2025 Capital Blue Cross Medicare Certification ExamBy Brian Platte / September 21, 2024 Capital Blue Cross MAPD plans will use two different formularies in 2025. True False Which of the following statements is not correct regarding the 2025 routine hearing benefit? Members must contact TruHearing to schedule appointments with a routine hearing provider. Members will have three copay options for prescription hearing aids. Members have unlimited fitting/evaluations for hearing aids. Over-the-counter hearing aids do not need to be purchased through TruHearing. The two new Capital Complete and Wellspan Complete PPO plans are offered in all 21 counties of the Capital Blue Cross service area. True False Which statement is correct regarding the pharmacy benefit for 2025? A three-month prescription will be a 100-day supply. $0 copay for all Tier 1 prescriptions on all plans at a preferred pharmacy. Amazon and Express Scripts are preferred mail order pharmacies. All statements are correct. If a member goes over their monthly allotment of credits with the new FitOn fitness benefit, they cannot purchase additional credits but must wait until the credits reset the next month. True False Lab services on all plans will be a $0 copay. True False Which of the following statements is correct regarding the Scope of Appointment (SOA) form? An SOA can be collected at educational events provided the appointment is scheduled at least 48 hours after the educational event. SOAs must be maintained by the agent for 1 year. An SOA is valid for 24 months from the signature date. SOAs must be completed at least 48 hours in advance of an individual appointment for MA or PDP plans. Which statement is correct regarding marketing of Capital Blue Cross Medicare Advantage plans? All sales and marketing calls (including video conferencing calls) must be recorded. Agents may not alter CMS approved materials in any way other than to add personal information such as a producer name or phone number. Agents may only use CMS and Capital Blue Cross approved marketing materials when discussing Capital Blue Cross plans. All the statements are correct. The routine dental benefit will have a combined annual allowance for preventive and comprehensive dental services in 2025. True False Capital requires agents to submit enrollment applications to Capital Blue Cross or their Preferred Producer within what time limit? Within 24 hours of receipt of the application Within 48 hours of receipt of the application Within 3 days of the receipt of the application Within 7 days of the receipt of the application ResultsVote
