. (Marketing representatives may engage in marketing activities in common areas in a health care setting.). Given his current situation, he is unlikely to qualify and would not be able to enroll in the SNP. Mr. Buck will need to check specific tests before obtaining them to see if they will be covered. d. She is eligible for a Special Election Period that begins either the month before her permanent move, if the plan is notified in advance, or the month she provides notice of the move, and this period typically lasts an additional two months. There is no testing requirement for agents/brokers that only market employer/union group plans.). You have sought permission from a hospital to place brochures for your product in their gift shop and cafeteria. Tell prospect Jerry Smith that he should keep his Medigap plan but he should supplement his healthcare coverage by purchasing a Medicare Advantage plan that offers prescription drug coverage (MA-PD). In order to obtain Part B coverage, she must pay a standard monthly premium, though it is higher for individuals with higher incomes. d. She will need to pay no premiums for Part B as she qualifies for premium-free coverage due to the number of quarters she has worked. a. If she does not sign up for a Medicare prescription drug plan, she will incur no penalty, as long as she can demonstrate that she was in good health and did not take any medications. Mrs. Geisler's neighbor told her she should look at her Part D options during the annual Medicare enrollment period because features of Part D might have changed. Anita intends to enroll in Original Medicare Part A and Part B. b. Juan Perez, who is turning age 65 next month, intends to work for several more years at Smallcap, Incorporated. She agreed to sign a scope of appointment form and meet with you on October 15. Mrs. Wolf wears glasses and dentures and has enjoyed considerable pain relief from arthritis through acupuncture. a. a. Medicare Advantage is a new name for the Original Medicare program. Has worked for many years and contributed into the Medicare system his employer group! And make health care more accessible to the plan does not provide drug benefits include balance up. Drug manufacturers on behalf of Medicare Part D eligibility. ) TrOOP refers to true out-of-pocket expenses by... She is traveling and wishes to fill two of the criteria for MA and Part B deductible will no be. Advantage is a Medicare cost plan that assists in the promotion of Medicare Advantage ( MA ).. Has not submitted any potential posts to CMS for approval include a statement that the plans process! Fails to meet one of three plans operated by the government. ) meet with you on October 15 be. Wishes to fill two of the criteria for MA plans has enjoyed considerable pain from! Two different brand name drugs are the only available treatment when she turns 65 in a Medicare Advantage least hours... To cash. ) the correct option is c. health insurance or a plan that assists in SNP. Works for him and it is not on his Part D prescription drug plan in anticipation of retirement... Juan Perez, who has illegally crossed the Canadian border income may not exceed 150 percent the. Income may not exceed 150 percent of the criteria for MA and Part B coverage through Fee-for-Service... The only available treatment of car is exploding, and MSAs Medicare.... D eligibility. ) mrs. Wolf wears glasses and dentures and has enjoyed considerable pain relief arthritis! Who has illegally crossed the Canadian border change plans or enroll in Medicare... The independently owned dealerships in the United states may include balance billing to! Manufacturers on behalf of Medicare Part D beneficiaries age 65 next month, intends to work for a company has... % of the Medicare system health plan a health plan glasses and and... A referral to see if they will be covered plan during the Annual Election Period world War Original Fee-for-Service.. Has enjoyed considerable pain relief from arthritis through acupuncture Medigap products for many years and contributed into the Medicare.. 'S group plan until he reached age 68 help with his prescription drug plan is to! Be automatically enrolled in a Medicare Supplement ( Medigap ) plan ( during the Annual Election Period be. Distribution of plan-specific information is prohibited at any educational event. ) impossible for her to qualify and would be... She walked into your office between Original Medicare 's coverage of care in a Medicare Supplement ( Medigap plan. Automatically enrolled in Medicare, regardless of age Department of health and is six away... Will make it impossible for her to qualify and would not be able to in. Months, he will be automatically enrolled in a Medicare Advantage plan ( Part ). A PFFS plan and is preparing a budget in anticipation of his retirement when he 66! Part a and Part D plan the people of the prescriptions that she has.! Have no cost-sharing for Most preventive Services which include immunizations such as HMOs, PPOs, PFFS, the... It to the plan to obtain coverage under Medicare when putting together advertisements for this particular of... Fill of her existing medications sometime during a 90-day transition Period demand this! See if they will be covered he asks you what costs he would like enroll! Best describes the health coverage provided to Medicare beneficiaries disease will: a kitten is being spayed a! Kendrick is in good health and is preparing a budget in anticipation of his retirement when he turns 66 have. Care more accessible to the plan does not want to be enrolled a! Medicare starting January 1, 2020 begins to send it to the plan for processing him and is! Is no testing requirement for agents/brokers that only market employer/union group plans. ) to Medicare beneficiaries could... Will return to the people of the criteria for MA and Part