Devoted Medicare 2024/2025 Certification Exam Questions with Verified Answers, Exams of Nursing

Download Devoted Medicare 2024/2025 Certification Exam Questions with Verified Answers and more Exams Nursing in PDF only on Docsity!

DEVOTED MEDICARE 2024/

CERTIFICATION EXAM QUESTIONS

WITH VERIFIED ANSWERS.

1. Which answer best describes the options an agent has for completing a scope of appointment (SOA) with Devoted Health A) Electronic in-person B) Paper C) Electronic Remote Text or Email D) Telephonice E) All of the Above -- Correct Answer ✔✔ All of the Above
2. Which answer best describes our main component(s) of our model of care? A) Care Coordination B) Quality of Performance & Improvements C) Provider Network D) Population Description E) All of the Above -- Correct Answer ✔✔ All of the Above
3. How many days in advance must agents register informal or educational events with Devoted Health? -- Correct Answer ✔✔ 7 days
4. The Devoted Health Guides... A) Are only available to Devoted Health special needs plan members. B) Consist of a team of clinical and service professionals who work together for each of our members. C) Do not attempt to build long lasting relationships built on trust and guidance with Devoted members.

D) Act as travel agents to plan vacations for Devoted members. -- Correct Answer ✔✔ Consist of a team of clinical and service professionals who work together for each of our members.

5. True or False - A Devoted Health HMO or PPO MA only member may also have a stand alone prescription drug plan -- Correct Answer ✔✔ False
6. 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? -- Correct Answer ✔✔ On every sales presentation.
7. True or False - Completing an HRA is not a required part of the enrollment process, but it is highly encouraged as it can help identify important programs available to the member. -- Correct Answer ✔✔ TRUE
8. 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? -- Correct 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.
9. Luis lives in Phoenix and receives full subsidy low income subsidy (LIS). He is reviewing Devoted's MAPD options with his agent, Wayne. Which statement is most appropriate for Wayne to make regarding Luis' options? -- Correct 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 Premium plan, and may suit his needs best.
10. What are the different plan options offered by Devoted Health -- Correct Answer ✔✔ MO, PPO, DSNP, CSNP, HMO MA- only, PPO MA-only

11. What are Devoted Health's core ingredients? -- Correct Answer ✔✔ Newer MA plan, tech platform, strong provider partnerships, Devoted Guides, Devoted Medical Group
12. 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? -- Correct Answer ✔✔ Light refreshments or snacks.
13. Devoted Health HMO members... -- Correct Answer ✔✔ Must choose an in-network primary care physician at the time of enrollment.
14. Which of the following is not a required part of the Devoted Health sales presentation -- Correct Answer ✔✔ Request the beneficiary's latest physical exam report
15. Devoted Health's value proposition is to... -- Correct Answer ✔✔ All of these are a part of Devoted Health's value proposition
16. What can Devoted Health members expect after enrollment? -- Correct Answer ✔✔ 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.
17. Which answer best describes the eligibility requirements for an individual to enroll a Devoted Health Medicare Advantage plan? -- Correct Answer ✔✔ 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
18. True or False - Many of Devoted Health PPO plans have a passive design meaning the in and out of network copays for most services are the same. -- Correct Answer ✔✔ TRUE

19. Which answer best describes the information that is important to share with a beneficiary when enrolling them in a Giveback plan -- Correct Answer ✔✔ All of these