Devoted 2024 Certification Guaranteed Solutions

Devoted 2024 Certification Guaranteed Solutions Customer Interaction Scenarios 1. Mr. Seinfeld's Move: - Jackie, a Devoted Sales Agent, receives a call on May 10 from Mr. Seinfeld, who is moving permanently from Cuyahoga County, Ohio, to a beach condo in Palm Beach County, Florida, on June 1. He inquires about changing his Devoted Health plan. - Jackie’s Guidance: Jackie should explain that since Mr. Seinfeld is leaving his current plan's service area, he must transition from the Devoted plan in Cuyahoga County to the one in Palm Beach. He can make this change one month before his move and up to two months afterward. Jackie can assist him in making the plan change by calling Devoted Health, and if she is also licensed in Florida, she will remain as his agent of record. Model of Care Component - Main Component: The correct answer is that all of these elements are significant components of Devoted Health's model of care. Food for Sales Presentation - Mr. Finn’s Options: When giving a sales presentation, Mr. Finn may provide light refreshments or snacks for his guests. Marissa's Enrollment Choices - Enrollment Situation: During the Annual Enrollment Period, Marissa enrolls in the Devoted Health HMO Medicare Advantage plan, effective January 1, 2024. Later, on November 15, she enrolls in a stand-alone prescription drug plan (PDP), also effective January 1, 2024. If she does not make any further changes, on January 1, 2024, she will be enrolled in Medicare A&B and the standalone PDP plan. HMO Member Requirements - Requirements for HMO Members: Devoted Health HMO members must select an in-network primary care physician at the time of enrollment. Devoted Health's Value Proposition - Value Proposition Elements: Devoted Health's value proposition includes all of these elements: - Simplifying the healthcare experience for its members. - Treating every member with the same care as one would for a family member. - Providing comprehensive healthcare services. Extra Benefits of Devoted Health Plans - Extra Benefits Description: Some of the additional benefits offered on Devoted Health plans include all of these as extra benefits, plus more. Enrollment Methods for Mr. Malone - Enrollment Options: Mr. Malone can enroll in a Devoted Health Medicare Advantage plan during the Annual Enrollment Period by: - ️ Utilizing all three of these methods. Devoted Health Guides - Guide Team Composition: The Devoted Health Guides comprise a team of clinical and service professionals who collaborate to serve each member effectively. Reviewing Prescriptions During Sales Presentations - Prescription Review Importance: It is crucial to cover all of these topics with a prospect during sales presentations related to prescriptions: - The pharmacy network requirements. - The transition supply process and exception protocols. - Limitations associated with prescriptions, such as Prior Authorization, Step Therapy, and Quantity Limits. - Offering assistance in checking prescription coverage. Sales Presentation Requirements - Required Components of Sales Presentation: One aspect that is not required during the Devoted Health sales presentation is to request the beneficiary's latest physical exam report. Switching PCP for Mrs. Davis - Assistance for Mrs. Davis: On March 21, Mrs. Davis, a Devoted Health HMO member, calls her sales agent, Angie, to inquire about switching her primary care physician. Angie can inform her that she can contact the Devoted Guide Team, who will gladly help her choose a new PCP effective at the beginning of April. Post-Enrollment Expectations - After Enrollment: Devoted Health members can expect to receive a welcome kit, which includes their ID card and a mailed evidence of coverage. Devoted Health Plan Options - Plan Types Available: Devoted Health offers several plan options, including HMO, PPO, DSNP, CSNP, HMO MA-only, and PPO MA-only. Event Registration Requirement - Event Registration Timeframe: Agents must register informal or educational events with Devoted Health at least 7 days in advance. Core Ingredients of Devoted Health - Core Ingredients Overview: The core components of Devoted Health include: - A newer Medicare Advantage plan. - A technology platform. - Strong partnerships with providers. - The Devoted Guide team. - The Devoted Medical Group. Low-Income Subsidy (LIS) Explanation for Luis - Agent's Statement: Wayne can inform Luis, who resides in Phoenix and receives a full low-income subsidy (LIS), that he will not have to pay a premium for the Devoted Health Select/Prime/Premium plans, which may be the best option for him.