CEC Post-Enrollment and Renewals 3

Question 1

A beneficiary enrolled in a Medicare Part D plan reaches the catastrophic coverage phase. What happens to their cost-sharing at this stage?

Accepted Answer

They pay a small copay or coinsurance and the plan covers the rest

Answer

In the catastrophic coverage phase, beneficiaries pay significantly reduced cost-sharing (small copay or 5% coinsurance) and the plan covers the majority of drug costs.

Question 2

An enrollment counselor's client asks about the Medicare Savings Programs. Which statement is accurate?

Accepted Answer

They are federal programs that help low-income beneficiaries pay Medicare premiums and cost-sharing

Answer

Medicare Savings Programs are state-administered, federally funded programs that assist low-income beneficiaries with Medicare Part A and/or Part B premiums, deductibles, and copayments.

Question 3

What is the primary purpose of the Low-Income Subsidy (LIS/Extra Help) program in relation to Medicare Part D?

Accepted Answer

To help low-income beneficiaries pay for Part D premiums, deductibles, and copayments

Answer

The Low-Income Subsidy (Extra Help) assists qualifying low-income beneficiaries by reducing or eliminating Part D premiums, deductibles, and copayments.

Question 4

A beneficiary who receives Extra Help is auto-enrolled into a benchmark plan. What happens if they do not make a plan selection?

Accepted Answer

They remain enrolled in the assigned benchmark plan

Answer

Beneficiaries auto-enrolled into a benchmark Part D plan remain in that plan if they take no action, and their Extra Help subsidy continues.

Question 5

A client asks why they received a late enrollment penalty for Part D. Which scenario would result in this penalty?

Accepted Answer

They went 63 or more consecutive days without creditable prescription drug coverage

Answer

A Part D late enrollment penalty applies when a beneficiary goes 63 or more consecutive days without creditable prescription drug coverage after their enrollment window closes.

(CEC) Certified Enrollment Counselor Practice Test

(CEC) Certified Enrollment Counselor Practice Test

CEC Post-Enrollment and Renewals 3