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2023 Cigna Recertifications CORRECT, Exams of Nursing

Chamberlain College of NursingNursing

A training or reference material for cigna sales agents and brokers. It covers a wide range of topics related to cigna's medicare advantage and prescription drug plans, including plan features, customer profiles, compliance requirements, and best practices for handling protected health information (phi). Detailed questions and answers on various aspects of cigna's products and policies, aimed at ensuring that sales agents are knowledgeable and compliant. The comprehensive nature of the content suggests that this document could be useful for sales agents, brokers, and other cigna representatives to prepare for exams, maintain compliance, and provide accurate information to customers.

Typology: Exams

2023/2024

Available from 10/04/2024

ShantelleG
ShantelleG 🇺🇸

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(6)

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2023 Cigna Recertifications CORRECT
QUESTIONS & ANSWERS COMPLETE
Which of the following customer profiles would best fit any of our PPO plans? - ANSWER Clara, who
values network travel and craves choice and flexibility
Which of the following is true about Cigna Medicare PPO plans? - ANSWER PCP selection is not required,
but strongly encouraged
Which of the following is a true statement regarding features of our HMO plans? - ANSWER All of these
Which of the following statement(s) is accurate about Cigna Medicare plans? - ANSWER (INCORRECT)
Offers a wide range of Medicare and Medicaid products and plans including HMO, HMO-POS, PPO, and
stand-alone Part D
What are Cigna's guiding principles? - ANSWER (INCORRECT)
"Do the right thing, always"
Which of the following is true about Cigna Medicare HMO plans? - ANSWER Some HMO plans have
referrals.
Which of the following is the goal of Cigna Medicare Advantage Incentives? - ANSWER Improving our
customers' overall health
Which of the following describes the Part D Senior Savings Model (SSM) - ANSWER Helps Medicare
beneficiaries save on insulin
Which of the following should a Medicare sales agent rely on for the most accurate plan information? -
ANSWER Summary of Benefits
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2023 Cigna Recertifications CORRECT

QUESTIONS & ANSWERS COMPLETE

Which of the following customer profiles would best fit any of our PPO plans? - ANSWER Clara, who values network travel and craves choice and flexibility Which of the following is true about Cigna Medicare PPO plans? - ANSWER PCP selection is not required, but strongly encouraged Which of the following is a true statement regarding features of our HMO plans? - ANSWER All of these Which of the following statement(s) is accurate about Cigna Medicare plans? - ANSWER (INCORRECT) Offers a wide range of Medicare and Medicaid products and plans including HMO, HMO-POS, PPO, and stand-alone Part D What are Cigna's guiding principles? - ANSWER (INCORRECT) "Do the right thing, always" Which of the following is true about Cigna Medicare HMO plans? - ANSWER Some HMO plans have referrals. Which of the following is the goal of Cigna Medicare Advantage Incentives? - ANSWER Improving our customers' overall health Which of the following describes the Part D Senior Savings Model (SSM) - ANSWER Helps Medicare beneficiaries save on insulin Which of the following should a Medicare sales agent rely on for the most accurate plan information? - ANSWER Summary of Benefits

Which statement(s) describe the Cigna Dental Allowance? - ANSWER Offers customers a discount if using a Cigna Dental Health provider. Offers preventive and comprehensive from any licensed dentist except if on exclusion and preclusion list. Which of the following are goals of the Compliance department? - ANSWER ALL OF THE ABOVE Correct compliance problems promptly and effectively. Reduce the potential for re-occurrence. Ensure ongoing compliance. Which of the following are examples of how to keep your technology devices secure? - ANSWER BOTH Secure your wireless connection before transmitting PHI wirelessly via the internet. Never share your login details with anyone Kate, a broker sales agent, suspects a disclosure of a member's PHI and decides to report her suspicion to the privacy officer. Turns out after investigation that there really was no disclosure of PHI. Which of these options appropriately describes her actions? - ANSWER She did the right thing; reasonable suspicions of disclosure of PHI should be reported. HIPAA rules apply to "business associates", in addition to health plans and providers. Which of the following are included under "business associates"? - ANSWER Employees and subcontractors such as contracted sales agents and brokers. Brandon, a sales agent completed the review of Cigna policies and procedures and signed the attestation to comply last year. Will Brandon be required to complete the review and attestation again this year? - ANSWER All sales agents of Cigna are contractually obligated to review and abide by the policies and procedures and sign an attestation yearly. Which of the following is a reason why the the Compliance Department conducts internal and external audits? - ANSWER To identify areas of risk and compliance with Federal and State regulatory guidelines.

What is the Cigna Healthy Today card? - ANSWER One flex card solution for Cigna Medicare customers' to access multiple supplemental benefits Which of our products offer choice, flexibility, open-access network, out of network/travel access and no referrals? - ANSWER PPO plans Cigna provides well-publicized disciplinary standards. Which of the following represents all the disciplinary actions that employees, contracted agents, and subcontractors who do not comply with CMS and Cigna's rules, regulations, policies and procedures may face? - ANSWER Verbal/written warnings, reprimands, suspensions, terminations, and financial penalties. What is the first step if the SDAC committee determines a violation is founded? - ANSWER The agent will be required to undergo remediation. Which of the following best describes the term "minimum necessary" in reference to PHI? - ANSWER Use only the minimum PHI necessary to conduct business. Which of the following are examples of protected or confidential information - ANSWER Past, present or future physical or mental health or condition. Provision of health care to the individual. Past, present, or future payment for the provision of healthcare to the individual. All of the above. Which of the following forms of PHI is covered under HIPAA? - ANSWER Oral, handwritten, printed and information contained on a computer hard drive.