Alignment Health Certification - 2025
Study online at https://quizlet.com/_hka2xs
1. What are Alignment Health's four Core Values?: All of the above:
Put the Senior First
Support the Doctor
Revolutionize Care Using Data & Technology
Have a Serving Heart
2. AVA (Alignment Virtual Application) does which of the following?: All of the above:
Predicts, monitors & tracks members' health status in real time
Allows doctors to make proactive decisions around our members' health
Lowers costs to put back into quality of service & benefit enhancement
3. What year was Alignment Health Plan founded?: 2013
4. What is the preferred enrollment channel for a beneficiary to become an
Alignment member?: Online enrollment
5. TPMOs must abide by which of the following?: All of the above
6. To help reduce Complaints Tracking Module (CTM), agents can educate their
clients to do the following if they have an issue:: Call the health plan first to help resolve issues
before they escalate the issue direct to Medicare.
7. Our number one reason for beneficiary complaint continues to be marketing
misrepresentation with the #1 category being that your client did not consent
to enroll. What are two ways to help minimize this possible CTM?: A&B Only:
Maintain documentation of all your interactions
If the opportunity presents itself, keep all consented recordings when meeting with your client.
8. When presenting Alignment Health Plan products, licensed agents must use
the plan's:: All of the above
9. True or False: Effective 07/18/2024, CMS issued a memo stating any 2025 Final
Rule agent compensation changes have been paused. Therefore, the regula-
tory language within 42 C.F.R. section 422.274(a),(c),(d),(e), that was effective
prior to the issuance of the contract year 2025 Final Rule will be in effect for
Contract Year 2025 while the stay is ordered.: True.
10. True or False: Special Supplemental Benefits for the Chronically Ill (SSBCI)
include benefits like Pet Care, Grocery, Companion Care, Pest Control. Qual-
ification to receive these benefits is based on social determinants of health
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Study online at https://quizlet.com/_hka2xs
1. What are Alignment Health's four Core Values?: All of the above:
Put the Senior First
Support the Doctor
Revolutionize Care Using Data & Technology
Have a Serving Heart
2. AVA (Alignment Virtual Application) does which of the following?: All of the above:
Predicts, monitors & tracks members' health status in real time
Allows doctors to make proactive decisions around our members' health
Lowers costs to put back into quality of service & benefit enhancement
3. What year was Alignment Health Plan founded?: 2013
4. What is the preferred enrollment channel for a beneficiary to become an
Alignment member?: Online enrollment
5. TPMOs must abide by which of the following?: All of the above
6. To help reduce Complaints Tracking Module (CTM), agents can educate their
clients to do the following if they have an issue:: Call the health plan first to help resolve issues
before they escalate the issue direct to Medicare.
7. Our number one reason for beneficiary complaint continues to be marketing
misrepresentation with the #1 category being that your client did not consent
to enroll. What are two ways to help minimize this possible CTM?: A&B Only:
Maintain documentation of all your interactions
If the opportunity presents itself, keep all consented recordings when meeting with your client.
8. When presenting Alignment Health Plan products, licensed agents must use
the plan's:: All of the above
9. True or False: Effective 07/18/2024, CMS issued a memo stating any 2025 Final
Rule agent compensation changes have been paused. Therefore, the regula-
tory language within 42 C.F.R. section 422.274(a),(c),(d),(e), that was effective
prior to the issuance of the contract year 2025 Final Rule will be in effect for
Contract Year 2025 while the stay is ordered.: True.
10. True or False: Special Supplemental Benefits for the Chronically Ill (SSBCI)
include benefits like Pet Care, Grocery, Companion Care, Pest Control. Qual-
ification to receive these benefits is based on social determinants of health
1/2
