Aetna Individual Core Certification Mastery Test (solved)

What report(s) are available on Aetna Producer World? - ANSWER All of the above You will need to successfully complete which requirements to be Ready to Sell (RTS) with Aetna Medicare? - ANSWER All of the above Any voluntary disenrollment occurring within three (3) months of the membership effective date is considered a rapid disenrollment and will result in a chargeback of the full commission paid. - ANSWER True To report compliance or fraud, waste, and abuse concerns to Aetna you should: - ANSWER A, B, and D Agent Oversight routinely monitors agent performance against CMS and internal standards. We monitor: - ANSWER All of the above Our Agent Oversight team will implement corrective action when there are CMS infractions and prohibited tactics. Disciplinary or corrective action may include: - ANSWER All of the above Failure to respond within the required timeframe to Aetna or CMS requests for information may result in suspension or termination of an agent, broker or producer's ability to market, sell and receive commissions. - ANSWER True You can receive commission for any sale that results from an unreported marketing/sales event. - ANSWER False A prohibited marketing activity is: - ANSWER All of the above How long are you required to maintain Scope of Appointment (SOA) documentation? - ANSWER 10 years If a beneficiary requests to discuss other products not originally documented on the SOA, you must document a second SOA for the additional product type before the appointment may continue. - ANSWER True When obtaining a Scope of Appointment, you may NOT: - ANSWER All of the above The Permission to Contact form is used by Aetna sales representatives and external agents to contact beneficiaries and must be completed prior to conducting an outbound call to a Medicare prospect. - ANSWER True If a prospect calls to RSVP for a meeting, a Permission to Contact form is not required for that meeting but would be required for a representative to place a follow-up call to a meeting attendee. - ANSWER True You may not contact your own clients by telephone and plans may not contact current members by telephone at any time to discuss plan business. - ANSWER False Producers may only use CMS and Aetna-approved marketing materials that have been created by our marketing team, approved by us and filed with CMS by us when discussing Aetna Individual Medicare plans. - ANSWER True Every time you meet with beneficiaries to discuss MA/MAPD Products, you must be Ready to Sell (RTS), use the appropriate CMS-approved consumer sales presentation from beginning to end, read the presentation notes or talking points, and, if/when you use the MA/MAPD sales video, it should be in conjunction with the approved sales presentation. - ANSWER True To order enrollment kits for Aetna Medicare products, you must be Ready to Sell (RTS) and access Aetna branded kits through a single point of entry, using your NPN to log in. - ANSWER True Annual Election Period is from: - ANSWER October 15 - December 7 A signed Medicare enrollment application must reach us within two (2) calendar days of when you receive it from the beneficiary. - ANSWER True Aetna Medicare enrollment options include mail, e-mail, over the phone, or through the online Ascend Virtual Sales Office app. - ANSWER True It's not necessary to verify that the consumer has Medicare Parts A and B at the time of enrollment. - ANSWER False You are prohibited from soliciting referral clients through cold calling, door-to-door visits, or other actions prohibited under state or federal law. - ANSWER True Following enrollment, the client will hear from us within approximately 14 days of his/her acceptance into the plan. - ANSWER True You must direct all requests to cancel, withdraw, or terminate enrollment applications to the same location where the application was originally submitted or call the Member Services number on the member ID card. - ANSWER True