Anthem - Tools for Compliant Selling

The Summary of Benefits will list:

All of the above

What do we require for you to be considered qualified or "ready to sell?"

All of the above

What elements are included in the Medicare Advantage or Part D marketing materials/sales kit?

All of the above

Which of these statements is/are true about the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and its impact on Medigap plans effective 2020?

All of the above statements are true

If you are meeting with an existing member about their plan needs for the coming year, you may want to review their ANOC letter. Reviewing this information with your clients, will help them decide whether or not they may need to change plans based upon their needs. ANOC stands for:

Annual Notice of Changes

A formulary is a list of drugs covered by a plan.

True

Different formulary tiers require different copayments or may be subject to deductible or even coinsurance. However, member cost sharing amounts may differ depending upon eligibility for Low Income Subsidy.

True

Enrollment into a Medicare Supplement plan will not cause an automatic disenrollment from a Medicare Advantage Plan.

True

Formularies may change from year to year, so it is important to confirm coverage and copayments each plan year.

True

Medicare Supplement (or Medigap) plans allow members to visit any Medicare-approved doctor, specialist or hospital with no referrals required.

True

Plans sold before an agent has completed the necessary licensing, appointment and certification will not be eligible for commission payments.

True

Beneficiaries do not need to pay their monthly Medicare Part B premium if they pay the premium for a Medicare Supplement plan

False

Explain your role as an agent that you are a representative of Medicare.

False

For a beneficiary who enrolled in an MA-only plan during the Annual Election Period, the beneficiary will not be able to enroll in a plan that offers prescription drug coverage until the following Annual Election Period. EXCEPTION: The beneficiary chooses to use their one-time election during the Open Enrollment Period or qualifies for a Special Election Period.

True