2025 SEP Quiz (Short Version)
Quiz by Varinia del Moral
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- Q1
What SEP allows beneficiaries with severe or disabling chronic conditions to enroll in a Chronic Special Needs Plan?
CSN
INT
MOV
DIF
45s - Q2
SEP-FiveStar allows beneficiaries to enroll in a 5-Star plan at any time throughout the year, with unlimited changes.
falsetrueTrue or False60s - Q3
Your client recently moved to a new county, and you found a plan offering a benefit increase for them. Their address is not updated in MARx. What should you do?
Tell them to update their address with Social Security first, then check again later
Use SEP-MOV, as today serves as their notification date of the move.
Advise them to call CMS for an exception.
Inform them they must wait for the Annual Enrollment Period (AEP).
120s - Q4
Maria was auto-enrolled into a plan through CMS. When reviewing MARx, you see a plan starting with X0001 was a plan they had before being placed on a PDP only. What SEP applies?
NLS
OEP
MCD
DIF
120s - Q5
Your client says that he was recently let out of jail, and he's had a hard time getting on his feet. You can us use SEP-INC to enroll in a Medicare Advantage Plan.
truefalseTrue or False60s - Q6
While reviewing their DSNP eligibility, you see they are approved for Medicaid, but they have not mentioned any Medicaid changes nor are aware that they have Medicaid. Which SEP will you use?
OEP-New
LEC
LCC
MCD
120s - Q7
While reviewing MARx, you notice your client’s LIS level changed from a level 2 in 2024 to a level1 in 2025. What SEP should you use?
OEP-New
LEC
MCD
NLS
120s - Q8
Your client tells you they were recently discharged from a skilled nursing facility after a long recovery. They are interested in switching to a Medicare Advantage plan. What SEP applies?
OEP-I
PAC
LEC
OEP-New
60s - Q9
Your client’s employer just informed them that their prescription drug coverage is no longer considered creditable. They need to enroll in a new plan. What SEP applies?
CDC
LCC
LEC
PAC
60s - Q10
What SEP allows a client to disenroll from a Part D plan to maintain other creditable coverage, such as VA benefits?
LEC
OEP
LCC
CDC
45s - Q11
SEP-LEC applies when a client loses employer or union health coverage, allowing them to enroll in a Medicare Advantage or Part D plan.
truefalseTrue or False60s - Q12
When can a client use SEP-ICEP if they delayed enrolling in Part B?
Only during AEP
Once they receive their first Medicare bill
Up to 3 months before Part B begins, month of Part B, and one month after.
Anytime after enrolling in Part B
120s - Q13
A client is newly eligible for Medicare and has never enrolled in a Medicare Advantage or Part D plan. On the MARx todays date is three months before the A& B start date. What SEP applies?
OEP-I
IEP
SNP
PAP
120s - Q14
What SEP applies when a client loses eligibility for a Special Needs Plan (SNP) because they no longer meet the specific special needs status?
SNP
ICEP
PAP
LEC
60s - Q15
A client is enrolled in a State Pharmaceutical Assistance Program (SPAP). What SEP applies?
SNP
LEC
PAP
OEP
60s