2014 - Ba - Readiness Quiz Final - Ga/Df
- 1.What does OneExchange do as a company?
- A.
Largest private healthcare exchange in the nation.
- B.
Provide assistance to companies who are looking to improve retiree healthcare.
- C.
Provide a one-stop shop with meaningful choices.
- D.
All of the above.
- 2.The Client Guide details information we use to research the following:
- A.
Networks for doctors and hospitals
- B.
Plans that are offered according to zip codes
- C.
Specifics that relate to a customer’s current or former employer
- D.
Explaining deductibles
- 3.A non-preferred generic drug is identified as which tier level in most plans?
- A.
Tier 1
- B.
Tier 2
- C.
Tier 3
- D.
Tier 4
- 4.What is the correct way to turn off your computer at the end of the shift?
- A.
Lock the computer
- B.
Restart and lock the computer
- C.
Log off
- D.
Unplug the computer and monitor
- 5.When searching for a PCP number for a Humana MAPD, what resources should you use? (Check all that apply)
- A.
NPI Registry
- B.
Humana Physician Finder
- C.
Call the doctor’s office
- D.
Type in the doctor’s name and phone number in the notes if unable to find PCP
- 6.On a call with a customer, the fastest way to the client guide is through the SSC?
- A.
True
- B.
False
- 7.A non-preferred brand drug is identified as which tier level in most plans?
- A.
Tier 1
- B.
Tier 2
- C.
Tier 3
- D.
Tier 4
- 8.What function does Microsoft Outlook preform?
- A.
Timecard for pay
- B.
Instant message
- C.
Email
- D.
SSC time slots
- 9.What do you do as a BA? Choose all correct answers.
- A.
You are a licensed guide.
- B.
You provide biased recommendations to certain carriers in order to increase your sales commissions.
- C.
You make plan recommendations as quickly as possible in order to answer as many calls as you can.
- D.
Your position is to make this transition easy and simple for our customers
- 10.When someone refers to a Medicare Part A, what does that relate to?
- A.
Prescription coverage
- B.
Medical Coverage
- C.
Hospital coverage
- D.
Special needs coverage
- 11.If a customer notifies a carrier or Social Security of a permanent move outside the plan’s service area, how many months does he have to enroll into a different plan?
- A.
2 months
- B.
3 months
- C.
4 months
- D.
6 months
- 12.Where is the Rx Profiler located?
- A.
ADP
- B.
SSC
- C.
Empower
- D.
Microsoft Office
- 13.Which of the following descriptions would best describe a drug restriction?
- A.
Cost
- B.
Tier level
- C.
Non-network Pharmacy
- D.
Step therapy
- 14.Certain drugs are covered in some plans but not others. A customer demands to know why his drug is not covered. Which of the following would you tell the customer?
- A.
Some carriers cannot afford to cover the drug
- B.
Some carriers do not want the risk of providing the drug
- C.
The drug is not listed in the formulary
- D.
All of the above
- 15.You can always find the Clients contact number in the client guide?
- A.
True
- B.
False
- 16.Which section is not found in the client guide?
- A.
Mailers
- B.
Funding
- C.
Enrollment
- D.
Available plans
- 17.If you travel and need a Medicare Advantage Plan that offers coverage outside of the network, which plan would you choose?
- A.
GAP
- B.
HMO
- C.
PPO
- D.
PDP
- 18.OTC (over the counter) drugs are important to the health of a customer. It is important to collect this information so the customer will have a fair comparison of their total monthly drug cost.
- A.
True
- B.
False
- 19.It is required that a retiree attend a retiree meeting prior to enrolling in plans with OneExchange.
- A.
True
- B.
False
- 20.What step would you take if a drug is identified as non-covered?
- A.
Re-verify the drug with the customer
- B.
Check for the correct spelling of the drug
- C.
Check drug on Medicare.gov
- D.
All of the above
- 21.After it is pinned to the taskbar, the icon EH is a quick way to open what program?
- A.
ADP
- B.
SSC
- C.
Empower
- D.
Extend Health Information Center
- 22.Which of the following would be identified as a deductible for a PDP?
- A.
A standard amount you pay based on a tier level
- B.
A fixed amount that must be paid before the plan pays
- C.
A percentage of the cost that must be paid to the pharmacy
- D.
Deductibles for PDP are not required
- 23.Retirees must receive and complete the Getting Started Guide and the Enrollment Guide prior to enrolling in plans with One Exchange.
- A.
True
- B.
False
- 24.Most customers want to get the most coverage at a price they can afford. In this case, you should choose a gap plan because the customer does not have to pay the Part B premium with a gap plan.
- A.
True
- B.
False
- 25.The carrier guide can you help with all but what?
- A.
Find a doctor
- B.
Find a hospital
- C.
Find Value added benefits
- D.
Find quotable Premium
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