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Senior Health Insurance Benefits Assistance Program
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SHIBA Volunteer Training Program - Section 6
Section 6: Medicare Application Procedures Questions
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Section 6: Medicare Application Procedures Questions
1. What document has appeals procedures on it?
  
2. What are the five standard levels of appeals?
 
a.  
 
b.  
 
c.  
 
d.  
 
e.  
3. Who is Oregon's QIO?
  
4. What is the purpose of a waiver of liability?
  
5. What three types of information are found on an Advanced Beneficiary Notice?
 
a.  
 
b.  
 
c.  
6. Name the four types of ABNs
 
a.  
 
b.  
 
c.  
 
d.  
7. What are the two exceptions that are unique to Part D?
 
a.  
 
b.  
8. In the Part D standard appeals process how long does a beneficiary have after the redetermination denial to file an appeal with the IRE?
 
  
9. A beneficiary has a problem with the customer service received with from their Part D plan, what would they file?
 
  
10. Who is involved in the third level of appeal?
 
 
 
                     


 
Page updated: October 21, 2009

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