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Anthem Enrollment Basic – Which of the following statements is NOT true about a disenrollment?

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Which of the following statements is NOT true about a disenrollment?

Disenrollment requests can be taken verbally

Question 1

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Which of the following statements is NOT true about a disenrollment?

Voluntary disenrollments are initiated by the member and can generally only occur during specific periods such as AEP or OEP (MA/MA-PD plans only)

Disenrollment can be voluntary or involuntary

A disenrollment applies if coverage ends after a member’s effective date

Disenrollment requests can be taken verbally

 

Question 2

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How does a cancellation differ from a disenrollment?

A cancellation applies if a request is received prior to a member’s effective date or by the date on the Outbound Enrollment Verification (OEV) letter

Cancellation requests are initiated by the member and can be received either verbally or in writing

Both A and B are correct

 

Neither A nor B are correct

Question 3

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The Dual/LIS Special Election Period (SEP) begins the month the beneficiary becomes eligible for Low Income Subsidy (LIS) or receives any type of assistance from Medicaid.  It is available one time per-calendar-quarter during the first nine months of the year.

Select one:
 

Question 4

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Which election period describes when a beneficiary first becomes entitled to both Medicare Part A and Part B?

Open Election Period (OEP)

Annual Election Period (AEP)

Open Enrollment Period of Institutionalized Individuals (OEPI)

Initial Coverage Election Period (ICEP)

 

Question 5

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An agent must not:

Use the Scope of Appointment form from another carrier that has not been approved by CMS.

Rewrite or make their own version of a Scope of Appointment form

Substitute dates or make changes to the Scope of Appointment markup after the appointment

All of the above are prohibited

 

Question 6

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If a beneficiary has agreed to an in-home appointment to discuss a PDP product, an agent can discuss an HMO product with them during that same meeting, if the beneficiary requests it and a new scope of appointment form is completed.

Select one:
 

Question 7

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When reviewing an enrollment application with a prospective member, which of the following steps should NOT be done?

Verify the applicant’s permanent address is in the service area of the plan selected

Verify the application is signed and dated

Collect plan premiums at the time of enrollment

 

Verify the Medicare Beneficiary Identification Number on the application against the number on the actual Medicare card for accuracy

Question 8

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Prior to making an enrollment decision, beneficiaries must review and complete the pre-enrollment checklist.

Select one:
 

Question 9

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An agent can start to market 2022 MA, MA-PD, or PDP plans on October 1.

Select one:
 

Question 10

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What dates reflect the Annual Election Period (AEP)?

October 15 through December 7

 

January 1 through March 31

The calendar month following the beneficiary’s birthday

November 15 through December 31