Anthem - 2026 Certifications Exam Questions
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Practice questions for this set
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Qualifications for low-income assistance are reviewed every 3 years
Choose an answer
The Special Election Period (SEP) for Dual Eligible and Other LIS Eligible Individuals
previously allowed one time per-calendar-quarter during the first nine months of the
1 year was replaced beginning Calendar Year 2025 with a monthly SEP to enroll in a
standalone PDP. Eligible beneficiaries can switch PDPs or leave a MA/MAPD plan for
Original Medicare plus a standalone PDP.
You receive a questionnaire regarding a sales misrepresentation inquiry. You must
respond within the designated time frame, addressing all concerns in the allegation
2
and include any pertinent notes from your sales appointment, event, etc. that may
apply to the allegation.
, 3 Which statement is NOT true about Low Income Assistance for Part D plans?
A monthly integrated care SEP beginning calendar year 2025 allows full dual eligible
individuals to elect an integrated Dual Eligible Special Needs Plan (D-SNP) (for
4 example, Fully Integrated Dual Eligible (FIDE), Highly Integrated Dual Eligible (HIDE),
and Applicable Integrated Plan (AIP)). This SEP is allowed only when the individual
receives Medicaid through an affiliated managed care plan.
Don't know?
Terms in this set (80)
The Special Election True
Period (SEP) for Dual
Eligible and Other LIS
Eligible Individuals
previously allowed one
time per-calendar-quarter
during the first nine
months of the year was
replaced beginning
Calendar Year 2025 with a
monthly SEP to enroll in a
standalone PDP. Eligible
beneficiaries can switch
PDPs or leave a
MA/MAPD plan for
Original Medicare plus a
standalone PDP.
Which of the following Disenrollment requests can be taken verbally
statements is NOT true
about a disenrollment?
, Both A and B are correct
A. A cancellation applies if a request is received prior
How does a cancellation
to a member's effective date or by the date on the
differ from a
Outbound Enrollment Verification (OEV) letter
disenrollment?
B. Cancellation requests are initiated by the member
and can be received either verbally or in writing
FEMA disaster SEPs can True
only be used if members
missed a valid enrollment
period.
A monthly integrated care True
SEP beginning calendar
year 2025 allows full dual
eligible individuals to
elect an integrated Dual
Eligible Special Needs
Plan (D-SNP) (for
example, Fully Integrated
Dual Eligible (FIDE),
Highly Integrated Dual
Eligible (HIDE), and
Applicable Integrated
Plan (AIP)). This SEP is
allowed only when the
individual receives
Medicaid through an
affiliated managed care
plan.
A member can add or True
drop prescription drug
coverage during the
Annual Election Period
(AEP).
with Correct Answers | Guaranteed Success
Save
Practice questions for this set
Learn 1 /7 Study with Learn
Qualifications for low-income assistance are reviewed every 3 years
Choose an answer
The Special Election Period (SEP) for Dual Eligible and Other LIS Eligible Individuals
previously allowed one time per-calendar-quarter during the first nine months of the
1 year was replaced beginning Calendar Year 2025 with a monthly SEP to enroll in a
standalone PDP. Eligible beneficiaries can switch PDPs or leave a MA/MAPD plan for
Original Medicare plus a standalone PDP.
You receive a questionnaire regarding a sales misrepresentation inquiry. You must
respond within the designated time frame, addressing all concerns in the allegation
2
and include any pertinent notes from your sales appointment, event, etc. that may
apply to the allegation.
, 3 Which statement is NOT true about Low Income Assistance for Part D plans?
A monthly integrated care SEP beginning calendar year 2025 allows full dual eligible
individuals to elect an integrated Dual Eligible Special Needs Plan (D-SNP) (for
4 example, Fully Integrated Dual Eligible (FIDE), Highly Integrated Dual Eligible (HIDE),
and Applicable Integrated Plan (AIP)). This SEP is allowed only when the individual
receives Medicaid through an affiliated managed care plan.
Don't know?
Terms in this set (80)
The Special Election True
Period (SEP) for Dual
Eligible and Other LIS
Eligible Individuals
previously allowed one
time per-calendar-quarter
during the first nine
months of the year was
replaced beginning
Calendar Year 2025 with a
monthly SEP to enroll in a
standalone PDP. Eligible
beneficiaries can switch
PDPs or leave a
MA/MAPD plan for
Original Medicare plus a
standalone PDP.
Which of the following Disenrollment requests can be taken verbally
statements is NOT true
about a disenrollment?
, Both A and B are correct
A. A cancellation applies if a request is received prior
How does a cancellation
to a member's effective date or by the date on the
differ from a
Outbound Enrollment Verification (OEV) letter
disenrollment?
B. Cancellation requests are initiated by the member
and can be received either verbally or in writing
FEMA disaster SEPs can True
only be used if members
missed a valid enrollment
period.
A monthly integrated care True
SEP beginning calendar
year 2025 allows full dual
eligible individuals to
elect an integrated Dual
Eligible Special Needs
Plan (D-SNP) (for
example, Fully Integrated
Dual Eligible (FIDE),
Highly Integrated Dual
Eligible (HIDE), and
Applicable Integrated
Plan (AIP)). This SEP is
allowed only when the
individual receives
Medicaid through an
affiliated managed care
plan.
A member can add or True
drop prescription drug
coverage during the
Annual Election Period
(AEP).
