DEVOTED AGENT CERTIFICATION EXAM 2025., Exams of Advanced Education

Download DEVOTED AGENT CERTIFICATION EXAM 2025. and more Exams Advanced Education in PDF only on Docsity!

DEVOTED AGENT

CERTIFICATION EXAM

DEVOTED AGENT

Evatee 7/12/24 DEVOTED AGENT

DEVOTED AGENT CERTIFICATION EXAM 2024 Mr. Malone wants to enroll in a Devoted Health Medicare Advantage plan during the Medicare Annual Enrollment Period. He can do so by... -He can enroll through all three of these methods. -Call Devoted Health or approved telesales center and enroll over the phone. -Meeting with a licensed and certified Devoted Sales Agent or Broker who completes his enrollment electronically or by paper. -Go online to Medicare.gov or Devoted.com and enroll online. Answer - He can enroll through all three of these methods. How many days in advance must agents register informal or educational events with Devoted Health? -14 days -30 days -7 days

-The Devoted Health's Select/Prime/Premium plans are plans that expedites the shipping of prescription medications to Luis' house for the price of a higher monthly premium. -The Devoted HMO Select/Prime plan is only for full dual eligibles - people who have both Medicare A&B and Medicaid, so Luis would only be eligible if he had full Medicaid benefits. Answer - Because Luis receives the full low-income subsidy (LIS) from SSA or the Federal government, he would not be subject to paying the premium on the Devoted Health Select/Prime/Premium plans, and may suit his needs best. In what situation is an agent representing Devoted Health required to review the entire summary of benefits during a compliant sales presentation to a prospect... -Only when the prospects requests it to be reviewed in its entirety. -Only during seminar presentations but not during one-on-one presentations. -On every sales presentation. -Only if the the prospect has additional questions after the Sales Agent reviewed the Benefits-at-a-Glance. Answer - On every sales presentation. Devoted Health's value proposition is to... -All of these are a part of Devoted Health's value proposition

-Help simplify its members' healthcare experience. -Treat every member like it would for its own family member. -Provide all in one healthcare Answer - All of these are a part of Devoted Health's value proposition What is important to review with a prospect during our sales presentations related to prescriptions? -Review the pharmacy network requirement and where individuals can find which pharmacies are in-network. -All of these -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. Answer - All of these During the AEP, on October 30, Marissa enrolls in the Devoted Health HMO Medicare Advantage plan for an effective date of 1/1/2024. On November 15, Marissa meets with Janice of ABC Insurance Agency and enrolls in a stand-alone prescription drug

leaving his current plan's service area and moving to a new one, Jackie can instruct him that he must switch from the Devoted plan in Cuyahoga county to the Devoted plan in Palm Beach, and that he can do so one month prior to his move and up to two months following the move. Additionally he can do so by calling Devoted Health to make the plan change and Jackie will remain as his agent of record (AOR) In which of the following settings is a Scope of Appointment form NOT required to be collected? -A one-on-one appointment occurring in the beneficiary's home. -An unscheduled meeting with a beneficiary who arrives at an agent's office without an appointment and requests information. -A sales seminar advertised in the local newspaper. -All of these scenarios require a Scope of Appointment form be collected. Answer - A sales seminar advertised in the local newspaper. What are the different plan options offered by Devoted Health? -HMO, PPO, DSNP, Medicare Supplements -C-SNP, D-SNP, PPO, PFFS -PPO, PDPs

-HMO, PPO, DSNP, CSNP, HMO MA-only, PPO MA-only Answer - HMO, PPO, DSNP, CSNP, HMO MA-only, PPO MA-only Which of the following is a main component of our model of care? -All of these -Provider network -Quality of performance and improvement -Population description -Care coordination Answer - All of these Which answer best describes some of the extra benefits offered on Devoted Health plans? -Money to use on wellness items, Silver Sneakers, Devoted dollars for preventive care -All of these are extra benefits, plus more.... -Hearing aid coverage and vision benefits -Food and Utility card and Dental benefits Answer - All of these are extra benefits, plus more....

-That she can only change her PCP during the annual enrollment period and will have to wait until then to do so. Answer - 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. Devoted Health HMO members... -Must choose an in-network primary care physician at the time of enrollment. -Can choose a non-participating doctor as their primary care physician. -Can choose a specialist to be their primary care physician. -Can never change their primary care physician once they have chosen one. Answer - Must choose an in-network primary care physician at the time of enrollment. Mrs. Carson is a worrier and admits that she is often confused when it comes to navigating her health plan and the healthcare system. She asks Joyce, her Devoted Sales Agent, who she can contact if she needs help once she becomes a Devoted Health member. How should Joyce respond? -"Sorry, my job is only to sign you up. Then you are on your own." -"Only call me, the member service team at the insurance company always takes a long time and doesn't give you the right answer"

-"As your Devoted Sales Agent, you can always call me with questions, but additionally Devoted has an entire Guide Team dedicated to simplifying your healthcare experience. In addition to them periodically reaching out to you, you can always call them with questions. They want to hear from you." -"Healthcare is really confusing. I suggest you re-read your Evidence of Coverage, and you'll probably be fine." Answer - "As your Devoted Sales Agent, you can always call me with questions, but additionally Devoted has an entire Guide Team dedicated to simplifying your healthcare experience. In addition to them periodically reaching out to you, you can always call them with questions. They want to hear from you." What are Devoted Health's core ingredients? -Newer MA plan, CSNP, strong PCP partnerships, Devoted Guides, Devoted Medical Group -Tech platform, available in all 50 states, strong provider partnerships, Med Supp, Devoted Guides -Tech platform, available in all 50 states , strong provider partnerships, PPO, Devoted Guides -Newer MA plan, tech platform, strong provider partnerships, Devoted Guides, Devoted Medical Group Answer - Newer MA plan, tech platform, strong provider partnerships, Devoted Guides, Devoted Medical Group The Devoted Health Guides...

-Can never change their primary care physician once they have chosen one. -Can choose a specialist to be their primary care physician. -Must choose an in-network primary care physician at the time of enrollment. -Can choose a non-participating doctor as their primary care physician. Answer - Must choose an in-network primary care physician at the time of enrollment.