Convert To Voluntary Choice Quiz

1. The recipient will have until _____________ to convert the current plan to a Voluntary Choice or the recipient will be Auto-Assigned to the specialty plan?

The end of the month

The MMA cut-off date

November

The 2nd to the last day of the month before 11:59 pm

The correct answer is "the MMA cut-off date." The MMA (Medicare Modernization Act) cut-off date refers to the deadline set by the government for recipients to make changes to their Medicare plan. If the recipient does not convert their current plan to a Voluntary Choice by this date, they will be auto-assigned to the specialty plan determined by the government. This ensures that recipients have a specific timeframe to make their decision and encourages them to actively choose their plan rather than being assigned one.

Explanation

The correct answer is "the MMA cut-off date." The MMA (Medicare Modernization Act) cut-off date refers to the deadline set by the government for recipients to make changes to their Medicare plan. If the recipient does not convert their current plan to a Voluntary Choice by this date, they will be auto-assigned to the specialty plan determined by the government. This ensures that recipients have a specific timeframe to make their decision and encourages them to actively choose their plan rather than being assigned one.

2. If a recipient converts their current plan to a voluntary choice, because they do not want the specialty plan auto assignment, FMMIS will show that plan as a voluntary choice. True or False?

True

False

If a recipient converts their current plan to a voluntary choice, FMMIS will not show that plan as a voluntary choice.

Explanation

If a recipient converts their current plan to a voluntary choice, FMMIS will not show that plan as a voluntary choice.

3. Recipients that have a special condition and were Auto-Assigned to a MMA plan will receive a letter advising they will be Auto-Assigned to a specialty plan. True or False?

True

False

Recipients with a special condition who were initially Auto-Assigned to a MMA (Medicare Advantage) plan will receive a letter informing them that they will be Auto-Assigned to a specialty plan. This statement implies that recipients who have specific health needs or requirements will be transitioned from the general MMA plan to a specialized plan that caters to their specific condition. Therefore, the given answer, "True," suggests that this process of Auto-Assignment to a specialty plan for recipients with special conditions is indeed accurate.

Explanation

Recipients with a special condition who were initially Auto-Assigned to a MMA (Medicare Advantage) plan will receive a letter informing them that they will be Auto-Assigned to a specialty plan. This statement implies that recipients who have specific health needs or requirements will be transitioned from the general MMA plan to a specialized plan that caters to their specific condition. Therefore, the given answer, "True," suggests that this process of Auto-Assignment to a specialty plan for recipients with special conditions is indeed accurate.

4. If the recipient does not want the specialty plan they are being Auto Assigned to and the recipient has a current, active MMA Auto Assignment, you should:

Advise the caller, that they need to be in the specialty plan because they qualify for it with the special condition on their file.

Place the request on the specialty plan discrepancy log.

Use the 'convert to voluntary choice' feature to allow the recipient to voluntarily select their current plan.

Click on the gray arrow for the specialty plan Auto-Assignment and try to cancel the request.

If the recipient does not want the specialty plan they are being Auto Assigned to and they have a current, active MMA Auto Assignment, the best course of action is to use the 'convert to voluntary choice' feature. This feature allows the recipient to voluntarily select their current plan, giving them the option to choose a plan that suits their needs and preferences. This ensures that the recipient has control over their healthcare decisions and can choose the plan that they are comfortable with.

Explanation

If the recipient does not want the specialty plan they are being Auto Assigned to and they have a current, active MMA Auto Assignment, the best course of action is to use the 'convert to voluntary choice' feature. This feature allows the recipient to voluntarily select their current plan, giving them the option to choose a plan that suits their needs and preferences. This ensures that the recipient has control over their healthcare decisions and can choose the plan that they are comfortable with.

5. Did the recipient choose the plan or was the recipient auto assigned?

The recipient chose the plan.

The recipient was auto assigned to the plan.

The answer suggests that the recipient actively made a decision and selected the plan themselves, rather than being assigned to it automatically by someone or something else.

Explanation

The answer suggests that the recipient actively made a decision and selected the plan themselves, rather than being assigned to it automatically by someone or something else.