2014 - Ba - Readiness Quiz Final - Ga/Df

50 Questions | Total Attempts: 1737

SettingsSettingsSettings
Please wait...
2014 - Ba - Readiness Quiz Final - Ga/Df

Questions and Answers
  • 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

Back to Top Back to top