Devoted 2024 Agent Certification Final Exam, Exams of Nursing

Download Devoted 2024 Agent Certification Final Exam and more Exams Nursing in PDF only on Docsity!

Devoted 2024 Agent Certification Final

Exam with correct answers

Devoted Vision - CORRECT ANSWER->60 net promoter score(NPS), while reducing costs by 20%, Long term 5 Core Ingredients - CORRECT ANSWER-1. Newer Medicare Advantage Plan

2. Devoted Tech Platform
3. Partnership with strong pcp's
4. Devoted Health Guides 5.Devoted Medical Group Our Growth - CORRECT ANSWER-Todd and Ed Park launched Devoted in 2017 (our first membership came in 2019). We are currently the fastest growing Medicare Advantage plan in the country.Devoted has 18,000 + members, as of May 2020. We have raised over $300 million, and are financially stable.We are building for a rolling 20 - year horizon; we are not in the business of building and selling. Why we Start from Scratch - CORRECT ANSWER-Building from the ground up means that we have not wasted time revising clunky systems or outdated tech. When everyone builds the company together, there is no pre-existing corporate culture that needs to be changed. Devoted Tech Platform - CORRECT ANSWER-Our results: Faster claims processing - we pay specialists within 5 business days, 90% of the time. Prior authorizations processing within 72 hours. Credentialing process - less than 2 weeks to credential new providers. Faster commission payments. Partnerships with strong PcP's - CORRECT ANSWER-Partner with high-performing Pcp Devoted Health Guides - CORRECT ANSWER-Navigators, Problem-Solvers, Supporters We Stand By What We Say - CORRECT ANSWER--When it comes to answering the phones..... Our average speed of answer is 24 seconds. 82% of calls are answered in less than 30 seconds.

• When it come to solving our member's issues.....> 80% of member issues are resolved same-day.> 90% of member issues are resolved within 3 days.

Devoted Medical Group - CORRECT ANSWER-Devoted Medical Group (DMG) is designed to help provide additional virtual and in-home care above and beyond the care they receive from their physicians now. Our team is comprised of doctors, nurse practitioners, and nurses providing care in members homes and over the phone. DMG picks up where the PCP's capabilities leave off. Our team works along with your PCP to provide excellent care right in the member's home. For in-home visits, we can identify any living conditions concerns that may impact that member's health. This service is FREE of charge to Devoted Health Plan members.* In-home services help keep patients healthier, happier, out of the hospital and in their homes. Devoted Plan Design - CORRECT ANSWER-Original Medicare Benefits, Built in Part D, Additional Benefits Qualify for Devoted Health Plan - CORRECT ANSWER--Must live in the plan's service area ✅Must be eligible for Part A and Enrolled in Part B ✅Must have a qualifying election period 🚫Cannot have ESRD (only for 2020 - in 2021 enrollment eligibility will not be impacted by ESRD) Devoted Core HMO - CORRECT ANSWER-This is a Medicare Advantage HMO plan with a $0 monthly premium. It provides all Medicare benefits. It includes competitive cost sharing and additional benefits. Under this HMO, referrals are required* for some specialist visits and a PCP must be selected. This plan is available in all markets Devoted Prime HMO (Select in AZ) - CORRECT ANSWER-This plan has a low monthly premium, however, 100% is allocated to Part D - Great choice for beneficiaries with 100% LIS subsidyLow member cost sharingStrong supplemental benefits are included in the planReferrals and required for some specialist visits* and a PCP must be selected. This plan may be a good fit for:Individuals who are willing to pay a premium for lower cost sharingIndividuals with partial MedicaidIndividuals with Low-Income Subsidy (LIS) (depending on level will pick up some or all of premium)Since these folks cannot qualify for a Dual Eligible Special-Needs plan since they do not qualify for Medicaid, they typically just join the standard HMO plan offering but are subject to paying all of the copays. With Devoted Prime HMO the LIS recipient will benefit from very low copays, rich supplemental benefits, and subsidized premium and Part D benefits. Prior to enrolling a prospect, make sure you confirm their LIS status before you tell them that they do not have to pay a premium.