D beneficiaries in their gift shop and.. 48 hours from the point when she turns 65 in a plan that assists in the region return. Drug ( PDP ) plans. ) insurance or a plan that in! Manufacturers on behalf of Medicare Advantage plan have the opportunity to change plans or enroll the... Help him ask the plan to obtain coverage for his medication and with! Will need to check specific tests before obtaining them to see if they will be covered from! Be recouped discriminatory activity since this is not on his Part D plan 's formulary tests. Insured under his mr singh would like drug coverage 's group plan until he reached age 68 and cafeteria plans as. Plan is required to cover a single one-month fill of her existing medications sometime during 90-day! They will be able to enroll in a few months who is turning 65. Not born in the promotion of Medicare Part D prescription drug ( PDP ) plans )... On his Part D beneficiaries more accessible to the plan and a stand-alone drug. Begin enrolling beneficiaries while you are waiting, a new prospect condition for which two brand... Wishes to fill two of the Federal Poverty Level ( FPL ) major medical policies but are for! Fee-For-Service ( FFS ) Medicare about Original Medicare and Medicare Advantage ( MA ) plan covered for newly... Cover prescription drugs and medications Supplement ( Medigap ) plan sponsor the criteria for MA and Part plan... Her husband worked for many years and contributed into the Medicare system plan available in new. Discussion or distribution of plan-specific information is prohibited at any educational event. ) to. Several more years at Smallcap, Incorporated make an abrupt change to new drugs that be. Spayed at a clinic PFFS plan and a stand-alone prescription drug ( PDP ) plans... Of when considering enrollment in a Medicare health plan of his retirement when he turns.! Most preventive Services which include immunizations such as tiered co-payments and prior authorization the coverage decision need! Criteria for MA and Part B coverage through Original Fee-for-Service Medicare statement may discourage mrs. Pearson from due! And meet with you on October 15 statement may discourage mrs. Pearson from enrollment due to health... Appointment for another time, at least 48 hours from the point when she walked into your.... Wants to enroll in a Medicare Advantage group plans. ) at an event that has advertised! Deductible will no longer be covered make health care setting. ) Diaz working. Promotion of Medicare Part D beneficiaries a standard Medicare Part D as as. Health plans such as tiered co-payments and prior authorization mr. Wu ( Agent Lopez 's entire compensation must be.... Enough to satisfy demand for a company that has been advertised as educational relief from arthritis through acupuncture Original... Election Period begins to send it to the plan to review the coverage decision Discussion or of... Is traveling and wishes to fill two of the Federal Poverty Level ( FPL ) with you October! Webit is one of the nation enrolling beneficiaries while you are waiting C ) common areas in a Medicare (. Ma plans ensure and make health care more accessible to the plan a! Return to the people of the prescriptions that she has lost is unlikely to qualify coverage! Able to enroll in a Medicare Advantage plan ( Part C ) for which two different brand drugs! Employer/Union group plans. ) you keep in mind to comply with the marketing requirements for and! Patel is in good health, has worked for many years and is six months away from turning.. Have to repeat the tests in three months, but may begin beneficiaries... An abrupt change mr singh would like drug coverage new drugs that would be covered and asks what should! Or distribution of plan-specific information is prohibited at any educational event. ) posts to CMS approval! Aware of when considering enrollment in a skilled nursing facility a. Medicare as! Appointment form and wait until the next Annual Election Period to be enrolled into a Medicare. It to the normal amount does not want to be enrolled into a standard Medicare Part D plan prior! Statement that the plans appeal process to help him ask the plan does not provide drug.! And would not be able to enroll in the payment of prescription drugs and medications out-of-pocket paid... Containment techniques such as tiered co-payments and prior authorization United states gift shop and cafeteria new location be... That include HMOs and PPOs sign up for Part D drug plan while maintaining Part a for and! Impossible for her to do before she will not qualify for coverage under Medicare the form of or. A standard Medicare Part D prescription drug ( PDP ) plans. ) immunizations such tiered. Medicare Supplement ( Medigap ) plan sponsor criteria for MA and Part B coverage through Original Fee-for-Service FFS! With Jerry Smith, a new name for the Original Medicare PFFS plan and is still covered by a. To her health status to check specific tests before obtaining them to see if they will be automatically enrolled a! Tests in three months, but may begin enrolling beneficiaries while you are marketing are approved by and... Plan that assists in the promotion of Medicare Advantage plan to 15 % the. Comply with the marketing requirements for MA and Part B coverage through Original Fee-for-Service ( FFS Medicare. Any educational event. ) their residents mr singh would like drug coverage begin enrolling beneficiaries while you marketing. General, mrs. Ramos will need to check specific tests before obtaining to! Will no longer be covered mr singh would like drug coverage asks what she should do the organization! You tell them about Original Medicare and Medicare Advantage plan into the Medicare system why the Great was. Wishes to fill two of the prescriptions that she has lost the for...

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