Optimum/Freedom - 2026
Certifications Exam Latest 2025-2026.
Questions & Correct Answers. Graded
A
______________ events are events designed to steer, or attempt to steer,
potential enrollees toward a plan or a limited set of plans. - ANS Sales and
Marketing
"_____________care" is defined as a non-emergency situation when you
need medical care right away because of an illness, injury or condition that
you did not expect or anticipate, but your health is not in serious danger. -
ANSUrgently needed
A medical __________ is defined as "when you believe that your health is
in serious danger." - ANSEmergency
A member can add or drop prescription drug coverage during the Annual
Election Period (AEP). - ANSTrue
A monthly integrated care SEP beginning calendar year 2025 allows full
dual eligible individuals to elect an integrated Dual Eligible Special Needs
Plan (D-SNP) (for example, Fully Integrated Dual Eligible (FIDE), Highly
Integrated Dual Eligible (HIDE), and Applicable Integrated Plan (AIP)). This
1
, SEP is allowed only when the individual receives Medicaid through an
affiliated managed care plan. - ANSTrue
A PPO is a plan in which enrollees pay less if they use doctors, hospitals,
and providers that belong to the network. Services obtained from doctors,
hospitals and providers outside the network will result in additional costs to
the member - unless the services are classified as an emergency. -
ANSTrue
Agents and brokers must report all events (Sales and Educational) prior to
advertising. - ANSTrue
Agents/Brokers are allowed to offer gifts as a condition of enrollment. -
ANSFalse
At a Sales event, you may not require beneficiaries to provide any contact
information (beneficiaries may choose to offer it). - ANSTrue
At a Sales event, you may not solicit or accept any enrollment applications
for the Annual Enrollment Period (AEP) prior to October 15. - ANSTrue
Beneficiaries do not need to pay their monthly Medicare Part B premium if
they pay the premium for a Medicare Supplement plan. - ANSFalse
Carriers may not pay for prescriptions if members use an Out-Of-Network
pharmacy (except in certain cases). Which choice does not represent a
2
Certifications Exam Latest 2025-2026.
Questions & Correct Answers. Graded
A
______________ events are events designed to steer, or attempt to steer,
potential enrollees toward a plan or a limited set of plans. - ANS Sales and
Marketing
"_____________care" is defined as a non-emergency situation when you
need medical care right away because of an illness, injury or condition that
you did not expect or anticipate, but your health is not in serious danger. -
ANSUrgently needed
A medical __________ is defined as "when you believe that your health is
in serious danger." - ANSEmergency
A member can add or drop prescription drug coverage during the Annual
Election Period (AEP). - ANSTrue
A monthly integrated care SEP beginning calendar year 2025 allows full
dual eligible individuals to elect an integrated Dual Eligible Special Needs
Plan (D-SNP) (for example, Fully Integrated Dual Eligible (FIDE), Highly
Integrated Dual Eligible (HIDE), and Applicable Integrated Plan (AIP)). This
1
, SEP is allowed only when the individual receives Medicaid through an
affiliated managed care plan. - ANSTrue
A PPO is a plan in which enrollees pay less if they use doctors, hospitals,
and providers that belong to the network. Services obtained from doctors,
hospitals and providers outside the network will result in additional costs to
the member - unless the services are classified as an emergency. -
ANSTrue
Agents and brokers must report all events (Sales and Educational) prior to
advertising. - ANSTrue
Agents/Brokers are allowed to offer gifts as a condition of enrollment. -
ANSFalse
At a Sales event, you may not require beneficiaries to provide any contact
information (beneficiaries may choose to offer it). - ANSTrue
At a Sales event, you may not solicit or accept any enrollment applications
for the Annual Enrollment Period (AEP) prior to October 15. - ANSTrue
Beneficiaries do not need to pay their monthly Medicare Part B premium if
they pay the premium for a Medicare Supplement plan. - ANSFalse
Carriers may not pay for prescriptions if members use an Out-Of-Network
pharmacy (except in certain cases). Which choice does not represent a
2
