2025 Alterwood Medicare Certification ExamBy Brian Platte / September 18, 2024 1. Alterwood Advantage plans will be offered in all counties within Maryland. True False 2. Members can enroll in both Alterwood Advantage Freedom and a stand-alone PDP plan. True False 3. The dental allowance only applied to comprehensive services. True False 4. Alterwood Advantage Dual Secure is open to all Medicaid levels. True False 5. Agents may be compensated when completing an HRA for Alterwood Advantage DSNP members. True False 6. What levels of Medicaid can enroll in Alterwood Advantage Dual Secure? 1. QMB & SLMB 2. QMB & FBDE 3. FBDE & SLMB 4. QMB only 7. What levels of Medicaid can enroll in Alterwood Advantage Dual Value? 1. SLMB & QI 2. QMB & FBDE 3. FBDE & SLMB 4. QMB & QI 8. Dentures are included within the dental allowance. True False 9. Alterwood Advantage plans cover post-discharge meals for members. True False 10. Agents may receive ____ for completing an HRA on Alterwood Advantage Dual Secure or Alterwood Advantage Dual Value members. 1. $0 2. $200 3. $50 4. $100 11. Alterwood Advantage Freedom has a Part B giveback for members. This means that members will receive up to $75 a month in their social security check every month that they are enrolled in the Alterwood Advantage Freedom plan. True False 12. The medical (part B/C) deductible has been removed from the Select plan for 2025. True False 13. Alterwood Advantage Select has a Part D deductible. True False 14. What are the three key components of the Alterwood compliance program 1. Ignoring, rejecting, and permitting non-compliance 2. Detecting, correcting, and preventing non-compliance 3. Detecting, correcting, and permitting non-compliance 4. Concealing, correcting, and permitting non-compliance 15. There are __ core requirements in Alterwood’s compliance program. 5 6 7 8 16. To stay compliant, Alterwood recommends that the following actions occur: 1. Have a valid State Accident and Health Insurance license 2. Have a valid Errors and Omissions 3. Abide by CMS rules and regulations 4. Complete required training for Alterwood and CMS 5. All of the above 17. As an agent, what is the maximum timeframe to submit the application to your upline? 1. 24 hours 2. 48 hours 3. 72 hours 4. 84 hours 18. Agents are expected to verify eligibility prior to enrolling someone. True False 19. When using the Alterwood name or logo on material, agents must get plan approval before using it. True False 20. If something is missing from an application, agents typically have __ day(s) from the application signature date to provide the corrected information to the health plan. 1. 3 days 2. 5 days 3. 7 days 4. 10 days 21. Members can see any provider that accepts Original Medicare. True False 22. There are consequences when an agent acts out of compliance. Consequences could include: 1. Mandatory re-training 2. Suspension of sales activities 3. Reporting misconduct to CMS/MIA 4. All of the above 23. If a member disenrolls within the first 90 days of their enrollment, the compensation paid out for a completed HRA will be retracted, along with the initial commission payment. True False 24. The flex card on the DSNP plans can be used toward: 1. OTC items only 2. Utilities only 3. OTC, Utilities, Groceries, Pest Control, or House Keeping 4. OTC, Utilities, or Groceries 25. Alterwood Advantage members need a referral before going to see a specialist. True False 26. Alterwood Advantage Select and Alterwood Advantage Choice have different benefit offerings based on the county the member resides in. True False 27. The premium for Alterwood Advantage Choice is the same across all counties in the Alterwood Advantage service area. True False 28. DSNP members pay ___ for their drugs. 1. $0 copay 2. LIS Rates ResultsVote