2025 Alignment Health Medicare Certification Exam

What are Alignment Health's four core values?

AVA (Alignment Virtual Application) does which of the following?

What year was Alignment Health Plan founded?

What is the preferred enrollment channel for a beneficiary to become an Alignment member?

TPMO's must abide by which of the following:

To help reduce Complaints Tracking Module (CTM), agents can educate their clients to do the following if they have an issue:

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?

When presenting Alignment Health Plan products, licensed agents must use the plan's:

Effective 07/18/2024, CMS issued a memo stating any 2025 Final Rule agent compensation changes have been paused. Therefore, the regulatory language within 42 C.F.R. section 422.2274 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.

Special Supplemental Benefits for the Chronically Ill (SSBCI) include benefits like Pet Care, Grocery, Companion Care, Pest Control. Qualification to receive these benefits is based on social determinants of health such as congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), dementia, diabetes, or stroke.

Alignment Health Plan members have access to an On-Demand Access card which includes

For 2025 all OTC and Essential wallets will be loaded onto the Access on demand Black Card on a monthly basis without allowance roll-over.

New 2025 Part D update, members enter the catastrophic coverage stage when their out-of-pocket costs have reached what amount?

Alignment Health Plan offers a Tier 6 Select Care that allows members to fill a 100-day supply of medication at no cost.

Alignment offers all Part B and Part D vaccines at a $__ copay at any network pharmacy or member's doctor's office for all markets.