EVEVANCE HEALTH 2025 FOUNDATION
BASICS QUESTIONS WITH COMPLETE
ANSWERS
Which rrof rrthe rrfollowing rrstatements rris rrNOT rrtrue rrabout rra rrdisenrollment? rr-
rrAnswer rrDisenrollment rrrequests rrcan rrbe rrtaken rrverbally
How rrdoes rra rrcancellation rrdiffer rrfrom rra rrdisenrollment? rr- rrAnswer rrBoth rrA rrand rrB
rrare rrcorrect
The rrSpecial rrElection rrPeriod rr(SEP) rrfor rrDual rrEligible rrand rrOther rrLIS rrEligible
rrIndividuals rrpreviously rrallowed rrone rrtime rrper-calendar-quarter rrduring rrthe rrfirst
rrnine rrmonths rrof rrthe rryear rris rrbeing rrreplaced rrfor rrCalendar rrYear rr2025 rrwith rra
rrmonthly rrSEP rrto rrenroll rrin rra rrstandalone rrPDP. rrEligible rrbeneficiaries rrcan rrswitch
rrPDPs rror rrleave rra rrMA/MAPD rrplan rrfor rrOriginal rrMedicare rrplus rra rrstandalone
rrPDP. rr- rrAnswer rrTrue
FEMA rrdisaster rrSEPs rrcan rronly rrbe rrused rrif rrmembers rrmissed rra rrvalid rrenrollment
rrperiod. rr- rrAnswer rrTrue
A rrnew rrmonthly rrintegrated rrcare rrSEP rrfor rrcalendar rryear rr2025 rrallows rrfull rrdual
rreligible rrindividuals rrto rrelect rran rrintegrated rrDual rrEligible rrSpecial rrNeeds rrPlan rr(D-
SNP) rr(for rrexample, rrFully rrIntegrated rrDual rrEligible rr(FIDE), rrHighly rrIntegrated rrDual
rrEligible rr(HIDE), rrand rrApplicable rrIntegrated rrPlan rr(AIP)). rrThis rrnew rrSEP rris
rrallowed rronly rrwhen rrthe rrindividual rrreceives rrMedicaid rrthrough rran rraffiliated
rrmanaged rrcare rrplan. rr- rrAnswer rrTrue
When rrreviewing rran rrenrollment rrapplication rrwith rra rrprospective rrmember, rrwhich rrof
rrthe rrfollowing rrsteps rrshould rrbe rrdone? rr- rrAnswer rrAll rrof rrthe rrabove rrshould rrbe
rrdone
The rrOpen rrElection rrPeriod rr(OEP) rris rrfor rrbeneficiaries rrwho rrare rrenrolled rrin rra
rrMA-only rror rrMA-PD rrplan, rror rrthose rrwho rrare rrenrolled rrin rrOriginal rrMedicare,
rrincluding rrthose rrenrolled rrin rrstand-alone rrPDPs. rr- rrAnswer rrFalse
If rra rrbeneficiary rrhas rragreed rrto rran rrin-home rrappointment rrto rrdiscuss rra rrPDP
rrproduct, rran rragent rrcan rrdiscuss rran rrHMO rrproduct rrwith rrthem rrduring rrthat rrsame
BASICS QUESTIONS WITH COMPLETE
ANSWERS
Which rrof rrthe rrfollowing rrstatements rris rrNOT rrtrue rrabout rra rrdisenrollment? rr-
rrAnswer rrDisenrollment rrrequests rrcan rrbe rrtaken rrverbally
How rrdoes rra rrcancellation rrdiffer rrfrom rra rrdisenrollment? rr- rrAnswer rrBoth rrA rrand rrB
rrare rrcorrect
The rrSpecial rrElection rrPeriod rr(SEP) rrfor rrDual rrEligible rrand rrOther rrLIS rrEligible
rrIndividuals rrpreviously rrallowed rrone rrtime rrper-calendar-quarter rrduring rrthe rrfirst
rrnine rrmonths rrof rrthe rryear rris rrbeing rrreplaced rrfor rrCalendar rrYear rr2025 rrwith rra
rrmonthly rrSEP rrto rrenroll rrin rra rrstandalone rrPDP. rrEligible rrbeneficiaries rrcan rrswitch
rrPDPs rror rrleave rra rrMA/MAPD rrplan rrfor rrOriginal rrMedicare rrplus rra rrstandalone
rrPDP. rr- rrAnswer rrTrue
FEMA rrdisaster rrSEPs rrcan rronly rrbe rrused rrif rrmembers rrmissed rra rrvalid rrenrollment
rrperiod. rr- rrAnswer rrTrue
A rrnew rrmonthly rrintegrated rrcare rrSEP rrfor rrcalendar rryear rr2025 rrallows rrfull rrdual
rreligible rrindividuals rrto rrelect rran rrintegrated rrDual rrEligible rrSpecial rrNeeds rrPlan rr(D-
SNP) rr(for rrexample, rrFully rrIntegrated rrDual rrEligible rr(FIDE), rrHighly rrIntegrated rrDual
rrEligible rr(HIDE), rrand rrApplicable rrIntegrated rrPlan rr(AIP)). rrThis rrnew rrSEP rris
rrallowed rronly rrwhen rrthe rrindividual rrreceives rrMedicaid rrthrough rran rraffiliated
rrmanaged rrcare rrplan. rr- rrAnswer rrTrue
When rrreviewing rran rrenrollment rrapplication rrwith rra rrprospective rrmember, rrwhich rrof
rrthe rrfollowing rrsteps rrshould rrbe rrdone? rr- rrAnswer rrAll rrof rrthe rrabove rrshould rrbe
rrdone
The rrOpen rrElection rrPeriod rr(OEP) rris rrfor rrbeneficiaries rrwho rrare rrenrolled rrin rra
rrMA-only rror rrMA-PD rrplan, rror rrthose rrwho rrare rrenrolled rrin rrOriginal rrMedicare,
rrincluding rrthose rrenrolled rrin rrstand-alone rrPDPs. rr- rrAnswer rrFalse
If rra rrbeneficiary rrhas rragreed rrto rran rrin-home rrappointment rrto rrdiscuss rra rrPDP
rrproduct, rran rragent rrcan rrdiscuss rran rrHMO rrproduct rrwith rrthem rrduring rrthat rrsame
