Evevance Health 2025 Foundation/Basics Quiz
Study online at https://quizlet.com/_fc3h9y
1. Which of the following statements is NOT true about a disenrollment?: Disen-
rollment requests can be taken verbally
2. How does a cancellation differ from a disenrollment?: Both A and B are correct
3. The Special Election Period (SEP) for Dual Eligible and Other LIS Eligible Indi-
viduals previously allowed one time per-calendar-quarter during the first nine
months of the year is being replaced for 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.: True
4. FEMA disaster SEPs can only be used if members missed a valid enrollment
period.: True
5. A new monthly integrated care SEP for calendar year 2025 allows full dual eli-
gible individuals to elect an integrated Dual Eligible Special Needs Plan (D-SNP)
(for example, Fully Integrated Dual Eligible (FIDE), Highly Integrated Dual El-
igible (HIDE), and Applicable Integrated Plan (AIP)). This new SEP is allowed
only when the individual receives Medicaid through an affiliated managed care
plan.: True
6. When reviewing an enrollment application with a prospective member, which
of the following steps should be done?: All of the above should be done
7. The Open Election Period (OEP) is for beneficiaries who are enrolled in a
MA-only or MA-PD plan, or those who are enrolled in Original Medicare, includ-
ing those enrolled in stand-alone PDPs.: False
8. If a beneficiary has agreed to an in-home appointment to discuss a PDP
product, an agent can discuss an HMO product with them during that same
meeting, if the beneficiary requests it and a new scope of appointment form is
completed.: True
9. An agent must not:: All of the above are prohibited.
10. Which of the following statements about the Star Ratings Program are true?-
: All of the above statements are true
11. An agent can start to market 2025 MA, MA-PD, or PDP plans on October
1.: True
12. A member can add or drop prescription drug coverage during the Annual
Election Period (AEP).: True
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Study online at https://quizlet.com/_fc3h9y
1. Which of the following statements is NOT true about a disenrollment?: Disen-
rollment requests can be taken verbally
2. How does a cancellation differ from a disenrollment?: Both A and B are correct
3. The Special Election Period (SEP) for Dual Eligible and Other LIS Eligible Indi-
viduals previously allowed one time per-calendar-quarter during the first nine
months of the year is being replaced for 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.: True
4. FEMA disaster SEPs can only be used if members missed a valid enrollment
period.: True
5. A new monthly integrated care SEP for calendar year 2025 allows full dual eli-
gible individuals to elect an integrated Dual Eligible Special Needs Plan (D-SNP)
(for example, Fully Integrated Dual Eligible (FIDE), Highly Integrated Dual El-
igible (HIDE), and Applicable Integrated Plan (AIP)). This new SEP is allowed
only when the individual receives Medicaid through an affiliated managed care
plan.: True
6. When reviewing an enrollment application with a prospective member, which
of the following steps should be done?: All of the above should be done
7. The Open Election Period (OEP) is for beneficiaries who are enrolled in a
MA-only or MA-PD plan, or those who are enrolled in Original Medicare, includ-
ing those enrolled in stand-alone PDPs.: False
8. If a beneficiary has agreed to an in-home appointment to discuss a PDP
product, an agent can discuss an HMO product with them during that same
meeting, if the beneficiary requests it and a new scope of appointment form is
completed.: True
9. An agent must not:: All of the above are prohibited.
10. Which of the following statements about the Star Ratings Program are true?-
: All of the above statements are true
11. An agent can start to market 2025 MA, MA-PD, or PDP plans on October
1.: True
12. A member can add or drop prescription drug coverage during the Annual
Election Period (AEP).: True
1/2
