131169
Description
Flashcards by Det Ferraris, updated more than 1 year ago
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Created by Det Ferraris
over 12 years ago
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| Question | Answer |
| Medical Supplement Policies | policies sold by private insurers to help full 'gaps' in coverage provided by Medicare |
| Medicare Supplement Policies aks Medigap Policie | Medicare Supplement Policies aks Medigap Policie |
| 12 Standardized Plans (A-L) or 10+2 high deductible plans) | 12 Standardized Plans (A-L) or 10+2 high deductible plans) |
| A=Core B-L= Broader | A=Core B-L= Broader |
| F & J available with high deductible option. | F & J available with high deductible option. |
| high deductible = lower premium | high deductible = lower premium |
| K &L take coinsurance approach and has Out-Of-Pocket Limit | K &L take coinsurance approach and has Out-Of-Pocket Limit |
| Medicare SELECT plan | type of Medicare Supplement policy that provides coverage through a PPO or any other type of restricted network |
| Plan A (Core Plan) | must be offered by an insurer who is going to offer any Medical Supplement policies |
| within 6 months of enrolling for Part B, app for Med Supp cannot be declined or premiums increased | within 6 months of enrolling for Part B, app for Med Supp cannot be declined or premiums increased |
| Pre-existing conditions may be excluded up to 6 months. | Pre-existing conditions may be excluded up to 6 months. |
| Noncancelable | cannot be cancelled, premiums cannot be increased |
| Guaranteed Renewable | Cannot be cancelled, premiums can be increased, but BY CLASS ONLY |
| All Medicare Supplement Policies have a 30 days Free-Look period | All Medicare Supplement Policies have a 30 days Free-Look period |
| An agent must deliver the following to a medicare supplement applicant at the time of initial solicitation: | Buyers Guider, Outline of Coverage |
| Medicare Supplement Policies are NOT endorsed by the government | Medicare Supplement Policies are NOT endorsed by the government |
| Medical aka Medicaid | a joint Federal & State insurance program that provides medical, dental and vision for LOW INCOME (indigent) |
| Share of Cost | amount of health care expenses some Medi-Cal recipients must accumulate in a month before Medi-Cal begins to provide coverage |
| Agents CANNOT sell any health insurance to a MEDI-Cal BENEFICIARY who is age 65 or older | Agents CANNOT sell any health insurance to a MEDI-Cal BENEFICIARY who is age 65 or older |
| Disability Applications must contain question to determine if Medi-Cal BENEFITS are being received by applicant | Disability Applications must contain question to determine if Medi-Cal BENEFITS are being received by applicant |
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