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Broker Support End of AEP Review

A detailed illustration showing a healthcare agent assisting an elderly client with enrollment paperwork, incorporating elements like Medicare cards, a calculator, and charts for understanding chargebacks.

Broker Support AEP Review Quiz

Welcome to the Broker Support End of AEP Review quiz! Test your knowledge on charge backs and disenrollment processes in Medicare Advantage and related plans.

This quiz is designed for agents to solidify their understanding of policies and procedures in the insurance sector.

Assess your knowledge
Engage with real-world scenarios
Improve your expertise in Medicare policies

13 Questions3 MinutesCreated by AdvisingCaptain256

Agent A enrolls member B in a plan effective 3/1/22. Full initial is paid. ($646) Member disenrolls effective 8/30/2022. A charge back will be issued. T OR F?

True

False

Agent A enrolls member B in a plan effective 3/1/22. Full initial is paid. ($646) Member disenrolls effective 8/30/2022. If a charge back is due, how many months will be charged back?

1 Month

4 Months

6 months

12 Months

No charge back is due

Agent A enrolls member B in a plan effective 3/1/22. Full initial is paid. ($646) Member disenrolls effective 8/30/2022. If a charge back is due, what is the Broker Portion amount that will be charged back?

$323

$215.33

$646

$53.83

No charge back is due

Agent C enrolls Member D in plan effective 6/1/22. Replacement is paid. Member disenrolls effective 7/31/2022 due to plan switch. Will a charge back be issued?

Yes

Agent C enrolls Member D in plan effective 6/1/22. Replacement is paid. Member disenrolls effective 7/31/2022 due to plan switch. If a charge back is due, how many months will be charged back?

3 Months

10 Months

12 Months

2 Months

No charge back is due

What reason would a carrier charge back all 12 months of a policy?

Enrollment will new/different carrier

Rapid Disenrollment

Death

Member moved out of network (area not covered by carrier)

Up to how many months is considered a Rapid Disenrollment?

Up to 1 Month

Up to 2 Months

Up to 3 Months

Up to 4 Months

Agent A enrolls member B in plan effective 10/1/22. Full initial is paid. Member disenrolls effective 12/31/22 to enroll in new plan effective 1/1/23 during AEP. A charge back will be issued, T or F?

True

False

Agent B enrolls member C in plan effective 7/1/22. Full initial is paid. Member C disenrolls eff 8/31/22 due to death. Is this considered a Rapid Disenrollment?

Yes

Agent B enrolls member C in plan effective 7/1/22. Full initial is paid. Member C disenrolls eff 8/30/22 due to death. How many months will the agent be paid for?

0 Months - Rapid Disnenrollment

1 Month

2 Months

12 Months

Agent C enrolls member B in MA plan effective 2/1/22. Full initial is paid. Member disenrolls effective 7/31/2022 and enrolls in PDP plan effective 8/1/22. A charge back will be issued, T or F?

True

False

Agent C enrolls member B in MA plan effective 2/1/22. Full initial is paid. Member disenrolls effective 7/31/2022 and enrolls in PDP plan effective 8/1/22. If a charge back is due, how many months will be charged back?

5 Months

6 Months

7 Months

12 Months

No charge back is due

Agent C enrolls member B in MA plan effective 2/1/22. Full initial is paid. Member disenrolls effective 7/31/2022 and enrolls in PDP plan effective 8/1/22. The new PDP policy payment will be pro-rated, T or F?

True

False

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