2023 Anthem Administrative Guidelines Exam
You will need to insert the updated 2023 Star Rating sheet into the sales kits within _______________ of release for your kits to remain compliant.
three weeks (21 days)
If agent John Thomas is assisting member Sherry Jones and would like to be her agent of record, what steps should be taken?
Agent John Thomas contacts the current AOR and requests release of business. The current AOR would then submit consent to [email protected]
Of the options below, which may be used to submit a Scope of Appointment to BlueCross?
All statement are correct
If submitting enrollment by fax, what information must be contained on your fax confirmation as proof of a successful submission?
All statements are correct
Indicate which statement is correct when evaluating which items may be added to or removed from the CMS approved sales kits provided by BlueCross?
All statements are correct
What tools are available to you by registering and logging into BlueAccess at www.bcbst.com?
All statements are correct
When evaluating the BlueAdvantage Freedom (PPO) plans for a prospect, which of the following must be considered?
All statements are correct
When submitting a Medicare Advantage enrollment via Secure Email, which of the following are true?
All statements are correct
Regarding medications: What information does BlueCross expect you to review with prospect prior to enrollment in a MA plan?
All the answers are correct
What tool does BlueCross provide for you to submit notes taken during the meeting with a prospect?
Cavulus
If a member chooses to cancel or withdraw an enrollment application or terminate enrollment in a plan once the enrollment application has been submitted, you as the agent must _______.
Direct the member to contact BlueCross Member Services directly.
Of the four types of enrollment submission, which is the preferred method?
Electronic Submission
When meeting with prospects about Medicare Advantage plans, which prospects should you educate about the Part D Late Enrollment Penalty (LEP)?
Every prospected interested in a Medicare Advantage Plan
When submitting the Scope of Appointment, you should always remember to include your _______.
Five digit agent ID given to you by BCBST
To what email address would you submit a BlueElite (Medicare Supplement) form?
Where can you find a BlueCross Scope of Appointment (SOA) form for download prior to a marketing appointment?
Log into BlueAccess on www.bcbst.com
When you have questions regarding completion of your BlueCross Medicare Advantage certification, you should contact which email address below?
I completed all my training on Friday. When will I know I'm ready to sell?
Only after receipt of the confirmation email should arrive on Monday. Training completed one day should be validated the following business day.
How does BlueCross verify your Medicare + Fraud Waste and Abuse training?
Only by logging into the AHIP link provided in the annual training can BlueCross verify my scores, numbers of attempts, and date of completion through electronic reporting
When a member is choosing to move from Original Medicare paired with a Medicare Supplement Plan to a Medicare Advantage Prescription Drug (MA-PD), you must educate the member to ____________.
Request cancellation of the existing Medicare Supplement once enrollment in the MA-PD plan is confirmed even if both plans are with the same company.
If a member chooses to have premiums deducted through Electronic Funds Transfer (EFT), how quickly will the first deduction be made from the member's account?
The first month's premium may be deducted from their account within two business days of enrollment acceptance date.
Who should the member contact for plan question or problems once enrolled in the plan?
The member should contact the Member Service number on the back of the BlueCross ID card when assistance is required.
When reviewing providers with a prospect, what documentation does BlueCross expect you to retain?
The provider's name, address and network status
In what instance are you able to use a P.O. Box on the enrollment form?
You can use a P.O. Box as the mailing address, but the physical address is always required.
If you receive an email inquiry about a Medicare Advantage complaint, you should treat it as _______.
an attempt to gather information to investigate and resolve the complaint