| 1 |
Medicare Advantage & Other Medicare Health Plans |
2 |
| 4 |
Lesson 1—Introduction to
Medicare Advantage (MA) |
3 |
| 5 |
Medicare Advantage (MA) Plans |
3 |
| 6 |
Plan for Medicare Health Maintenance
Organization (HMO)Â |
3 |
| 7 |
Plan for Medicare Preferred Provider
Organization (PPO)Â |
3 |
| 8 |
Special Needs Plans (SNPs) for Medicare |
7 |
| 9 |
Medicare Plan Private Fee-for-Service (PFFS)Â |
7 |
| 10 |
Plans for Medicare and Medical Savings Account
 (MSA) |
3 |
| 11 |
This is how Medicare Advantage (MA) works |
3 |
| 12 |
Plan costs for Medicare Advantage (MA) |
3 |
| 13 |
Who Can you be eligible for Joining a Medicare Advantage Plan? |
3 |
| 14 |
End-Stage Renal Disease (ESRD) andÂ
Medicare Advantage (MA) Plans |
3 |
| 15 |
Enrollment period for
Medicare Advantage (MA) Plans |
3 |
| 16 |
Medicare Advantage Open Enrollment Period (MA OEP) |
3 |
| 17 |
Join or Switch MA Plans—
5-Star Special Enrollment Period (SEP) |
7 |
| 18 |
Drug Plan for Low Performing |
3 |
| 19 |
Trial Rights and Medigap for
Medicare Advantage (MA)Â |
3 |
| 20 |
Network Changes for Medicare Advantage
 (MA) Plan |
3 |
| 21 |
Check Your Knowledge—Question 1 |
2 |
| 22 |
Check Your Knowledge—Question 2 |
2 |
| 23 |
Lesson 2—Different Medicare Health Plans |
3 |
| 24 |
Different Medicare Health Plans |
3 |
| 25 |
Costs for Medicare Plans |
3 |
| 26 |
Cost for Medicare Plans—Non-renewals |
3 |
| 27 |
Non-Renewal Reminder Notice for
Non-Renewing Cost Plan |
3 |
| 28 |
Projects and Pilot Programs |
3 |
| 29 |
All-inclusive Care
for the Elderly (PACE) Program Plans |
3 |
| 30 |
Check Your Knowledge—Question 3 |
2 |
| 31 |
Lesson 3—Appeals, Protections, and Rights |
3 |
| 33 |
Medicare Health Plans Rights |
3 |
| 34 |
Medicare Advantage (MA) Appeals and
Other Health Plans |
3 |
| 35 |
Appeals Process for Medicare Advantage (Part C) |
3 |
| 36 |
Medicare Health Plan Rights When You File an Appeal |
3 |
| 37 |
Lesson 4—Guidelines for Medicare Marketing |
3 |
| 40 |
Plan Information for
New and Renewing Members |
3 |
| 41 |
Changes to the Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) |
3 |
| 43 |
Unasked Beneficiary Contact |
3 |
| 44 |
Prohibition for Cross-Selling |
3 |
| 45 |
Appointment Reminders |
3 |
| 46 |
Health Care Settings in Marketing |
3 |
| 48 |
Educational Reminders For Events |
3 |
| 49 |
Appointment of Agents and Licensure |
3 |
| 50 |
Reporting of Agents Terminated |
3 |
| 51 |
Compensation Rules for Agent/Broker |
3 |
| 52 |
Compensation for Agent/Broker |
3 |
| 53 |
Training and Testing for Agent/Broker |
3 |
| 54 |
Incentives and Rewards |
3 |
| 55 |
Check Your Knowledge—Question 4 |
2 |
| 56 |
Check Your Knowledge—Question 5 |
2 |
| 57 |
Medicare Advantage and different Medicare Health Plans Resource Guide |
7 |
| 58 |
Appendix: Part C (MA) Appeals
Process and Footnotes |
7 |
|
Total approximate time in minutes |
189 |