beneficiary who was previously entitled to Medicare Part A, but not yet Part B, is __________________
Able to enroll in Part D without Part B
... [Show More] coverage.
Once submitted, who can cancel an enrollment application before the effective date?
The client
The client's Legal Authorized Representative/POA
The effective date for enrollments in the Initial Enrollment Period (IEP) must be the first of the month following the month of enrollment, beginning with the Part D eligibility date.
True
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___________________.
Forfeited commissions
Suspension of your contract
Termination of your contract
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.
Medicare numbers
Member ID numbers
Member demographics/personal identifying information
Aetna is a CVS Health company that offers SilverScript Part D products.
True
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.
Retail
Mail order
An Electronic Scope of Appointment (eSOA) valid for ___________.
14 days
Agents must submit the original documentation for enrollment within 24 hours after the application data has been entered into the agent portal.
True
Non‐compliance to the Code of Conduct can affect _______________and may result in legal or financial consequences.
Medicare members
The Medicare program
Our company's reputation
Before meeting with an applicant, agents must be in good standing with the following:
Active marketing contract to sell SilverScript products
Licensed in the permanent state of the beneficiary
Passed the SilverScript annual certification curriculum for that plan year
Appointed in states in which they are licensed and marketing SilverScript plans
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.
True
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.
True
The date the agent receives an enrollment application is considered the official Application Date. The Application Date that agents enter into the SilverScript Agent Portal must be the Application Received Date (found in the Agent Section of the Enrollment Application).
True
Agents (and admins) can view members' billing information in the SilverScript Agent Portal; specifically,
The current unpaid premium balance
The LIS or LEP, if any
The billing method that is applied to the account
If your client receives a letter from SilverScript requesting proof of creditable coverage, and the client has already submitted proof of creditable coverage with the enrollment application, they can ignore the letter.
False
Any time you see or suspect a violation of our Code, the law or our policies, you must report it. Ways to report your concerns include:
Calling the Ethics Hotline
Emailing Medicare Compliance directly
Discussing the issue with your manager
It's not necessary to verify the consumer's Medicare eligibility at the time of enrollment.
False
If a beneficiary had a break in Medicare prescription drug coverage or other creditable coverage of 63 days in a row, they may be subject to a late enrollment penalty.
True [Show Less]