ANTHEM - TOOLS FOR COMPLIANT SELLING,
ANTHEM FOUNDATION/BASICS ASSESSMENT
What do we require for you to be considered qualified or "ready to sell?" - Answers- All
of the above
Which of these statements is/are true about the Medicare Access and CHIP
Reauthorization Act of 2015 (MACRA) and its impact on Medigap plans effective 2020?
- Answers- All of the above statements are true
Different formulary tiers require different copayments or may be subject to deductible or
even coinsurance. However, member cost sharing amounts may differ depending upon
eligibility for Low Income Subsidy. - Answers- True
Formularies may change from year to year, so it is important to confirm coverage and
copayments each plan year. - Answers- True
For a beneficiary who enrolled in an MA-only plan during the Annual Election Period, the
beneficiary will not be able to enroll in a plan that offers prescription drug coverage until
the following Annual Election Period. EXCEPTION: The beneficiary chooses to use their
one-time election during the Open Enrollment Period or qualifies for a Special Election
Period. - Answers- True
If you are meeting with an existing member about their plan needs for the coming year,
you may want to review their ANOC letter. Reviewing this information with your clients,
will help them decide whether or not they may need to change plans based upon their
needs. ANOC stands for: - Answers- Annual Notice of Changes
Medicare Supplement (or Medigap) plans allow members to visit any Medicare-
approved doctor, specialist or hospital with no referrals required. - Answers- True
The Summary of Benefits will list: - Answers- All of the above
Explain your role as an agent that you are a representative of Medicare. - Answers-
False
A formulary is a list of drugs covered by a plan. - Answers- True
Enrollment into a Medicare Supplement plan will not cause an automatic disenrollment
from a Medicare Advantage Plan. - Answers- True
Beneficiaries do not need to pay their monthly Medicare Part B premium if they pay the
premium for a Medicare Supplement plan - Answers- False
ANTHEM FOUNDATION/BASICS ASSESSMENT
What do we require for you to be considered qualified or "ready to sell?" - Answers- All
of the above
Which of these statements is/are true about the Medicare Access and CHIP
Reauthorization Act of 2015 (MACRA) and its impact on Medigap plans effective 2020?
- Answers- All of the above statements are true
Different formulary tiers require different copayments or may be subject to deductible or
even coinsurance. However, member cost sharing amounts may differ depending upon
eligibility for Low Income Subsidy. - Answers- True
Formularies may change from year to year, so it is important to confirm coverage and
copayments each plan year. - Answers- True
For a beneficiary who enrolled in an MA-only plan during the Annual Election Period, the
beneficiary will not be able to enroll in a plan that offers prescription drug coverage until
the following Annual Election Period. EXCEPTION: The beneficiary chooses to use their
one-time election during the Open Enrollment Period or qualifies for a Special Election
Period. - Answers- True
If you are meeting with an existing member about their plan needs for the coming year,
you may want to review their ANOC letter. Reviewing this information with your clients,
will help them decide whether or not they may need to change plans based upon their
needs. ANOC stands for: - Answers- Annual Notice of Changes
Medicare Supplement (or Medigap) plans allow members to visit any Medicare-
approved doctor, specialist or hospital with no referrals required. - Answers- True
The Summary of Benefits will list: - Answers- All of the above
Explain your role as an agent that you are a representative of Medicare. - Answers-
False
A formulary is a list of drugs covered by a plan. - Answers- True
Enrollment into a Medicare Supplement plan will not cause an automatic disenrollment
from a Medicare Advantage Plan. - Answers- True
Beneficiaries do not need to pay their monthly Medicare Part B premium if they pay the
premium for a Medicare Supplement plan - Answers- False
