DEVOTED 2026 CERTIFICATION QUESTIONS WITH COMPLETE
ANSWERS
Which answer best describes our main d d d d d
component(s) of our model of care? d d d d d
Care coordination d
Provider network d
Quality of performance and improvement d d d d
All of these
d d
Population description - ans-All of these d d dd d d
What can Devoted Health members expect after
d d d d d d
enrollment?
Welcome kit with ID card and a mailed evidence of coverage. d d d d d d d d d d
Our members will only receive digital correspondences and no physical
d d d d d d d d d
kits or ID cards
d d d
Welcome text message, if the individual has transition needs a welcome
d d d d d d d d d d
call and a welcome kit with a benefit guide. The ID card will be mailed
d d d d d d d d d d d d d d
separate.
Welcome call, welcome Kit with ID card and mailed full directory and
d d d d d d d d d d d
formulary. - ans-Welcome text message, if the individual has transition needs a welcome
d dd d d d d d d d d d d
call and a welcome kit with a benefit guide. The ID card will be mailed
d d d d d d d d d d d d d d
separate.
If an individual has Medicaid paying their Part B
d d d d d d d d
premium, which plan option might not be a good fit d d d d d d d d d
for them?
d
Giveback plan d
D-SNP partial plan d d
C-SNP plan d
$0 premium plan - ans-Giveback plan
d d d dd d
Which answer best describes what is important to review with a prospect during our sales pres
d d d d d d d d d d d d d d d
entations related to prescriptions d d d
Offer to look up their prescriptions and show them how they can look up
d d d d d d d d d d d d d
their prescriptions to see if they are covered by the plan.
d d d d d d d d d d
Review the transition supply process and the process for exceptions.
d d d d d d d d d
Explain limitations associated with obtaining prescriptions including Prior
d d d d d d d
Authorization, Step Therapy, and Quantity Limits. d d d d d
Review the pharmacy network requirement and where individuals can
d d d d d d d d
find which pharmacies are in-network.
d d d d
All of these
d d
, Review M3P d
C
Review the different stages of prescription coverage - ans-All of these
d d d d d d d dd d d
In what situation is an agent representing Devoted Health required to review the entire summ
d d d d d d d d d d d d d d
ary of benefits during a compliant sales presentation to a prospect?
d d d d d d d d d d
On every sales presentation.
d d d
Only if the the prospect has additional questions after the sales agent
d d d d d d d d d d d
reviewed the key supplemental benefits. d d d d
Only during seminar presentations but not during one-on-one
d d d d d d d
presentations.
Only when the prospects requests it to be reviewed in its entirety. - ans-
d d d d d d d d d d d d dd
On every sales presentation.
d d d
Which answer best describes the eligibility requirements for an individual to enroll a Devoted
d d d d d d d d d d d d d d
Health Medicare Advantage plan? d d d
Live in the plan service area, eligible for Part A and enrolled in Part B as
d d d d d d d d d d d d d d d
of the plan start date, have a qualifying election period and if a SNP they must
d d d d d d d d d d d d d d d
have the special need associated with the plan
d d d d d d d
Eligible for Part A and enrolled in Part B as of the plan start date, have a
d d d d d d d d d d d d d d d d
qualifying election period, have all doctors in the plans network d d d d d d d d d
Live in the plan service area, have a qualifying election period, have
d d d d d d d d d d d
Medicaid
Eligible for Part A and enrolled in Part B as of the plan start date, have a
d d d d d d d d d d d d d d d d
qualifying election period, not have ESRD - ans- d d d d d d dd
Live in the plan service area, eligible for Part A and enrolled in Part B as of the plan start date, h
d d d d d d d d d d d d d d d d d d d d d
ave a qualifying election period and if a SNP they must have the special need associated with t
d d d d d d d d d d d d d d d d d
he plan d
Shane is reviewing plan options with his prospect, Larry. Larry has informed Shane that he ha
d d d d d d d d d d d d d d d
s cardiovascular disease but does not have Medicaid or a Low-
d d d d d d d d d d
Income Subsidy (LIS). In this scenario, the Devoted Health C-
d d d d d d d d d
SNP Zero plan would be the best fit, as it offers no premium, supplemental benefits, and balan
d d d d d d d d d d d d d d d d
ced medical and prescription drug coverage.
d d d d d
True
False - ans-True d dd
Which answer best describes the information that is important to share with a beneficiary whe
d d d d d d d d d d d d d d
n enrolling them in a Giveback plan
d d d d d d
There are still some additional supplemental benefits associated with the
d d d d d d d d d
plan
It may take up to 3 months for an individual's Part B reduction to show up
d d d d d d d d d d d d d d d
ANSWERS
Which answer best describes our main d d d d d
component(s) of our model of care? d d d d d
Care coordination d
Provider network d
Quality of performance and improvement d d d d
All of these
d d
Population description - ans-All of these d d dd d d
What can Devoted Health members expect after
d d d d d d
enrollment?
