2025 Shared Health Medicare Certification ExamBy Brian Platte / September 22, 2024 TPMO/FMO created marketing materials must include all of the plans they are contracted to sell. True False If you mail a Shared Health Sales Kit to a client what can you include? Remove all Shared Health approved material and replace with your information. A business card or return envelope. Replace the CMS approved mailing envelope with your own. Nothing HRA forms should be faxed or emailed with a _______ 48 hours after completion. cover sheet check letter I can fax in more than one enrollment form at a time. True False Once you receive notification you are certified to sell Shared Health plans, you should register for Shared Health Access. True False An individual is eligible for an SEP if they _____. Reside, or resided at the start of the SEP eligibility period in an area for which a federal, state, or local government entity has declared an emergency or major disaster Do not reside in an affected area but relies on help making healthcare decisions from one or more individuals who reside in an affected area Were eligible for another election period at the time of the SEP eligibility period Did not make an election during another election period due to the emergency or major disaster All the above For assistance accessing Cavulus CRM or Shared Health Access you should call? Shared Health Provider Service Shared Health Member Service Shared Health Broker Support How do you know if your 2025 Shared Health Certification is complete? I'm complete once I email my certificates to the Medicare Certification email address. Only if I receive a confirmation email from Shared Health stating my certification is complete to sell in the state; will I know I've met all my requirements and ready to market. I'm complete once I see that I've finished all the training. As long as I don't submit an enrollment, I can market Shared Health Dual Plus all I want without finishing. I should check if a client's providers are in network before enrolling them in a Shared Health plan. True False Shared Health HMO plan members must use in-network providers except for ________? Whenever the member feels like it Emergency or urgently needed services Never, members must always use in-network providers When a member is in Alaska. What should your client do with their Medicare and Medicaid cards after they enroll? Throw them away. Store the cards in a safe place. Use either one of the cards with their Shared Health card. Call ____ to reach Shared Health Broker Support. 1-800-614-8265 1-800-614-7647 1-855-890-1234 1-844-474-6477 Which option may be used to submit a Scope of Appointment (SOA) to Shared Health? Secure email scan to Medicare_DSNP@sharedhealth.com. Secure email scan to Medicare_DualPlus@sharedhealth.com. Secure email scan to Medicare_Administration@sharedhealth.com. Secure email scan to Medicare_DualFreedom@sharedhealth.com. Which category can you use to browse the Provider Directory on the Shared Health website? Medical Care Pharmacy Dental Care Vision Care Medical Equipment All of the above All members are required to choose a PCP when they enroll in Shared Health Dual Plan. True False When submitting a Scope of Appointment (SOA), you should always remember to include _______. your address your five digit Shared Health Agent ID your social security number your NPN Shared Health preferred method of enrollment submission is: Electronic submission through Shared Health Access United States Postal Service Secure email with PDF attachment Fax If a member chooses to withdraw an enrollment application or terminate enrollment in a plan once the application has been submitted, you must ______. mail a certified letter to Shared Health. direct all requests to cancel or withdraw enrollment applications or terminate enrollment to Shared Health Member Service. The member must handle this directly with Shared Health. write up the request and transmit to Shared Health. meet with the client so you can call CMS together to make the request over the phone The collection of Scope of Appointment SOA cards at educational events is prohibited. True False Enrollments must be submitted within __ of the signature date to avoid being considered a late submission and resulting in disciplinary action against the agent. 72-hours 24-hours None of the above 48-hours How many months is the Scope of Appointment SOA valid for? 12 6 24 18 CMS requires the recording of all calls between TPMOs/FMO's and clients. True False Choose the instances where the Agent of Record (AOR) can be changed. Member has a total break(termination) in Medicare Advantage coverage. AOR did not retain certification and other agent assists the client with a plan or product change. Member is a retiree required to work through a designated agency in order to receive subsidy reimbursement from a previous employer. AOR consents in writing to release business to another agent. All faxed enrollments must include a cover sheet. True False Shared Health Dual Freedom members have the option to use ______ providers. In-network Out-of-network All of the above CMS required questions must be fully discussed with your client prior to enrollment. True False Agents must always explain new plan coverage to beneficiaries and the impact on their currect medical needs. True False CMS now requires _____ hours between a Scope of Appointment SOA and an agent meeting with a beneficiary, with exceptions for beneficiary-initiated walk-ins and the end of a valid enrollment period. 72 48 24 12 A member that completes a Health Assessment can earn _____. Nothing $100 $40 What email should you use to request Shared Health marketing material? AgentsandBrokers@sharedhealth.com BrokerMarketingRequest@sharedhealth.com MedicareCertification@sharedhealth.com ResultsVote
