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SEP #2

Total questions: 10

Worksheet time: 2mins

Name
Class
Date
1.

I enrolled in a MAPD plan 9 months ago and want to go back to my supplement plan. What SEP can I use?

a)

None

b)

12G

c)

12S

d)

12B

2.

I just left my PACE plan 3 months ago and want to enroll in a MAPD plan. What SEP can I use?

a)

PAC

b)

PCE

c)

12P

d)

None

3.

I belong to a State Pharmaceutical Assistance Program and would like to enroll in a PDP plan. What SEP can I use?

a)

SPP

b)

None

c)

PAP

d)

QSP

4.

I need dental coverage and use the VA to get my medications. What SEP can I use?

a)

OCC

b)

VAC

c)

None

d)

MAO

5.

I was notified my plan will no longer be available in my zip code/county. What SEP can I use?

a)

CMS

b)

OTH

c)

NON

d)

TRM

6.

My Dr. told me I no longer need my insulin because I am cured of diabetes. What SEP can I use?

a)

CHR

b)

DNP

c)

LSN

d)

SNP

7.

I have been diagnosed with emphysema and want a MAPD plan. What SEP can I use?

a)

CSN

b)

CHR

c)

SNP

d)

CCS

8.

I have Medicare & Medicaid and want to switch my plan to Anthem. What SEP can I use?

a)

MCD

b)

LIS

c)

MDE

d)

OCT

9.

I lost my Medicaid benefits and need to change my plan. What SEP can I use?

a)

MDC

b)

MDE

c)

MCE

d)

MCD

10.

I currently have LIS level 4, however found out I will now have LIS level 1. What SEP can I use?

a)

NLS

b)

LIS

c)

CHG

d)

NES