Are You following the Medicare marketing guidelines for catering food?
Before you call a caterer—or hit the grocery store—you’ll want to make sure you’re following the Medicare Marketing Guidelines (MMG) for providing food and beverages. And don’t worry: You don’t have to start sorting through the entire document. We’ll help you familiarize yourself with the MMG’s rules.
How much does it cost to provide food at a Medicare event?
For example, a broker has scheduled an educational event that 20 people will attend. He or she is planning to provide meals for each person and spends $300 on the meals in total. The value of each meal, per anticipated attendee, is a nominal $15. That’s all there is when it comes to providing food at your next Medicare event.
Are brokers allowed to provide food at events?
Yes, but it depends on the food. Brokers are allowed to provide “refreshments and light snacks” at marketing and sales events. However, brokers are not allowed to provide (or pay for) meals.
What makes a Medicare Advantage event an educational event?
First, the event must meet the Centers for Medicare and Medicaid Services’ (CMS) strict definition of an educational event. To meet CMS’ definition, the event must be designed to inform beneficiaries about Medicare Advantage, Part D Prescription Drug Coverage, or another Medicare program. The event cannot include any marketing.
What is a CMS event?
To meet CMS’ definition, the event must be designed to inform beneficiaries about Medicare Advantage, Part D Prescription Drug Coverage, or another Medicare program. The event cannot include any marketing. For example, a broker cannot advise, or try to advise, potential beneficiaries toward a specific plan or a set number of plans.
Can I provide food at a Medicare event?
Can I Provide Food at My Medicare Marketing and Sales Events? Yes, but it depends on the food. Brokers are allowed to provide “refreshments and light snacks” at marketing and sales events. However, brokers are not allowed to provide (or pay for) meals.
Is Mrs. Allen eligible for Medicare?
Medicare is a program for people age 65 or older and those under age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig's disease so she will be eligible for Medicare. Mrs. Allen has a rare condition for which two different brand name drugs are the only available treatment.
Did Mr. Bickford qualify for Medicare Part D?
Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D Prescription Drug program and he is wondering if there is any other option he has for obtaining help with his considerable drug costs.
What is a 5 star plan?
Beneficiaries who live in the service area of a 5-star plan, are enrolled in Original Medicare, and meet the eligibility requirements for Medicare Advantage or Part D plans.
How long does Medicare pay for inpatient hospital stay?
Under Original Medicare, there is a single deductible amount due for the first 60 days of any inpatient hospital stay, after which it converts into a per-day amount through day 90. After day 90, he would pay a daily amount up to 60 days over his lifetime, after which he would be. responsible for all costs.
Can Zachow request a formulary exception?
Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain the standardized request form on the plan's website, fill it out, and submit it to his plan.
When is SEP available?
The SEP is available each year beginning on December 8 and may be used once through November 30 of the following year. For example, the SEP for calendar year 2018 can be. used from December 8, 2017 through November 30, 2018. Disenroll from an MA plan, PDP or Cost plan or. leave Original Medicare.
Does Medicare cover prescription drugs?
c. No. Medicare beneficiaries who enroll in an SNP must always obtain their drug coverage through a stand-alone Part D Medicare prescription drug plan that they sign up for independent of their enrollment in the SNP. d. Maybe. Some SNPs offer Part D coverage for prescription drugs and some do not.