Welcome kit with ID card and a mailed evidence of coverage. d d d d d d d d d d
Our members will only receive digital correspondences and no physical
d d d d d d d d d
kits or ID cards
d d d
Welcome text message, if the individual has transition needs a welcome
d d d d d d d d d d
call and a welcome kit with a benefit guide. The ID card will be mailed
d d d d d d d d d d d d d d
separate.
Welcome call, welcome Kit with ID card and mailed full directory and
d d d d d d d d d d d
formulary. - ans-Welcome text message, if the individual has transition needs a welcome
d dd d d d d d d d d d d
call and a welcome kit with a benefit guide. The ID card will be mailed
d d d d d d d d d d d d d d
separate.
If an individual has Medicaid paying their Part B
d d d d d d d d
premium, which plan option might not be a good fit d d d d d d d d d
for them?
d
Giveback plan d
D-SNP partial plan d d
C-SNP plan d
$0 premium plan - ans-Giveback plan
d d d dd d
Which answer best describes what is important to review with a prospect during our sales pres
d d d d d d d d d d d d d d d
entations related to prescriptions d d d
Offer to look up their prescriptions and show them how they can look up
d d d d d d d d d d d d d
their prescriptions to see if they are covered by the plan.
d d d d d d d d d d
Review the transition supply process and the process for exceptions.
d d d d d d d d d
Explain limitations associated with obtaining prescriptions including Prior
d d d d d d d
Authorization, Step Therapy, and Quantity Limits. d d d d d
Review the pharmacy network requirement and where individuals can
d d d d d d d d
find which pharmacies are in-network.
d d d d
All of these
d d
, Review M3P d
C
Review the different stages of prescription coverage - ans-All of these
d d d d d d d dd d d
In what situation is an agent representing Devoted Health required to review the entire summ
d d d d d d d d d d d d d d
ary of benefits during a compliant sales presentation to a prospect?
d d d d d d d d d d
On every sales presentation.
d d d
Only if the the prospect has additional questions after the sales agent
d d d d d d d d d d d
reviewed the key supplemental benefits. d d d d
Only during seminar presentations but not during one-on-one
d d d d d d d
presentations.
Only when the prospects requests it to be reviewed in its entirety. - ans-
d d d d d d d d d d d d dd
On every sales presentation.
d d d
Which answer best describes the eligibility requirements for an individual to enroll a Devoted
d d d d d d d d d d d d d d
Health Medicare Advantage plan? d d d
Live in the plan service area, eligible for Part A and enrolled in Part B as
d d d d d d d d d d d d d d d
of the plan start date, have a qualifying election period and if a SNP they must
d d d d d d d d d d d d d d d
have the special need associated with the plan
d d d d d d d
Eligible for Part A and enrolled in Part B as of the plan start date, have a
d d d d d d d d d d d d d d d d
qualifying election period, have all doctors in the plans network d d d d d d d d d
Live in the plan service area, have a qualifying election period, have
d d d d d d d d d d d
Medicaid
Eligible for Part A and enrolled in Part B as of the plan start date, have a
d d d d d d d d d d d d d d d d
qualifying election period, not have ESRD - ans- d d d d d d dd
Live in the plan service area, eligible for Part A and enrolled in Part B as of the plan start date, h
d d d d d d d d d d d d d d d d d d d d d
ave a qualifying election period and if a SNP they must have the special need associated with t
d d d d d d d d d d d d d d d d d
he plan d
Shane is reviewing plan options with his prospect, Larry. Larry has informed Shane that he ha
d d d d d d d d d d d d d d d
s cardiovascular disease but does not have Medicaid or a Low-
d d d d d d d d d d
Income Subsidy (LIS). In this scenario, the Devoted Health C-
d d d d d d d d d
SNP Zero plan would be the best fit, as it offers no premium, supplemental benefits, and balan
d d d d d d d d d d d d d d d d
ced medical and prescription drug coverage.
d d d d d
True
False - ans-True d dd
Which answer best describes the information that is important to share with a beneficiary whe
d d d d d d d d d d d d d d
n enrolling them in a Giveback plan
d d d d d d
There are still some additional supplemental benefits associated with the
d d d d d d d d d
plan
It may take up to 3 months for an individual's Part B reduction to show up
d d d d d d d d d d d d d d d
