ANTHEM - 2026 CERTIFICATIONS | 80
COMPREHENSIVE QUESTIONS & ANSWERS |
GRADE A | 100% CORRECT -THE ULTIMATE
GUIDE FOR YR. (2026/2027)
Quiz_________________?
The Special Election Period (SEP) for Dual Eligible and Other LIS Eligible
Individuals previously allowed one time per-calendar-quarter during the first nine
months of the year was replaced beginning Calendar Year 2025 with a monthly
SEP to enroll in a standalone PDP. Eligible beneficiaries can switch PDPs or leave a
MA/MAPD plan for Original Medicare plus a standalone PDP. -
Answer☑️
True
Quiz_________________?
Which of the following statements is NOT true about a disenrollment? -
Answer☑️
Disenrollment requests can be taken verbally
Quiz_________________?
How does a cancellation differ from a disenrollment? -
Answer☑️
Both A and B are correct
1
, A. A cancellation applies if a request is received prior to a member's effective date
or by the date on the Outbound Enrollment Verification (OEV) letter
B. Cancellation requests are initiated by the member and can be received either
verbally or in writing
Quiz_________________?
The Summary of Benefits will list: -
Answer☑️
All of the above
Quiz_________________?
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? -
Answer☑️
All of the above statements are true
Quiz_________________?
Enrollment into a Medicare Supplement plan will not cause an automatic
disenrollment from a Medicare Advantage Plan. -
Answer☑️
True
Quiz_________________?
Beneficiaries do not need to pay their monthly Medicare Part B premium if they
pay the premium for a Medicare Supplement plan. -
Answer☑️
2
, False
Quiz_________________?
Plans sold before an agent has completed the necessary licensing, appointment
and certification will not be eligible for commission payments. -
Answer☑️
True
Quiz_________________?
Formularies may change from year to year, so it is important to confirm coverage
and copayments each plan year. -
Answer☑️
True
Quiz_________________?
What elements are included in the Medicare Advantage or Part D marketing
materials/sales kit? -
Answer☑️
All of the above
Quiz_________________?
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. -
Answer☑️
3
COMPREHENSIVE QUESTIONS & ANSWERS |
GRADE A | 100% CORRECT -THE ULTIMATE
GUIDE FOR YR. (2026/2027)
Quiz_________________?
The Special Election Period (SEP) for Dual Eligible and Other LIS Eligible
Individuals previously allowed one time per-calendar-quarter during the first nine
months of the year was replaced beginning Calendar Year 2025 with a monthly
SEP to enroll in a standalone PDP. Eligible beneficiaries can switch PDPs or leave a
MA/MAPD plan for Original Medicare plus a standalone PDP. -
Answer☑️
True
Quiz_________________?
Which of the following statements is NOT true about a disenrollment? -
Answer☑️
Disenrollment requests can be taken verbally
Quiz_________________?
How does a cancellation differ from a disenrollment? -
Answer☑️
Both A and B are correct
1
, A. A cancellation applies if a request is received prior to a member's effective date
or by the date on the Outbound Enrollment Verification (OEV) letter
B. Cancellation requests are initiated by the member and can be received either
verbally or in writing
Quiz_________________?
The Summary of Benefits will list: -
Answer☑️
All of the above
Quiz_________________?
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? -
Answer☑️
All of the above statements are true
Quiz_________________?
Enrollment into a Medicare Supplement plan will not cause an automatic
disenrollment from a Medicare Advantage Plan. -
Answer☑️
True
Quiz_________________?
Beneficiaries do not need to pay their monthly Medicare Part B premium if they
pay the premium for a Medicare Supplement plan. -
Answer☑️
2
, False
Quiz_________________?
Plans sold before an agent has completed the necessary licensing, appointment
and certification will not be eligible for commission payments. -
Answer☑️
True
Quiz_________________?
Formularies may change from year to year, so it is important to confirm coverage
and copayments each plan year. -
Answer☑️
True
Quiz_________________?
What elements are included in the Medicare Advantage or Part D marketing
materials/sales kit? -
Answer☑️
All of the above
Quiz_________________?
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. -
Answer☑️
3
