



Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
DEVOTED - 2026 CERTIFICATIONS EXAM DEVOTED - 2026 CERTIFICATIONS EXAM
Typology: Exams
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Which answer best describes what is important to review with a prospect during our sales presentations related to prescriptions - ANSWERS-All of these: Review the pharmacy network requirement and where individuals can find which pharmacies are in-network. Review the different stages of prescription coverage Review M3P Review the transition supply process and the process for exceptions. Explain limitations associated with obtaining prescriptions including Prior Authorization, Step Therapy, and Quantity Limits. 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. What can Devoted Health members expect after enrollment? - 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? - ANSWERS-Giveback 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. - ANSWERS-True Which answer best describes our main component(s) of our model of care? - ANSWERS-All of these: Population description Quality of performance & improvement Provider Network Care coordination Which answer best describes the information that is important to share with a beneficiary when enrolling them in a Giveback plan - ANSWERS-All of these are important to inform the beneficiary about Mrs. Davis is a Devoted Health HMO member and on March 21st calls Angie her Devoted sales agent stating that she wants to switch her primary care physician (PCP). What can Angie tell Mrs. Davis? - ANSWERS-She can call her Devoted Guide Team and they would be happy to assist her in choosing a new one to be effective the beginning of April. Which answer best describes the eligibility requirements for an individual to enroll a Devoted Health Medicare Advantage plan? - ANSWERS-Live in the plan service area, eligible for Part A and
Review the M3P program Review the 3 stages of Part D coverage Offer to look up their prescriptions & show them how they can look up their prescriptions to see if they are covered by the plan. Explain limitations associated with obtaining prescriptions including Prior Authorization, Step Therapy, and Quantity Limits Review the pharmacy network requirement and where individuals can find which pharmacies are in-network. What are some different ways a broker agent can complete a scope of appointment? (Select all that apply) - ANSWERS-All: E-mail/text Phone Electronic Paper True or False: Reviewing doctor networks is a required portion of the Devoted enrollment process. - ANSWERS-True True or False: Reading through the benefit highlights is a good alternative to reading through the summary of benefits for the enrollment presentation. - ANSWERS-False What can Devoted Members expect after enrollment? - ANSWERS- All of the above & more: Devoted Welcome Kit
Welcome text messages ID card in a separate mailer How many days in advance must agents register informal or educational events with Devoted Health? - ANSWERS- 7 days How can someone report Fraud, Waste, and Abuse? (Select all that apply) - ANSWERS-All: Report it to your local sales manager Email [email protected] Report it directly to the Devoted Medicare Compliance Officer - [email protected] Call our hotline. You can remain anonymous - 1(855)292- 7485 Greater than what percentage of rapid disenrollments will be reviewed by Devoted? - ANSWERS-10% What are the different plan options offered by Devoted Health? - ANSWERS-HMO, PPO, DSNP, CSNP, MAPD, and MA-Only Which answer best describes our Devoted Health Guides - ANSWERS-Devoted Guides consist of a team of clinical and service professionals who work together for each of our members.
Provide all in one healthcare Help simplify its members' healthcare experience.