Question 16:
Mrs. Reynolds is in her Medicare initial coverage election period (ICEP) and the date of her entitlement to Part A and B has already occurred. Mrs. Reynolds has just signed up for a Medicare Advantage plan on the second of the month. She is leaving for vacation in two weeks and wants to know if her new coverage will start before she leaves. What should you tell her?
a. Typically, her coverage would begin on the first day of the next month, so she should not expect her coverage to begin before she leaves.
b. Typically, her coverage would begin 30 days after she submits the application form, so she should not expect the coverage to begin until after she leaves.
c. Coverage always begins on the first of July, or the first of January after a beneficiary enrolls, whichever comes first.
d. Typically, coverage is effective on the date that the beneficiary completes the application form, so her coverage will be in place before she leaves.
Question 18:
You work for Caring Health, a Medicare Advantage (MA) plan sponsor. Recently, Mrs. Garcia has completed an enrollment application for a plan offered by Caring Health, which is waiting for a reply from CMS indicating whether or not Mrs. Garcia's enrollment has been accepted. Once CMS replies, how long does Caring Health have to notify Mrs. Garcia that her enrollment has been accepted and in what format?
a. The plan has 30 business days to notify Mrs. Garcia in writing.
b. The plan has 10 calendar days to notify Mrs. Garcia in writing.
c. The plan has 7 business days to notify Mrs. Garcia through a recorded telephone call.
d. The plan has 5 calendar days to notify Mrs. Garcia through encrypted email.