Cigna Healthspring - 2026
Certifications Exam | Questions
with 100% Correct Answers |
Verified Solutions
Course Cigna Healthspring
1. What is the primary purpose of Medicare Advantage (MA) plans?
A. Replace Medicare entirely
B. Provide Medicare-covered benefits through private insurance plans approved by Medicare
C. Provide only dental coverage
D. Eliminate all healthcare costs
Answer: B. Provide Medicare-covered benefits through private insurance plans approved by
Medicare
Solution:
Medicare Advantage plans are offered by private insurers and must provide Medicare Part A and
Part B benefits while following CMS requirements.
2. Which organization regulates Medicare Advantage plans?
A. FDA
B. CMS
C. OSHA
D. CDC
Answer: B. CMS
Solution:
The Centers for Medicare & Medicaid Services (CMS) oversees Medicare Advantage plans,
marketing rules, and compliance standards.
,3. A Medicare beneficiary must generally be enrolled in which parts of Medicare to join a
Medicare Advantage plan?
A. Part A only
B. Part B only
C. Part A and Part B
D. Part D only
Answer: C. Part A and Part B
Solution:
Enrollment in both Medicare Part A and Part B is required to join a Medicare Advantage plan.
4. What does HIPAA primarily protect?
A. Insurance prices
B. Patient health information privacy
C. Provider salaries
D. Marketing materials
Answer: B. Patient health information privacy
Solution:
HIPAA establishes standards for protecting protected health information (PHI).
5. What is the purpose of a Scope of Appointment (SOA) form?
A. Authorize medical treatment
B. Document permission to discuss specific Medicare products
C. Cancel Medicare enrollment
D. Submit claims
Answer: B. Document permission to discuss specific Medicare products
Solution:
The SOA ensures that agents discuss only products the beneficiary agreed to review.
, 6. Which action violates Medicare marketing guidelines?
A. Providing plan information requested by a beneficiary
B. Explaining benefits accurately
C. Misrepresenting plan benefits
D. Reviewing enrollment options
Answer: C. Misrepresenting plan benefits
Solution:
Agents must provide accurate information and avoid misleading statements.
7. What does CMS stand for?
A. Central Medical System
B. Centers for Medicare & Medicaid Services
C. Clinical Management Services
D. Consumer Medicare Support
Answer: B. Centers for Medicare & Medicaid Services
Solution:
CMS administers Medicare, Medicaid, and related healthcare programs.
8. What is the Annual Enrollment Period (AEP) for Medicare Advantage plans?
A. January 1–March 31
B. October 15–December 7
C. July 1–August 31
D. February 1–April 30
Answer: B. October 15–December 7
Certifications Exam | Questions
with 100% Correct Answers |
Verified Solutions
Course Cigna Healthspring
1. What is the primary purpose of Medicare Advantage (MA) plans?
A. Replace Medicare entirely
B. Provide Medicare-covered benefits through private insurance plans approved by Medicare
C. Provide only dental coverage
D. Eliminate all healthcare costs
Answer: B. Provide Medicare-covered benefits through private insurance plans approved by
Medicare
Solution:
Medicare Advantage plans are offered by private insurers and must provide Medicare Part A and
Part B benefits while following CMS requirements.
2. Which organization regulates Medicare Advantage plans?
A. FDA
B. CMS
C. OSHA
D. CDC
Answer: B. CMS
Solution:
The Centers for Medicare & Medicaid Services (CMS) oversees Medicare Advantage plans,
marketing rules, and compliance standards.
,3. A Medicare beneficiary must generally be enrolled in which parts of Medicare to join a
Medicare Advantage plan?
A. Part A only
B. Part B only
C. Part A and Part B
D. Part D only
Answer: C. Part A and Part B
Solution:
Enrollment in both Medicare Part A and Part B is required to join a Medicare Advantage plan.
4. What does HIPAA primarily protect?
A. Insurance prices
B. Patient health information privacy
C. Provider salaries
D. Marketing materials
Answer: B. Patient health information privacy
Solution:
HIPAA establishes standards for protecting protected health information (PHI).
5. What is the purpose of a Scope of Appointment (SOA) form?
A. Authorize medical treatment
B. Document permission to discuss specific Medicare products
C. Cancel Medicare enrollment
D. Submit claims
Answer: B. Document permission to discuss specific Medicare products
Solution:
The SOA ensures that agents discuss only products the beneficiary agreed to review.
, 6. Which action violates Medicare marketing guidelines?
A. Providing plan information requested by a beneficiary
B. Explaining benefits accurately
C. Misrepresenting plan benefits
D. Reviewing enrollment options
Answer: C. Misrepresenting plan benefits
Solution:
Agents must provide accurate information and avoid misleading statements.
7. What does CMS stand for?
A. Central Medical System
B. Centers for Medicare & Medicaid Services
C. Clinical Management Services
D. Consumer Medicare Support
Answer: B. Centers for Medicare & Medicaid Services
Solution:
CMS administers Medicare, Medicaid, and related healthcare programs.
8. What is the Annual Enrollment Period (AEP) for Medicare Advantage plans?
A. January 1–March 31
B. October 15–December 7
C. July 1–August 31
D. February 1–April 30
Answer: B. October 15–December 7
