ALIGNMENT HEALTH CERTIFICATION EXAM QUESTIONS WITH CORRECT ANSWERS LATEST
UPDATE 2025/2026
What are Alignment Health's four Core Values? - Answers All of the above:
Put the Senior First
Support the Doctor
Revolutionize Care Using Data & Technology
Have a Serving Heart
AVA (Alignment Virtual Application) does which of the following? - Answers All of the above:
Predicts, monitors & tracks members' health status in real time
Allows doctors to make proactive decisions around our members' health
Lowers costs to put back into quality of service & benefit enhancement
What year was Alignment Health Plan founded? - Answers 2013
What is the preferred enrollment channel for a beneficiary to become an Alignment member? -
Answers Online enrollment
TPMOs must abide by which of the following? - Answers All of the above
To help reduce Complaints Tracking Module (CTM), agents can educate their clients to do the
following if they have an issue: - Answers Call the health plan first to help resolve issues before
they escalate the issue direct to Medicare.
Our number one reason for beneficiary complaint continues to be marketing misrepresentation
with the #1 category being that your client did not consent to enroll. What are two ways to help
minimize this possible CTM? - Answers A&B Only:
Maintain documentation of all your interactions
If the opportunity presents itself, keep all consented recordings when meeting with your client.
When presenting Alignment Health Plan products, licensed agents must use the plan's: -
Answers All of the above
True or False: Effective 07/18/2024, CMS issued a memo stating any 2025 Final Rule agent
compensation changes have been paused. Therefore, the regulatory language within 42 C.F.R.
section 422.274(a),(c),(d),(e), that was effective prior to the issuance of the contract year 2025
Final Rule will be in effect for Contract Year 2025 while the stay is ordered. - Answers True.
UPDATE 2025/2026
What are Alignment Health's four Core Values? - Answers All of the above:
Put the Senior First
Support the Doctor
Revolutionize Care Using Data & Technology
Have a Serving Heart
AVA (Alignment Virtual Application) does which of the following? - Answers All of the above:
Predicts, monitors & tracks members' health status in real time
Allows doctors to make proactive decisions around our members' health
Lowers costs to put back into quality of service & benefit enhancement
What year was Alignment Health Plan founded? - Answers 2013
What is the preferred enrollment channel for a beneficiary to become an Alignment member? -
Answers Online enrollment
TPMOs must abide by which of the following? - Answers All of the above
To help reduce Complaints Tracking Module (CTM), agents can educate their clients to do the
following if they have an issue: - Answers Call the health plan first to help resolve issues before
they escalate the issue direct to Medicare.
Our number one reason for beneficiary complaint continues to be marketing misrepresentation
with the #1 category being that your client did not consent to enroll. What are two ways to help
minimize this possible CTM? - Answers A&B Only:
Maintain documentation of all your interactions
If the opportunity presents itself, keep all consented recordings when meeting with your client.
When presenting Alignment Health Plan products, licensed agents must use the plan's: -
Answers All of the above
True or False: Effective 07/18/2024, CMS issued a memo stating any 2025 Final Rule agent
compensation changes have been paused. Therefore, the regulatory language within 42 C.F.R.
section 422.274(a),(c),(d),(e), that was effective prior to the issuance of the contract year 2025
Final Rule will be in effect for Contract Year 2025 while the stay is ordered. - Answers True.
