2025 Elevance Product Basics

Question 1

Which of the following statements is NOT true about a disenrollment?

Voluntary disenrollments are initiated by the member and can generally only occur during specific periods such as AEP or OEP (MA/MA-PD plans only)

Disenrollment requests can be taken verbally

Disenrollment can be voluntary or involuntary

A disenrollment applies if coverage ends after a member’s effective date

Question 2

How does a cancellation differ from a disenrollment?

A cancellation applies if a request is received prior to a member’s effective date or by the date on the Outbound Enrollment Verification (OEV) letter

Cancellation requests are initiated by the member and can be received either verbally or in writing

Both A and B are correct

Neither A nor B are correct

Question 3

The Special Election Period (SEP) for Dual Eligible and Other LIS Eligible Individuals previously allowed one time per-calendar-quarter during the first nine months of the year is being replaced for Calendar Year 2025 with a monthly SEP to enroll in a standalone PDP. Eligible beneficiaries can switch PDPs or leave a MA/MAPD plan for Original Medicare plus a standalone PDP.

True

False

Question 4

FEMA disaster SEPs can only be used if members missed a valid enrollment period.

True

False

Question 5

A new monthly integrated care SEP for calendar year 2025 allows full dual eligible individuals to elect an integrated Dual Eligible Special Needs Plan (D-SNP) (for example, Fully Integrated Dual Eligible (FIDE), Highly Integrated Dual Eligible (HIDE), and Applicable Integrated Plan (AIP)). This new SEP is allowed only when the individual receives Medicaid through an affiliated managed care plan.

True

False

Question 6

An agent must not:

Use the Scope of Appointment form from another carrier that has not been approved by CMS.

Rewrite or make their own version of a Scope of Appointment form

Substitute dates or make changes to the Scope of Appointment markup after the appointment

All of the above are prohibited

Question 7

A member can add or drop prescription drug coverage during the Annual Election Period (AEP).

True

False

Question 8

Which of the following is not a valid reason for involuntary disenrollment?

Moving out of the plan service area

Loss of entitlement to either Medicare Part A or Part B

Moving to a new address in the same plan service area

Incarceration

Question 9

The Open Election Period (OEP) is for beneficiaries who are enrolled in a MA-only or MA-PD plan, or those who are enrolled in Original Medicare, including those enrolled in stand-alone PDPs.

True

False

Question 10

Which election period describes when a beneficiary first becomes entitled to both Medicare Part A and Part B?

Initial Coverage Election Period (ICEP)

Annual Election Period (AEP)

Open Enrollment Period of Institutionalized Individuals (OEPI)

Open Election Period (OEP)

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2025 Elevance Product Basics

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