Aetna Prescription Drug questions and Answers Latest Update Fully Solved 100%

Any time you see or suspect a violation of our Code, the law or our policies, you must report it. Ways to report your concerns include: - Calling the Ethics Hotline Emailing Medicare Compliance directly Discussing the issue with your manager Once submitted, who can cancel an enrollment application before the effective date? - The client The client's Legal Authorized Representative/POA Aetna strictly enforces our enrollment procedures. If you receive an Enrollment Process Exception Notice, your immediate action will be required in order to avoid any disciplinary actions, which may include___________________. - Forfeited commissions Suspension of your contract Termination of your contract The SilverScript agent portal provides a secure method for external agents and administrators to communicate with SilverScript's agent support team so _________________________________ can be shared safely. - Medicare numbers Member ID numbers Member demographics/personal identifying information Aetna is a CVS Health company that offers SilverScript Part D products. - True The cost estimates displayed on most pricing tools, such as M, SilverS, AetnaM and most third-party websites, will typically reflect__________________ pricing. - Retail Mail order An Electronic Scope of Appointment (eSOA) valid for ___________. - 14 daysAgents must submit the original documentation for enrollment within 24 hours after the application data has been entered into the agent portal. - True Non-compliance to the Code of Conduct can affect _______________and may result in legal or financial consequences. - Medicare members The Medicare program Our company's reputation Before meeting with an applicant, agents must be in good standing with the following: - Active marketing contract to sell SilverScript products Licensed in the permanent state of the beneficiary Passed the SilverScript annual certification curriculum for that plan year Appointed in states in which they are licensed and marketing SilverScript plans A conflict of interest may arise when personal interests or activities appear to improperly influence our ability to act in the best interests of the company. Any potential conflict of interest should be reported immediately. - True The date the agent receives an enrollment application is considered the official Application Date. The Application Date that agents enter into the SilverScript Agent Portal must be the Application Received Date (found in the Agent Section of the Enrollment Application). - True beneficiary who was previously entitled to Medicare Part A, but not yet Part B, is __________________ - Able to enroll in Part D without Part B coverage. Agents (and admins) can view members' billing information in the SilverScript Agent Portal; specifically, - The current unpaid premium balance The LIS or LEP, if any The billing method that is applied to the accountIf your client receives a letter from SilverScript requesting proof of creditable coverage, and the client has already submitted proof of creditable coverage with the enrollment application, they can ignore the letter. - False It's not necessary to verify the consumer's Medicare eligibility at the time of enrollment. - False If a beneficiary had a break in Medicare prescription drug coverage or other creditable coverage of 63 days in a row, they may be subject to a late enrollment penalty. - True The effective date for enrollments in the Initial Enrollment Period (IEP) must be the first of the month following the month of enrollment, beginning with the Part D eligibility date. - True You can access the Report tab within the agent portal to track the progress of a client's enrollment application. You can expect a 7-10-day lag between submitting the application and being able to view the status. - False The most common SilverScript agent-related marketing misrepresentation complaints deal with the annual cost estimate. You can help avoid this by: - Verifying drug name and confirming if the beneficiary uses brand vs. generic Communicating quantity limits and other disclaimers Verifying dosage and supply Plan performance summary ratings are issued in October and reflect the previous plan contract year. Therefore, enrollment kits fulfilled prior to November will reflect the previous year's star rating. After release, you should download the updated star ratings sheet from the SilverScript Agent Portal, print copies of the updated document and replace the form that is in the kits you have in your office supply to ensure you distributed current information to your prospects. - True