2025 Clover Certification ExamBy Brian Platte / September 15, 2024 In which of these situations must a Scope of Appointment form be collected at least 48 hours prior to the interaction between the agent and the beneficiary? A. A formal marketing event that the beneficiary did not pre-register to attend B. A one on one appointment occurring in the beneficiary's home on November 3rd C. An unscheduled meeting with a beneficiary who arrives at an agent's office without an appointment D. All of the above CMS requires plans to record the names of all attendees attending their plan-sponsored marketing/sales events True False When asked by a Clover Agent Oversight Committee, in what manner should you respond to an allegation, complaint or grievance? A. Slowly and within a month B. Thoroughly and within 2 business days C. Sloppily and whenever you want D. Timely and in less than 30 days A prospective beneficiary asks an agent if plan XYZ has an urgent care benefit and if so, what the benefit includes. Where would the agent find this information for plan XYZ? A. Summary of Benefits B. Provider Directory C. Evidence of Coverage D. None of the above Mrs. Doe will turn 65 at the end of March and signed up for an MA plan in January during her Initial Election Period (IEP). When will her coverage begin? A. On February 1 B. On March 1 C. On April 1 D. On May 1 The Part D coverage gap is still in place? True False What might a consequence from Clover be if it is determined that fraud, waste or abuse has occurred? A. Jail B. Induction into Hall of Fame C. Suspension or termination D. Decrease in commission tier The LiveHealthy Visa Flex Card funds the following... A. OTC dollars B. LiveHealthy Reward dollars C. All of the above D. None of the above What are the 4 categories of the LiveHealthy Rewards program? A. LiveHealthy Visit - Getting to Know You Form - Preventative Care - Get Active B. Getting to Know You Form - Healthy Food Club - Preventative Care - Pickleball C. Jazzercise - LiveHealthy Visit - Bingo Club - Get Active D. None of the above In 2025 CMS will no longer allow for brokers to be compensated for completing the HRA or Getting to Know You form? True False In 2025 Clover Health has partnered with which of the following senior fitness programs? A. Silver Sneakers B. One Pass C. Senior Vibes D. None of the above In 2025 Clover will make what changes to it's dental coverage? A. It's going away and will not be oftered B. A 50% Co-insurance for INN/OON prosthodontics (dentures) C. You have to be a member for 90 days before they take effect D. All of the above When members are crosswalked to new plans the Agent on Record remains the same? True False In 2025 Clover will be adding MA plans in which states? A. Hawaii, Pennsylvania, Georgia B. New Jersey, Pennsylvania, Texas C. South Carolina, Florida, New Jersey D. None of the above In 2025 Clover Health Valor plans will be offering the following give-back by state, GA Plan 056 - $130 per month, SC Plan 057 - $130 per month, NJ/PA Plan 061 - $125 per month, TX Plan 062 - $150 per month? True False The give-back reimbursement can take up to 90 days to take effect? True False Clover expects agents/brokers to do their due diligence by providing member support, including but not limited to... A. Servicing Members B. Completing the HRA or Getting to Know You Form C. Educating members on benefits and rewards D. All of the above In 2025 the Insulin Savings Program copay of $35 will stay the same? True False Labcorp and Quest will no longer be the preferred lab providers? True False How far in advance must agents submit event requests to Clover Health? A. 2 days B. 7 days C. 14 days D. 10 days Agents are required to report any educational or marketing events to Clover Health? True False The Clover Health training calendar is located at www.cloverhealth.com on the Helpful Resources page under Brokers? True False A beneficiary enrolls into Clover Health Plan November 2024 as an initial enrollment. Assuming the beneficiary remains enrolled in the plan in 2025, in what month does their first renewal cycle begin? A. December 2024 B. January 2025 C. November 2025 D. December 2025 The earliest you may begin sharing 2025 plan information with beneficiaries is? A. Halloween B. After Labor Day C. September 1st D. October 1st ResultsVote
