Medicare Supplement Open Enrollment Period (OEP)

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Questions and Answers

In the state of wisconsin What is the maximum number of days of inpatient mental health care covered per lifetime?

  • 365 days
  • 200 days
  • 175 days (correct)
  • 100 days

When does the Medicare Supplement Open Enrollment Period (OEP) start for an individual who is 65 years old?

  • On the first day of the month the applicant applies for Medicare Supplement
  • On the first day of the month the applicant is covered under Medicare Part A
  • On the first day of the month the applicant is 65 years old
  • On the first day of the month the applicant is covered under Medicare Part B (correct)

Which of the following is a requirement for insurance companies during the Medicare Supplement Open Enrollment Period?

  • They can charge an applicant with health problems more for a policy than they charge someone with no health problems
  • They can make the applicant wait for coverage to start
  • They cannot refuse to sell the applicant any Medicare Supplement policy the company offers (correct)
  • They must sell the applicant Plan C, Plan F, or F (HD)

In wisconsin What is the minimum number of home health care visits covered by Medicare?

<p>40 visits (C)</p> Signup and view all the answers

Which of the following plans are no longer available to people new to Medicare on or after January 1, 2020?

<p>Plans C and F, including F (HD) (D)</p> Signup and view all the answers

What is the purpose of a Rider in a Medigap policy?

<p>To add additional coverage to the policy (B)</p> Signup and view all the answers

What is the main difference between Guaranteed Issue rights and Medicare Supplement Open Enrollment Period?

<p>Guaranteed Issue rights are triggered when certain types of healthcare coverage change for the beneficiary (D)</p> Signup and view all the answers

What is the percentage of Part B coinsurance that Medicare beneficiaries are generally responsible for?

<p>20% (A)</p> Signup and view all the answers

What is the exception to covering all pre-existing health conditions under Guaranteed Issue rights?

<p>If the applicant has a break in coverage for more than 63 days (C)</p> Signup and view all the answers

What is the order of payment for Medicare Supplement plans?

<p>Original Medicare is primary then Medicare Supplement plan is secondary (B)</p> Signup and view all the answers

Which of the following plans are not available for purchase by applicants who became eligible for Medicare in 2020 or later?

<p>Plan C, F, and High Deductible Plan F (A)</p> Signup and view all the answers

During which period can a beneficiary disenroll from a MAPD plan and enroll in a PDP plan?

<p>Open Enrollment Period (OEP) (A)</p> Signup and view all the answers

What is the benefit of electronic claims coordination with Original Medicare?

<p>No need for Medicare beneficiary to submit claims (C)</p> Signup and view all the answers

What is the purpose of the 30-day free look period in Medicare Supplement plans?

<p>To give beneficiaries time to review and cancel their plan (B)</p> Signup and view all the answers

How many circumstances under federal law give a beneficiary the right to buy a policy?

<p>7 (D)</p> Signup and view all the answers

What is the primary purpose of the 'State-Specific GI Rights' tab in the Medicare Supplement Master Reference Guide?

<p>To provide information on guaranteed acceptance determination (D)</p> Signup and view all the answers

What is required to be completed by the applicant before submitting the application?

<p>Medical questions on the application (B)</p> Signup and view all the answers

Who is responsible for engaging in preliminary underwriting discussions prior to submitting the application?

<p>Humana agent (B)</p> Signup and view all the answers

What is the purpose of the Medicare Supplement Agent Field Guide?

<p>To provide guidance on the agent's role in the application process (C)</p> Signup and view all the answers

What is the minimum number of additional home health care visits covered by a Medigap policy with a Rider?

<p>365 (B)</p> Signup and view all the answers

What is the maximum number of pints of blood covered by a Medigap policy per year?

<p>3 (A)</p> Signup and view all the answers

What is the percentage of the Part B copayment and coinsurance covered by a '50% Cost-sharing Plan'?

<p>50% (A)</p> Signup and view all the answers

What is the name of the period during which a Medicare beneficiary can purchase a Medigap policy without answering health questions?

<p>Medigap Open Enrollment Period (C)</p> Signup and view all the answers

What is the purpose of a Part A deductible Rider in a Medigap policy?

<p>To cover the Part A deductible (C)</p> Signup and view all the answers

What is the main difference between a '50% Cost-sharing Plan' and a high-deductible plan?

<p>The level of cost-sharing (A)</p> Signup and view all the answers

What is the maximum number of days of inpatient hospital care covered by Medicare?

<p>Unlimited (B)</p> Signup and view all the answers

What is the purpose of a Foreign Travel Emergency Care Rider in a Medigap policy?

<p>To cover emergency care while traveling outside the US (B)</p> Signup and view all the answers

What is the primary purpose of a Medigap policy?

<p>To cover Medicare deductibles and copayments (D)</p> Signup and view all the answers

What is the benefit of adding a Part B deductible Rider to a Medigap policy?

<p>To cover the Part B deductible (D)</p> Signup and view all the answers

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