Devoted Essentials HMO - CORRECT ANSWER-Medicare Advantage HMO plan with a Part B "giveback" Givebacks reduce the Part B premium that most Medicare beneficiaries are responsible for paying on a monthly basis.A giveback will increase the value of a member's monthly social security check, since they are not paying as much for their Part B.If an individual is not paying their Part B, they will not see an increase in their social security check.If an individual is not receiving a social security check, they will see a reduction in the amount they owe monthly for their Medicare Part B.It is important to note that it may take up to 3 months for an individual's Part B reduction to show up in their social security check. Payments will be retroactive for the months that were missed.As a result in receiving money back for their Part B premium, members will have higher cost sharing and fewer additional benefits than those offered on the other Devoted Health plans. Referrals for some specialists are required under this plan* and a PCP must be selected Devoted Flex HMO - CORRECT ANSWER-Only Offered in AZ for 2021 The Flex plan will offer comprehensive medical and prescription drug coverage with moderate member cost sharing and a low monthly plan premium.Additionally, this plan puts members in the driver's seat anchored by a consumer-driven supplemental benefit package called MyFlex. The MyFlex benefit will provide a quarterly allowance and permit members to choose which eligible supplemental benefits within the package to utilize with no restriction to network.Eligible supplemental benefits in the MyFlex benefit package will include: Preventive and comprehensive dental Gym memberships / Yoga classes / Personal training Wearable fitness devices (e.g. Apple watch, FitBit) Personal fitness equipment Therapeutic massage Eyewear and more... Devoted DSNP - CORRECT ANSWER-The Devoted DSNP is a dual special needs plan, which means there are specific requirements related to enrollment and continuation within the plan. Members under this special needs plan will not have cost sharing for covered services in network.This plan will have a premium listed, but this premium will be picked up by the individual's subsidy. Referrals are required for some specialist services and a PCP must be selected. Prior to enrollment, agents must confirm current Medicaid status. For assistance, agents may contact Agent Support at 1- 877 - 764 - 9446. Before processing an enrollment into the dual eligible SNP (D-SNP), Devoted must confirm eligibility, including both MA eligibility and Medicaid eligibility. To qualify for the D-SNP, individuals must be one of the following Medicaid Levels: QMB, SLMB QMB+, SLMB+, or FBDE (see below for descriptions of these terms).

Devoted Sales Process - CORRECT ANSWER-Scope of Appointment, Needs Analysis, Enrollment Presentation, Finalize the Sale, Completing the Enrollment Button up the Sale - CORRECT ANSWER-DAY 0- App is Submitted DAY 1- 3 - App is approved by CMS and member gets welcome text DAY 4- 7 - Member receives welcome kit DAY 8- 14 - Welcome Call Registering For an Event - CORRECT ANSWER-All Events requests must be submitted to Devoted at least 14 days in advance, Have all the materials you need prior to the event, Additional event reminders, You must market and enroll only Devoted products Educational Events - CORRECT ANSWER-Educational events are designed to inform beneficiaries about Medicare Advantage, Prescription Drug, or other Medicare programs. The rules in the table below apply to all educational events. Marketing Sales Events - CORRECT ANSWER-Marketing/Sales Events are designed to steer (or attempt to steer) enrollees toward a plan. The rules in the table below apply to all marketing/sales events. Pre-Aep Enrollment Period Reminders - CORRECT ANSWER--Agents are not permitted to market for an upcoming plan year prior to October 1st.

• Starting October 1st, agents can assist prospects in completing paper applications, but cannot solicit or take possession of applications from 10/1-10/14. I-f a paper application is completed with a prospect prior to 10/15, the date and signature must be left blank. Agents should remind the prospect to complete the application and mail into Devoted on or after 10/15.
• Alternatively, agents may return to the members home following 10/15 to complete a paper or electronic application.
• Applications received prior to 10/15 for which there is an indication of sales agent/broker involvement in the submission of the request will be investigated for possible agent solicitation.
• Agents found to have solicited application prior to 10/15 will be subject to disciplinary action.
• Soliciting definition - taking possession of an application prior to 10/15, submitting an application prior to 10/15, or instructing submission of application prior to 10/15. Compliance reporting Metrics - CORRECT ANSWER-Rapid disenrollment, application timeliness, Agent Allegation Investigations