2025 PacificSource Medicare Certification ExamBy Brian Platte / September 19, 2024 PacificSource is a not-for-profit community health plan, has local human service, does not require referrals and provides support beyond healthcare. True False For Tier 2 generics and Tier 3 preferred brand name drugs, members can save even more money with our preferred mail order (CVS Caremark), because they can get a 90 day supply for the cost of a 60 day supply. True False At PacificSource, we believe happy clients equals happy brokers. True False In 2025, PacificSource will change our fitness program vendor from Silver and Fit to One Pass Fitness Program. This new program allows members to attend multiple fitness facilities in the same month. True False Brokers need to receive their 2025 appointment confirmation email from PacificSource BEFORE they can begin to sell PacificSource Medicare plans. True False CMS regulations require that you provide clients with a Sumary of Benefits and pre-enrollment checklist if you provide them with an enrollment form. True False Which one of these is NOT a way to enroll someone on a PacificeSource plan? Online Paper Phone Telegram In 2025 the Inflation Protection Act requires all Medicare prescription drug plans to offer enrollees the option to ienroll in the Medicare Prescription Payment Plan (M3P). This program allows enrolled members in the M3P Program to spread their Part D drug costs across monthly payments instead of paying all at once at the pharmacy. True False A client's LIS level can be verified by contacting the Medicare Broker Services team. True False What are the benefits of using InTouch broker portal to enroll a client? Instant confirmation that the application was received Ability to search and view applications submitted through InTouch You are automatically assigned as broker of record All of the above The over-the-counter shopping allowance through NationsBenefits (formally NationsOTC) allows members to purchase brand name and generic items. True False Members who will most likely benefit from enrolling in the Medicare Prescription Payment Plan called M3P, are those who are expected to reach their $2,000 prescription drug out-of-pocket maximum early in the year. True False Paper applications must be received by PacificSource within how many calendar days? One #1 Three Two In 2025, members catastrophic out-of-pocket threshold for Part D Drugs has been reduced from $888 to just $2000. True False 2025 Initial Compensation for Brokers increased from $611 to $626, and is paid in a one-time lump sum, and regardless of the members' effective date in 2025./strong> True False What is the waiting period for the embedded dental benefits to start?/strong> One week after their effective date There is no waiting period on PacificSource embedded dental benefits One year after their effective date If a broker has any PacificSource related questions, on any topic, they should contact the Medicare Broker Services team at 866-419-0065 or MedicareBrokerServices@PacificSource.com/strong> True False Which two cities are the Broker Services Team located in? La Jolla, CA and Reykjavik, Iceland Buenos Aires, Brazil and Mumbai, India Buffal, WY and Madrid, Spain Ben, OR and Springfield, OR Brokers receive which type of notifications from PacificSource to help gain and retain clients? Denied or incomplete applications received Pending member terminations Applications received All of the above 33 Million Americans have chosen a Medicare Advantage plan for the following reasons: Better service, access to care, and value Reduced out-of-pocket costs Affordable coverage Supplemental benefits All of the Above ResultsVote
