Anthem - Risk Prevention with correct answers 100% 2026

Anthem - Risk Prevention with correct answers 100% 2026 If a beneficiary currently has drug coverage through another carrier, you must verify their prescriptions would be covered under our plan's formulary, too. The drugs that are actually covered may vary from one carrier to another or one plan to another. - Correct Answer True You MUST tell your PPO plan clients they will have to pay more when seeking non-emergent eligible services outside of the network. - Correct Answer True You receive a questionnaire regarding a sales misrepresentation inquiry. The questionnaire regarding the complaint must be completed and returned promptly. When must you return your response? - Correct Answer Within 48 hours You MUST EXPLAIN the Part D late enrollment penalty. - Correct Answer True Not all providers are contracted to serve as a primary care physician (PCP). Use the online tool to find/verify the PCP indicator information - Correct Answer True If a beneficiary wants you to hold an enrollment form/application, you must explain that you can either submit or cancel the enrollment form/application following established procedures. - Correct Answer True Which of the following is not a possible disciplinary action? - Correct Answer All of these are possible actions Disciplinary actions are not always required, depending on the outcome of the case. - Correct Answer True When a beneficiary is trying to decide between plans during a sales appointment, it is okay to omit information critical to the beneficiary if they don't ask pointed questions. - Correct Answer False Which of these activities would NOT be classified as marketing misrepresentation? - Correct Answer Using the beneficiary's P.O. Box as a mailing address, but not as a permanent address Which of these activities would an Agent/Broker be permitted to do? - Correct Answer Send text messages without prior permission Documents with beneficiary information (such as withdrawn, incomplete, or incorrect applications, or records at the end of the required retention period) must be properly disposed of via cross cut shredding and NOT reused or placed into regular recycling or trash containers. - Correct Answer True Agents are permitted to call former members who have voluntarily disenrolled or current members in the process of disenrolling to market plans or products. - Correct Answer False