2015 - Adp - Medigap - Mv/Training

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1. Medigap plans are also know as Medicare Supplement plans...

Explanation

Medigap plans are indeed also known as Medicare Supplement plans. These plans are designed to help cover the gaps in coverage that original Medicare does not pay for, such as deductibles, copayments, and coinsurance. Medigap plans are offered by private insurance companies and can provide additional financial protection and peace of mind for individuals with Medicare.

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2015 - Adp - Medigap - Mv/Training - Quiz

The 2015 ADP Medigap MV\/Training quiz assesses knowledge on Medigap plans, covering essentials like deductibles, coinsurances, and enrollment criteria. It highlights considerations like rate increases and additional coverage... see moreoptions, crucial for professionals in healthcare management and insurance. see less

2. Which state is exempt from the national, standardized Medigap benefits?

Explanation

All of the above states, Minnesota, Massachusetts, and Wisconsin, are exempt from the national, standardized Medigap benefits. This means that these states have their own regulations and requirements for Medigap plans, which may differ from the standardized benefits offered in other states.

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3. Medigap plans are regulated by...

Explanation

Medigap plans are regulated by the State Department of Insurance. This department is responsible for overseeing and regulating insurance activities within the state, including Medigap plans. They ensure that the plans comply with state laws and regulations, protect consumers from fraudulent practices, and provide a fair and competitive marketplace for consumers to choose from. The State Department of Insurance plays a crucial role in ensuring that Medigap plans meet the necessary standards and provide the coverage and benefits as promised to Medicare beneficiaries.

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4. A Medigap plan will cover an additional 365 days of hospitalization not covered by Medicare and may cover foreign travel emergencies, based on plan selected.

Explanation

A Medigap plan is designed to provide additional coverage for costs that are not covered by Medicare. One of the benefits of a Medigap plan is that it can cover an additional 365 days of hospitalization, which is beyond what Medicare covers. Additionally, depending on the specific plan selected, a Medigap plan may also provide coverage for foreign travel emergencies. Therefore, the statement that a Medigap plan will cover an additional 365 days of hospitalization not covered by Medicare and may cover foreign travel emergencies is true.

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5. For a Medigap plan to pay, Medicare doesn't have to pay first.

Explanation

This statement is false because in order for a Medigap plan to pay, Medicare must first pay its share of the covered services. Medigap plans are designed to fill in the "gaps" in coverage left by Medicare, so they typically only pay after Medicare has paid its portion. Therefore, Medicare must pay first for a Medigap plan to pay.

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6. A Medigap plan...

Explanation

A Medigap plan helps pay the deductibles and coinsurances of Original Medicare. This means that it provides additional coverage to fill the gaps in Medicare coverage. Medigap plans are designed to help beneficiaries pay for out-of-pocket costs that are not covered by Original Medicare, such as deductibles and coinsurances. Unlike Medicare Advantage plans, Medigap plans do not replace Original Medicare. Instead, they work alongside it to provide additional financial protection and coverage. Medigap plans also do not require the use of a specific provider network, allowing beneficiaries the freedom to choose their healthcare providers.

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7. Medigap plans DO NOT cover...

Explanation

Medigap plans are supplemental insurance policies that help cover the costs that Original Medicare does not cover. However, they do not cover long-term care expenses. Long-term care refers to the assistance needed for individuals who have difficulty performing daily activities such as bathing, eating, or dressing due to illness, disability, or aging. These services are typically provided in nursing homes, assisted living facilities, or at home, and Medigap plans do not provide coverage for these types of care.

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8. A person may enroll in a guaranteed issue Medigap plan...

Explanation

A person may enroll in a guaranteed issue Medigap plan within 6 months of turning 65 and enrolling in Part A and B. They can also enroll in this plan after losing group health coverage. In both cases, the person is eligible to enroll in a guaranteed issue Medigap plan without any medical underwriting or being denied coverage due to pre-existing conditions. Therefore, the correct answer is "All of the above."

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9. Being new to which of the following would make a customer GI for a Medigap plan?

Explanation

Being new to Medicare Part B would make a customer eligible to enroll in a Medigap plan. Medigap plans, also known as Medicare Supplement plans, are designed to fill the gaps in coverage that Original Medicare (Part A and Part B) does not cover. Medicare Part B covers outpatient services such as doctor visits, preventive care, and medical supplies. Therefore, if a customer is new to Medicare Part B, they may consider enrolling in a Medigap plan to help cover the out-of-pocket costs associated with Part B services.

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10. An important consideration to share with the customer for a Medigap is...

Explanation

Rates will increase is an important consideration to share with the customer for a Medigap. This is because Medigap plans are subject to rate increases over time. It is important for the customer to be aware of this potential increase in order to plan and budget accordingly. Additionally, understanding that rates will increase can help the customer make an informed decision when choosing a Medigap plan that best fits their needs and budget.

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Medigap plans are also know as Medicare Supplement plans...
Which state is exempt from the national, standardized Medigap...
Medigap plans are regulated by...
A Medigap plan will cover an additional 365 days of hospitalization...
For a Medigap plan to pay, Medicare doesn't have to pay first.
A Medigap plan...
Medigap plans DO NOT cover...
A person may enroll in a guaranteed issue Medigap plan...
Being new to which of the following would make a customer GI for a...
An important consideration to share with the customer for a Medigap...
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