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humana questions 2024/2025 A+ SCORE ASSURED
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humana questions 2024/2025 A+ SCORE ASSURED
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humana questionsWhat are the dates for the SEP for Non-Renewal? - ANSDecember 8 - end of February
CMS expects agents to provide a clear, concise explanation of the plan's drug benefit. Which of
the following actions is prohibited by Humana and CMS? - ANSAsking the beneficiary to consult
with their doctor or pharmacist to obtain generic medications is not an acceptable explanation of
the plan's drug benefit
What constitutes an "attempt" on Humana`s final exam? Note: questions about passing the final
exam are only in this practice exam - ANSThe agent clicks the test submit button or the test
timer reaches 35 minutes
MA enrollees using the Medicare Advantage Disenrollment Period (MADP) to disenroll from
their MA plan are eligible for a SEP to enroll in... - ANSstand-alone PDP
How many questions are on Humana`s final exam and what material do they test on? Note:
questions about passing the final exam are only in this practice exam. - ANSThe final exam
consists of 20 questions over material in the Agent Guidance Reference Manual.
Oscar delayed his Part B when he was first eligible. He enrolled into Part B after the expiration
of his IEP. He is meeting with Agent Wayne and Oscar is requesting to enroll in a Humana
MAPD plan in the 3 months prior to his Part B effective date. Which enrollment period should
Agent Wayne select for Oscar's application? - ANSICEP
Who is responsible for all applicable insurance licenses and any applicable certifications
required to sell a corresponding Humana product in all states in which the agent markets such
products? - ANSThe Agent
What is the purpose of the Non-Discrimination notice that is included in many of Humana`s
marketing materials? - ANSTo inform people about their ability to receive information in another
language and give directions on how to file a complaint should they feel they have been
discriminated against
Individuals who belong to a qualified State Pharmaceutical Assistance Program (SPAP) are
eligible for an SEP to - ANSMake one enrollment request (both MAPD and PDP) at any time
through the end of each calendar year (i.e. once per year
Why are agents required to ask if the phone number being provided on an application is a cell
phone number? - ANSBecause the FCC requires prior express written consent to contact a
prospect or member via their cell phone
, Which of the following actions should be avoided when completing spousal enrollments? -
ANSThe agent should use the exact same Medicare ID number and election period for both
applications so that CMS can process the applications together and label them as spousal
enrollments
From October 15 to December 7, which election periods may be used? - ANSAEP, IEP/ICEP
and any SEP
Agent James is enrolling a prospect into a Humana Medicare Advantage plan and it is time to
choose a PCP. It is unclear if the provider is in Humana's network. What is the preferred way to
determine if a provider is in network? - ANSUse Humana's Physician Finder Plus to see if the
provider is in Humana's network
Agents may provide guidance to members about providers who excel at value-based care that
could improve member health outcomes. What is this called? - ANSProvider Highlighting
To be compliant with state and local regulations, what change could Humana Pharmacy
members see to their prescription costs? - ANSTaxes will be applied to all applicable
prescription and over-the-counter (OTC) orders.
Agent Mike is speaking with Betty Ann and she is asking how to determine if her medication is
covered by Part B or Part D. What is the preferred way for Agent Mike to determine if a
medication is on Humana's formulary? - ANSUse Humana's RX look up tools to determine if a
medication is on Humana's formulary.
Which of the following is an advantage for new members when they pre-register with Humana
Pharmacy? - ANSIt allows members to obtain pricing for medications based on their future
effective date.
Can agents create their own Medicare marketing materials, such as letters and flyers? - ANSNo,
because agents will use only Humana and CMS or State approved materials/scripts, as
applicable, to market to prospective enrollees.
Tamara is aging into Medicare and is in her 7 month initial election period. She tells Agent Sarah
that she would like to enroll in a MA-only (no RX). Which enrollment period should Agent Sarah
select for Tamara`s application? - ANSInitial Coverage Enrollment Period (ICEP)
Agent Ben knows that Dr. Mendez is in network for a PPO plan in a particular service area.
When enrolling Mary into an HMO plan for the same service area, Mary wants to select Dr.
Mendez as her PCP. Ben tells Mary that he knows Dr. Mendez in network for Humana plans and
does NOT check Humana`s Physician Finder Plus. Is this acceptable? - ANSNo, a provider may
be contracted for one plan type but not another. Agent Ben should have checked to see the
provider was contracted for the HMO plan.
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