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A mastery test or assessment related to aetna's individual prescription drug plans. It covers a variety of topics, including medicare part a and part b enrollment, enrollment procedures, agent responsibilities, plan pricing and cost estimates, and other regulatory and compliance-related information. The document seems to be intended for agents or administrators who work with aetna's prescription drug plans, providing them with key information and testing their knowledge on these topics. The level of detail and the technical nature of the content suggest this document would be most useful for university students or professionals studying healthcare administration, insurance, or a related field, rather than for a general audience. The document could serve as study notes, lecture materials, or a summary for courses on medicare, healthcare policy, or insurance regulations.
Typology: Exercises
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A beneficiary who currently eligible for Medicare Part A who enrolls into Part B, is __________________
Once submitted, who can cancel an enrollment application before the effective date? - ANS-✔✔Both A and C
If submitted after the first month of eligibility, the effective date for enrollments in the Initial Enrollment Period (IEP) must be the first of the month following the month the enrollment is submitted. - ANS-✔✔ True
If the requested premium payment method is Social Security deductions, __________________ - ANS- ✔✔The request must be approved by Social Security, so it could take one to three months for deductions to begin.
Aetna strictly enforces our enrollment procedures. If you receive an Enrollment Process Exception Notice, your immediate action will be required in order to avoid any disciplinary actions, which may include___________________. - ANS-✔✔All of the Above
The SilverScript agent portal provides a secure method for external agents and administrators to communicate with SilverScript's agent support team so _________________________________ can be shared safely. - ANS-✔✔All of the Above
SilverScript stand-alone prescription drug plans are sponsored by Aetna Medicare Solutions, a CVS Health company. - ANS-✔✔True
Mail-order prescription drug services are not available for SilverScript PDP plans. - ANS-✔✔False
The cost estimates displayed on most pricing tools, such as Medicare.gov, SilverScript.com, AetnaMedicare.com and most third-party websites, will typically reflect__________________ pricing. - ANS-✔✔Both A and C
An Electronic Scope of Appointment (eSOA) valid for ___________. - ANS-✔✔14 days
Agents must submit the original documentation for enrollment within 24 hours after the application data has been entered into the agent portal. - ANS-✔✔True
Non‐compliance to the Code of Conduct can affect _______________and may result in legal or financial consequences. - ANS-✔✔All of the above
Agents MUST communicate the pricing tool disclaimer to prospects and clients. The disclaimers for SilverScript's Drug Lookup & Pricing tool appear at bottom of the pricing tool pages. - ANS-✔✔True
Before meeting with an applicant, agents must be in good standing with the following: - ANS-✔✔All of the above
A conflict of interest may arise when personal interests or activities appear to improperly influence our ability to act in the best interests of the company. Any potential conflict of interest should be reported immediately. - ANS-✔✔True
If a member is assessed a Part D Income Related Monthly Adjustment Amount (Part D-IRMAA), the member will be notified by the Social Security Administration. Part D‐IRMAA is paid directly to Medicare.
Plan performance summary ratings are issued in October and reflect the previous plan contract year. Therefore, enrollment kits fulfilled prior to November will reflect the previous year's star rating. After release, you should download the updated star ratings sheet from the SilverScript Agent Portal, print copies of the updated document and replace the form that is in the kits you have in your office supply to ensure you distributed current information to your prospects. - ANS-✔✔True