DEVOTED CERTIFICATION EXAM 2023-2024 ACTUAL
EXAM 90 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A
What is important to review with a prospect during our sales presentations related
to prescriptions?
-Review the pharmacy network requirement and where individuals can find which
pharmacies are in-network.
-All of these
-Review the transition supply process and the process for exceptions.
-Explain limitations associated with obtaining prescriptions including Prior
Authorization, Step Therapy, and Quantity Limits.
-Offer to look up their prescriptions and show them how they can look up their
prescriptions to see if they are covered by the plan. - ANSWER- All of these
During the AEP, on October 30, Marissa enrolls in the Devoted Health HMO
Medicare Advantage plan for an effective date of 1/1/2024. On November 15,
Marissa meets with Janice of ABC Insurance Agency and enrolls in a stand-alone
prescription drug plan (PDP) also for an effective date of 1/1/2024. If Marissa does
not make any further changes to her Medicare enrollment choices, on January 1,
2024 which plan will she be on?
-The Devoted Health HMO Medicare Advantage plan.
-Medicare A&B and the standalone PDP plan she chose.
-The Devoted Health HMO Medicare Advantage plan and the standalone PDP she
chose.
-Medicare A&B-only since Medicare rejects multiple enrollments made during the
AEP. - ANSWER- Medicare A&B and the standalone PDP plan she chose.
On May 10, Devoted Sales Agent, Jackie, gets a call from Mr. Seinfeld stating that
he is permanently moving from Cuyahoga county, Ohio to a beach condo in Palm
Beach county, Florida on June 1. He wants to know if and when he should change
his Devoted Health plan. What should Jackie tell him?
-He must disenroll from his Devoted plan in Cuyahoga county since he will no
longer be in the service area and must wait until the next Annual Enrollment
Period (AEP) to enroll in the plan in Palm Beach effective January 1 of the
following year.
-Because Mr. Seinfeld is leaving his current plan's service area and moving to a
new one, Jackie can instruct him that he must switch from the Devoted plan in
Cuyahoga county to the Devoted plan in Palm Beach, and that he can do so one
month prior to his move and up to two months following the move. Additionally he
can do so by calling Devoted Health to make the plan change and Jackie will
remain as his agent of record (AOR)
-He does not need to do anything because his plan will follow him to wherever he
moves.
-He must disenroll from his current Devoted plan in Cuyahoga county and write a
Letter of Request to Medicare to switch to the Devoted plan in Pal - ANSWERBecause Mr. Seinfeld is leaving his current plan's service area and moving to a new
one, Jackie can instruct him that he must switch from the Devoted plan in
Cuyahoga county to the Devoted plan in Palm Beach, and that he can do so one
month prior to his move and up to two months following the move. Additionally he
can do so by calling Devoted Health to make the plan change and Jackie will
remain as his agent of record (AOR)
In which of the following settings is a Scope of Appointment form NOT required
to be collected?
-A one-on-one appointment occurring in the beneficiary's home.
-An unscheduled meeting with a beneficiary who arrives at an agent's office
without an appointment and requests information.
-A sales seminar advertised in the local newspaper.
-All of these scenarios require a Scope of Appointment form be collected. -
ANSWER- A sales seminar advertised in the local newspaper.
What are the different plan options offered by Devoted Health?
-HMO, PPO, DSNP, Medicare Supplements
-C-SNP, D-SNP, PPO, PFFS
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