2025 Elevance Tools for Compliant SellingBy Brian Platte / July 25, 2024 What do we require for you to be considered qualified or “ready to sell?” A current license in the state in which you plan to sell (resident and/or non-resident - as applicable) Appointment with the insurance carrier (in all markets) whose plans you intend to sell Successful completion of the carrier’s annual certification program for Medicare Advantage and Prescription Drug Plans, including core certification training, all compliance trainings, and all product trainings All of the above Different formulary tiers require different copayments or may be subject to deductible or even coinsurance. However, member cost sharing amounts may differ depending upon eligibility for Low Income Subsidy. True False Which of these statements is/are true about the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and its impact on Medigap plans effective 2020? Plans C and F will no longer be an option for newly eligible individuals starting January 1, 2020 Individuals who already have Plans C and F will be able to keep their current versions of the plans Individuals eligible for Medicare prior to January 1, 2020 can purchase the current version of Plans C and F on or after January 1, 2020, if offered by the insurance company In states that offer non-standardized plans (like Wisconsin), this would impact availability of the Part B rider. All of the above statements are true Enrollment into a Medicare Supplement plan will not cause an automatic disenrollment from a Medicare Advantage Plan. True False Beneficiaries do not need to pay their monthly Medicare Part B premium if they pay the premium for a Medicare Supplement plan. True False Plans sold before an agent has completed the necessary licensing, appointment and certification will not be eligible for commission payments. True False Formularies may change from year to year, so it is important to confirm coverage and copayments each plan year. True False The Summary of Benefits will list: The plan name and where it is available Who is eligible Prescription drug information, including Rx Extra Help Contact information for Customer Service All of the above You should explain your role to a beneficiary that you are a representative of Medicare. True False What elements are included in the Medicare Advantage or Part D marketing materials/sales kit? Pre-Enrollment Checklist Plan Star ratings information Summary of benefits Enrollment application All of the above ResultsVote
