2025 Paramount Elite Medicare Certification ExamBy Brian Platte / August 2, 2024 Nearly all Paramount plans for 2025 INCREASED the maximum out-of-pocket (MOOP) True False Members receive up to $150 allowance every calendar quarter for over-the-counter (OTC) items through a mail-order catalog and/or retail. True False These are examples of restricted areas if conducting a sales activity in a healthcare setting: I. Exam room II. Hospital exam room III. Treatment area IV. Pharmacy counter True False Enrollment applications submitted with an election period of AEP should not be obtained and/or submitted prior to October 15. True False You can begin discussing plan benefits for the upcoming benefit year on October 1st. True False Insulins covered on Paramount's formulary have a maximum cost of $35 for a 30 day supply. True False Paramount offers a $0 copay for routine hearing exams (one visit per year) and hearing aid benefits up to $675 per year/per ear. True False The Paramount Elite Enhanced plan now has a $72 premium for 2025. True False Enrolling in a Medicare Supplement plan automatically cancels a beneficiary’s enrollment in their Medicare Advantage Plan True False Paramount's Transportation Benefit allows members to arrange for personal transportation to doctor appointments, pharmacies, and other health-related activities. Members with this benefit are eligible for 24 non-emergency one-way trips. True False Paramount's PPO plans are only available in Ohio True False Some Paramount plans offer up to a $7,500 maximum dental plan allowance that including crowns and dentures. True False You scheduled two sales appointments with different clients to discuss Paramount's Medicare Advantage products. One appointment was telephonic and the other was through a virtual setting. Both appointments require you to obtain a Scope of Appointment 48 hours in advance of each appointment. True False At no cost, Paramount Elite members can sign up for a personal call center rep and speak to the same person in Member Services every time they call us. True False The following are best practices recommended by Paramount to verify providers before enrolling a Medicare beneficiary. • Agent going over the Pre-Enrollment Checklist with their clients • Discuss the differences between HMO and PPO plans to ensure the client has a good understanding of their plan selection and corresponding in-network vs out-of-network coverage. • Verify that all that requested provider(s) and location(s) are in-network. • If the beneficiary doesn’t provide this information, prompt them to advise of any • Look up providers using Paramount's online provider tool. True False Regulatory rules do not require agents to record marketing, sales and enrollment calls with clients. True False When an agent changes a client’s plan, they must clearly communicate the impact of this change to their existing coverage True False A Business Reply Card (BRC), can be obtained at any of the Medicare Events; Informal Sales, Formal Sales and Educational. True False Compensation will only be paid to appointed and certified agents True False You obtained a Scope of Appointment (SOA) from your client. CMS and Medical Mutual require you to retain this document for your records for 15 years. True False Paramount's $0 PPO-MA Only plan has no Part B rebate available. True False A prospect is asking you for information on life insurance at an informal sales event. You are allowed to discuss other lines of business at a Medicare event. True False Copays for Tier 1 and Tier 2 drugs are $0 on all Paramount plans True False HMO plans have an established network of providers, such as physicians, clinics, and hospitals, where a beneficiary must obtain care through this network except in an urgent situation and/or emergency. True False Paramount Elite members can only earn $25 in annual wellness incentives. True False ResultsVote