Summary
Highlights
A scenario is presented where a person uses the VA and also has coverage for local hospital visits, with the most likely answer being Tricare.
Participants analyze a scenario with specific costs ($200/month premium, $40 PCP, $2000 ER) to identify the most likely type of insurance. This leads to a discussion distinguishing between original Medicare with Part B and high-deductible plans.
The host rallies participants to join a Kahoot trivia game, emphasizing the fun and giving a prize of $500 towards new clothes for the winner. Many participants are called out by name to join.
The first question asks about the average monthly amount the government pays carriers for Advantage plans. There's a humorous discussion about the importance of commas in numerical answers.
Participants are asked to identify the most important benefit of an MAPD plan, leading to a brief debate about whether the presence of agents is a benefit.
This question focuses on a specific policy detail: the lifetime maximum for implants on Aetna's Deviate Select plan. The correct answer is $2,000.
The trivia moves to Heartland's cancer, heart attack, and stroke products, asking about the two return of premium options (20 years and death).
The question asks for the name of Manhattan Life's ACA-like indemnity plan, which is "Affordable Choice" with different levels like "Logic Plus."
Another scenario with specific plan characteristics (network, $900 MOOP, zero doctor copay, inability to rejoin if left) points to an employer-sponsored plan.
A plan costing $74/month with a $25 specialist copay and gap-filling hospital coverage is identified as an MAPD (Medicare Advantage with Prescription Drug) plan.
This question describes a plan where the individual pays little, has minimal doctor fees, and receives $120 back on their check, indicating it's an MAPD with a give-back benefit.
A scenario about a 72-year-old Louisiana resident with A-fib wanting to lower costs involves selling a plan using the 'Birthday Rule' (unique to certain states like Louisiana and California).
A 61-year-old whose Medicare started yesterday and wants a Med Supp plan falls under open enrollment due to the initial 6-month period after Medicare Part B starts.
The question of changing a drug plan next month points to the Annual Enrollment Period (AEP), with a discussion on legitimate Special Enrollment Periods (SCPs) like moving out of the plan's service area or disaster-related issues.
A scenario involving someone 6 months from their Medicare effective date who cannot afford a Med Supp plan highlights the Initial Enrollment Period (IEP).
The final question concerns selling against an employer-sponsored plan with a $900 MOOP, leading to the answer of a Medigap plan (Med Supp) due to its benefits like no network restrictions or prior authorizations.
The trivia game concludes with the announcement of the winners and humorous remarks about some participants' struggles with spelling and answers. The host encourages the team to hit their daily sales goal of $17,000.