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DEVOTED 2026 CERTIFICATION
EXAM
Which answer best describes our main component(s) of our model of care? Care coordination Provider network Quality of performance and improvement All of these Population description - ANSWERS-All of these What can Devoted Health members expect after enrollment? Welcome kit with ID card and a mailed evidence of coverage. Our members will only receive digital correspondences and no physical kits or ID cards Welcome text message, if the individual has transition needs a welcome call and a welcome kit with a benefit guide. The ID card will be mailed separate.
Welcome call, welcome Kit with ID card and mailed full directory and formulary. - ANSWERS-Welcome text message, if the individual has transition needs a welcome call and a welcome kit with a benefit guide. The ID card will be mailed separate. If an individual has Medicaid paying their Part B premium, which plan option might not be a good fit for them? Giveback plan D-SNP partial plan C-SNP plan $0 premium plan - ANSWERS-Giveback plan Which answer best describes what is important to review with a prospect during our sales presentations related to prescriptions Offer to look up their prescriptions and show them how they can look up their prescriptions to see if they are covered by the plan. Review the transition supply process and the process for exceptions.
Live in the plan service area, eligible for Part A and enrolled in Part B as of the plan start date, have a qualifying election period and if a SNP they must have the special need associated with the plan Eligible for Part A and enrolled in Part B as of the plan start date, have a qualifying election period, have all doctors in the plans network Live in the plan service area, have a qualifying election period, have Medicaid Eligible for Part A and enrolled in Part B as of the plan start date, have a qualifying election period, not have ESRD - ANSWERS-Live in the plan service area, eligible for Part A and enrolled in Part B as of the plan start date, have a qualifying election period and if a SNP they must have the special need associated with the plan Shane is reviewing plan options with his prospect, Larry. Larry has informed Shane that he has cardiovascular disease but does not have Medicaid or a Low-Income Subsidy (LIS). In this scenario, the Devoted Health C-SNP Zero plan would be the best fit, as it offers no premium, supplemental benefits, and balanced medical and prescription drug coverage. True False - ANSWERS-True
Which answer best describes the information that is important to share with a beneficiary when enrolling them in a Giveback plan There are still some additional supplemental benefits associated with the plan 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. If the individual is not paying their Part B premium because it is paid for by medicaid the Giveback plan is not the right plan for them as they will not get the money back All of these are important to inform the beneficiary about As a result of 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. A giveback will increase the value of a member's monthly social security
Conduct a needs analysis to determine which plan might fit an individuals needs Request the beneficiary's latest physical exam report Review the provider network and if applicable formulary - ANSWERS-Request the beneficiary's latest physical exam report Which answer best describes Devoted Health's value proposition? Treat every member like it would for its own family member. Provide all in one healthcare Help simplify its members' healthcare experience. All of these are a part of Devoted Health's value proposition - ANSWERS-All of these are a part of Devoted Health's value proposition Devoted Health HMO members... Can choose a non-participating doctor as their primary care physician. Must choose an in-network primary care physician at the time of enrollment. Can never change their primary care physician once they have chosen one. Can choose a specialist to be their primary care physician. - ANSWERS-
What are the different plan options offered by Devoted Health? HMO, PPO, DSNP, CSNP, MAPD, and MA-Only PPO, PDPs HMO, PPO, DSNP, Medicare Supplements C-SNP, D-SNP, PPO, PFFS - ANSWERS-HMO, PPO, DSNP, CSNP, MAPD, and MA-Only Sales agents are required to submit informal marketing events where Devoted Health will be represented at least 7 days in advance for review and approval. True False - ANSWERS-True Which answer best describes our Devoted Health Guides Guides do NOT attempt to build long lasting relationships built on trust and guidance with Devoted members. Devoted Guides consist of a team of clinical and service professionals who work together for each of our members. Guides are only available to Devoted Health special needs plan members.
Paper - ANSWERS-All of these are available options Mr. Finn, an agent with Devoted Health, is giving a sales presentation and wants to provide some food for his guests. What can Mr. Finn provide? Light refreshments or snacks. A buffet dinner as long as the cost is not above $15 per person. Lunch at a restaurant but ordering off of a limited menu so as to keep the overall cost of the meal below $10 per person. A sit down meal offered in a separate room, before or after the promotional portion of the event. - ANSWERS-Light refreshments or snacks. What are Devoted Health's core ingredients? Tech platform, available in all 50 states, strong provider partnerships, PPO, Devoted Guides Stand-alone prescription plans, strong PCP partnerships, Devoted Guides, Devoted Medical Group Newer MA plan, tech platform, strong provider partnerships, Devoted Guides, Devoted Medical Tech platform, available in all 50 states, strong provider partnerships,
Med Supp, Devoted Guides - ANSWERS-Newer MA plan, tech platform, strong provider partnerships, Devoted Guides, Devoted Medical
