Medicare Special Election Periods (SEP's)

Mrs. Johnson received a letter stating that she is turning 65 in 3 months and she is eligible for Medicare Part A and will be electing Part B. Can Mrs Johnson enroll in a MAPD plan and if so what is Mrs. Johnson's effective date?

• Yes her effective date is the first of the 7th month

• Yes her effective date is the first of her birthday month

• No, she has to wait until AEP

• No she is not eligible for an SEP

Mr Smith is entitle to medicare Parts A but does not have Part B and wants to enroll in HPP MA-PD. What do you tell him?

• He can enroll...you may have Part A only and qualify.

• He cannot enroll because we only accept application if you have Part A and B

• He has to apply for LIS

• He must first apply for QMB/SLMB Plus...if approved he can enroll in HPP MA-PD plan

When the term "Extra Help" is used what program(s) are we talking about...

• Medical Assistance

• Social Security

• Low Income Subsidy (LIS)

• PACE/PACENET

To qualify for HPP Medicare Advantage plan one must

• Have Part A and be entitled to Part B

• Have Parts A and B

• Cannot have ESRD

• Must live in the service area

HPP services which county(s)

• Philadelphia, Berks, Bucks, Chester. Northampton, Lehigh, Lancaster

• Philadelphia, Montgomery, Bucks, Chester. Northampton, Lehigh, Lancaster

• Philadelphia

• Delaware

• Philadelphia, Bucks, Chester. Northampton, Lehigh, Lancaster, Delaware

Which system determines if a person has Medical Assistance?

• DPW/DHS

• Access

• Marx

• PACE

Which system determines if a person has LIS?

• Access

• PACE

• DPW

• MARX

How do you determine if a person has PACE?

• Check MARX

• Check DPW

• Ask the trainer

• PACE ID Card/Call PACE

People receiving Extra Help Rx copays range from

• $0-$7.50

• $0-$3.40

• $1.25-$8.50

• $0-$8.50

People with Extra Help never pay a deductible?

• True

• False