ACTUAL EXAM DETAILED QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
ALREADY GRADED A+.
What is important to review with a prospect during our sales presentations
related to prescriptions?
-Review the pharmacy network requirement and where individuals can find
which pharmacies are in-network.
-All of these
-Review the transition supply process and the process for exceptions.
-Explain limitations associated with obtaining prescriptions including Prior
Authorization, Step Therapy, and Quantity Limits.
,-Offer to look up their prescriptions and show them how they can look up
their prescriptions to see if they are covered by the plan. - ANSWER- All of
these
During the AEP, on October 30, Marissa enrolls in the Devoted Health
HMO Medicare Advantage plan for an effective date of 1/1/2024. On
November 15, Marissa meets with Janice of ABC Insurance Agency and
enrolls in a stand-alone prescription drug plan (PDP) also for an effective
date of 1/1/2024. If Marissa does not make any further changes to her
Medicare enrollment choices, on January 1, 2024 which plan will she be
on?
-The Devoted Health HMO Medicare Advantage plan.
-Medicare A&B and the standalone PDP plan she chose.
-The Devoted Health HMO Medicare Advantage plan and the standalone
PDP she chose.
, -Medicare A&B-only since Medicare rejects multiple enrollments made
during the AEP. - ANSWER- Medicare A&B and the standalone PDP plan
she chose.
On May 10, Devoted Sales Agent, Jackie, gets a call from Mr. Seinfeld
stating that he is permanently moving from Cuyahoga county, Ohio to a
beach condo in Palm Beach county, Florida on June 1. He wants to know if
and when he should change his Devoted Health plan. What should Jackie
tell him?
-He must disenroll from his Devoted plan in Cuyahoga county since he will
no longer be in the service area and must wait until the next Annual
Enrollment Period (AEP) to enroll in the plan in Palm Beach effective
January 1 of the following year.
-Because Mr. Seinfeld is leaving his current plan's service area and moving
to a new one, Jackie can instruct him that he must switch from the Devoted
plan in Cuyahoga county to the Devoted plan in Palm Beach, and that he
can do so one month prior to his move and up to two months following the
move. Additionally he can do so by calling Devoted Health to make the plan