#1
Which organization oversees Medicare compliance in the United States?
Centers for Medicare & Medicaid Services (CMS)
ExplanationCMS oversees Medicare compliance.
#2
How does Medicare define 'Dual Eligible' individuals?
Those eligible for both Medicare and Medicaid
ExplanationDual Eligible: eligible for Medicare and Medicaid.
#3
Which government agency administers the Medicare program?
Centers for Medicare & Medicaid Services (CMS)
ExplanationCMS administers the Medicare program.
#4
What does the term 'Medicare Advantage' refer to in the insurance industry?
A private health insurance plan that includes both Part A and Part B coverage
ExplanationMedicare Advantage is comprehensive private insurance.
#5
In the context of Medicare marketing, what is a 'Special Enrollment Period' (SEP)?
A designated time when individuals can enroll in Medicare without penalties
ExplanationSEP allows penalty-free Medicare enrollment.
#6
What is the purpose of the Annual Notice of Change (ANOC) in Medicare?
To notify beneficiaries about changes in coverage, costs, or service areas for the upcoming year
ExplanationANOC informs about upcoming Medicare changes.
#7
Which marketing practice is prohibited under Medicare rules to prevent deceptive advertising?
Using scare tactics to pressure individuals into enrolling
ExplanationScare tactics are banned in Medicare advertising.
#8
What is the purpose of the Annual Election Period (AEP) in Medicare?
To allow individuals to enroll, disenroll, or switch Medicare Advantage and Part D plans
ExplanationAEP facilitates changes in Medicare plans.
#9
What does the term 'Medigap' refer to in the context of Medicare?
Supplemental insurance plans that help cover gaps in Original Medicare coverage
ExplanationMedigap fills gaps in Original Medicare coverage.
#10
What is the purpose of the Medicare Marketing Guidelines (MMG) in the insurance industry?
To provide guidelines for advertising Medicare plans
ExplanationMMG offers rules for Medicare plan advertising.
#11
What is the consequence of non-compliance with Medicare marketing rules for insurance companies?
Loss of Medicare certification, fines, and other penalties
ExplanationNon-compliance leads to certification loss and penalties.
#12
What is the role of State Health Insurance Assistance Programs (SHIPs) in Medicare compliance?
To provide free counseling and assistance to Medicare beneficiaries
ExplanationSHIPs offer free help to Medicare beneficiaries.
#13
What is the significance of the Centers for Medicare & Medicaid Services (CMS) Marketing Guidelines Training for insurance agents?
To ensure agents understand and comply with Medicare marketing rules
ExplanationTraining ensures agents follow Medicare rules.
#14
What is the role of the Medicare Communications and Marketing Guidelines (MCMG) in the insurance industry?
To set guidelines for communications and marketing activities of Medicare plans
ExplanationMCMG outlines Medicare plan marketing rules.
#15
What is the purpose of the Low-Income Subsidy (LIS) program in Medicare?
To offer financial assistance to low-income Medicare beneficiaries
ExplanationLIS provides financial aid to low-income Medicare beneficiaries.