Evevance Health 2025 Foundation/Basics Quiz with correct answers 100% 2026
Evevance Health 2025 Foundation/Basics Quiz with correct answers 100% 2026 Which of the following statements is NOT true about a disenrollment? - Correct Answer Disenrollment requests can be taken verbally How does a cancellation differ from a disenrollment? - Correct Answer Both A and B are correct The Special Election Period (SEP) for Dual Eligible and Other LIS Eligible Individuals previously allowed one time per-calendar-quarter during the first nine months of the year is being replaced for Calendar Year 2025 with a monthly SEP to enroll in a standalone PDP. Eligible beneficiaries can switch PDPs or leave a MA/MAPD plan for Original Medicare plus a standalone PDP. - Correct Answer True FEMA disaster SEPs can only be used if members missed a valid enrollment period. - Correct Answer True A new monthly integrated care SEP for calendar year 2025 allows full dual eligible individuals to elect an integrated Dual Eligible Special Needs Plan (D-SNP) (for example, Fully Integrated Dual Eligible (FIDE), Highly Integrated Dual Eligible (HIDE), and Applicable Integrated Plan (AIP)). This new SEP is allowed only when the individual receives Medicaid through an affiliated managed care plan. - Correct Answer True When reviewing an enrollment application with a prospective member, which of the following steps should be done? - Correct Answer All of the above should be done The Open Election Period (OEP) is for beneficiaries who are enrolled in a MA-only or MA-PD plan, or those who are enrolled in Original Medicare, including those enrolled in stand-alone PDPs. - Correct Answer False If a beneficiary has agreed to an in-home appointment to discuss a PDP product, an agent can discuss an HMO product with them during that same meeting, if the beneficiary requests it and a new scope of appointment form is completed. - Correct Answer True An agent must not: - Correct Answer All of the above are prohibited. Which of the following statements about the Star Ratings Program are true? - Correct Answer All of the above statements are true An agent can start to market 2025 MA, MA-PD, or PDP plans on October 1. - Correct Answer True A member can add or drop prescription drug coverage during the Annual Election Period (AEP). - Correct Answer True Which of the following is not a valid reason for involuntary disenrollment? - Correct Answer Moving to a new address in the same plan service area
Written for
- Institution
- Florida Blue Certification
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- Florida Blue Certification
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- Uploaded on
- April 2, 2026
- Number of pages
- 2
- Written in
- 2025/2026
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- Exam (elaborations)
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- Questions & answers
Subjects
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which of the following statements is not true abou
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the special election period sep for dual eligibl
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fema disaster seps can only be used if members mis
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