2025 Zing Certification ExamBy Brian Platte / July 28, 2024 For 2025, Zing Health has expanded its service area to include which new states: A. Illinois, Indiana, Michigan B. Mississippi, Ohio, Tennessee C. Indiana, Ohio, Michigan D. Mississippi, Tennessee In 2025, Zing Health will be introducing an ESRD chronic special needs plan into Illinois, Mississippi, Ohio, and Tennessee? True False Our 2025, supplemental benefit debit card works as follows: A. New members will be mailed a reloadable debit card that will contain separate “purses” for each allowance / benefit type. B. Purses will fund quarterly, monthly or one time. C. Amounts vary by plan and benefit. D. Benefits do not rollover to the next benefit period E. All of the above In 2025, Zing Health will be introducing new plan names to our Medicare plan portfolio? True False When enrolling into a provider specific plan (PSP), members must choose a primary care physician (PCP) and stay within the allowable network of providers. True False The qualifying conditions to be eligible for a Zing Health C-SNP include: A. Only diabetes B. Only chronic heart failure and diabetes C. Only cardiovascular disorders and ESRD with dialysis D. Diabetes, chronic heart failure, cardiovascular disorders, and ESRD with dialysis The qualifying conditions for the Zing Select Diabetes & Heart (HMO C-SNP) include which chronic conditions: A. Cardiovascular Disorders, Chronic Heart Failure, and/or Diabetes B. Dementia, Asthma, and End Stage Renal Disease C. Cardiovascular Disorders, HIV/AIDS, and Diabetes D. None of the above Any Medicare individual who qualifies for a C-SNP via chronic condition but is not currently on one, can enroll at any point in the year. True False Mr. Watchman is turning 65 in November. He has researched his plan options and is interested in signing up for a Zing Health Medicare Advantage plan. He has two specialists he visits once a year and intends to keep them but understands they are not in-network. Which plan choice might be a good option for Mr. Watchman and why? A. The Zing Select Diabetes & Heart (HMO C-SNP) which will assist with managing chronic illnesses. B. The Zing Open Choice (PPO) which allows members to access out-of-network providers including but not limited to specialists, ancillary providers, hospitals, and other providers as needed. C. Zing Select Care (HMO) which is designed to lower the out-of-pocket cost of its members by utilizing network providers and limiting cost share for certain medical services. D. Zing Dual Complete Select (HMO D-SNP) which is intended to meet the needs of members who receive Medicare and full Medicaid benefits. If a Medicare beneficiary is interested in enrolling in a Medicare Advantage plan and has concern they would not qualify due to having End Stage Renal Disease (ESRD), what would you tell them? A. He/She is ineligible to enroll in a MA plan due to having ESRD. B. The enrollment periods have changed, and he/she is now eligible to enroll in a MA plan during the MA-OEP. C. As of January 1, 2021, Medicare has removed the ESRD eligibility stipulation, therefore, he/she is now eligible to enroll in a MA plan during a valid election period. D. He/She could have enrolled in a MA plan five years ago. Which 2025 supplemental benefits are offered with all Zing Health plans? A. Dental / Vision / Hearing B. Telehealth C. Debit card with OTC allowance D. All of the above. Formulary insulins are offered with a $0 copay across all Zing Health plans. True False Continuous Glucose Monitors (CGM) assists members with managing their diabetes. Although the monitoring device is expensive and requires a 20% coinsurance by Medicare, Zing members have a $0 copay when prescribed by a physician. True False To be eligible for a Zing Health dual special needs plan (D-SNP), the Medicare beneficiary must have Medicare and full Medicaid. True False Agents/Brokers with MARx access have the ability to verify a client’s eligibility on demand. True False Unlimited transportation to dialysis centers is a benefit offered with which Zing Health plan? A. HMO B. PPO C. ESRD C-SNP D. None of the above When enrolling a Medicare beneficiary who is turning 65 and in the initial election period into a C-SNP, which enrollment period should be used: A. Initial Election Period (IEP) B. Annual Enrollment Period (AEP) C. Open Enrollment Period (OEP) D. Special Enrollment Period (SEP) Which of the following statements is true regarding the Scope of Appointment (SOA)? A. The SOA is required for all sales appointments including personal/individual appointments with new or existing members B. Agents/brokers may only discuss products at an appointment that was agreed upon and documented in the SOA C. The SOA must be completed 48 hours prior to the meeting/appointment, when practicable D. All of the above What plan type does Zing Health offer that limits enrolled members to a narrow-network of Value Based Providers, but offers enhanced benefits. A. Provider Specific Plans (PSP) B. Oak Street Health (OSH) Plans C. Zing’s Limited HMO-POS Plans D. None of the above Educational events do not allow for the distribution of marketing materials or enrollment forms? True False The Zing Health Duals Focused C-SNP requires members have a qualifying chronic condition and Medicaid to enroll. True False Zing Health will be offering plans in a total of six states for the 2025 plan year. True False Sildenafil is a (generic) Medicare excluded drug, offered by Zing as a supplemental benefit across all plans. What is the brand name for Sildenafil? A. Lipitor B. Viagra C. Crestor D. Levemir Medicare does not cover Fitness / Gym benefits. However, Zing Health understands the importance of wellness in reference to the overall general health of our members and, therefore, has made it available as a covered service to all members. True False Which enrollment mechanism(s) does Zing Health employ and is considered an acceptable means of submitting your enrollment applications? A. Zing Health Paper Application B. Zing Health Electronic Online Enrollment via Ascend C. Connecture D. SunFire E. All of the Above ResultsVote
