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You will have two hours to complete both this assessment and the Using Resources assessment.
Both assessments are open book. (Manual, speedsheets, notes, system tools)
You will need to score 84% to pass this assessment. This will allow you to miss up to four questions. The same criteria will apply See moreto the Using Resources assessment.
Work alone. If you have a question, please raise your hand and the trainer will assist you.
Once you finish, raise your hand so the trainer can record your score. After you score is recorded, begin the second assessment.
Premium Cost Plan
Primary Care Physician
Prior Cost Plan
Prescription Cost Plan
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Hospital
Medical
Prescription Drugs
All of the above
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Vision, Dental, MAPD
Dental, Medigap, PDP
Vision, Dental, Medigap, PDP
All of the above apply
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Social Security Number
Driver’s License Number
Health Insurance Claim Number (HICN)
All of the above
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Customer pays the plan premium to insurance company; insurance company forwards receipt of the payment to OneExchange; OneExchange forwards receipt of payment to the Funding Department, and the Funding Department reimburses the customer.
Customer fills out a claim form to be refunded for all premiums.
Customer calls the Funding Department, and they send the money electronically.
All of the above
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True
False
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4 months before, the month of, and 2 months after 65th birthday
3 months before, the month of, and 3 months after 65th birthday
6 months before 65th birthday
None of the above
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Yes
No
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Medicare Advantage with Prescription Drug Plan
Medicare Advantage Plan
Prescription Drug Plan
All of the above
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Initial Conversion Election Period
Initial Coverage Election Period
Initial Coverage Enrollment Period
None of the above
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True
False
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I am new to Medicare.
I am losing group coverage.
I have a disability.
None of the above
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12/01/2014
11/01/2014
12/31/2014
None of the above
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12/01/2014
11/01/2014
12/31/2014
None of the above
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Medicare Part B
Medicare Part D
OneExchange
None of the above
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I have moved from another state.
I am losing group coverage.
I am new to Medicare.
None of the above
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Special Enforcement Personnel
Special Enrollment Period
Special Election Period
Both B and C
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Light Emitting Cathode
Losing Employer Coverage
Losing Employer Compensation
Losing Executive Consideration
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True
False
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True
False
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1 month before loss of coverage
63 days before loss of coverage
3 months before loss of coverage
Upon notification of the loss of coverage
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ICEP (Age-in)
SEP-LTC
SEP-LEC
SEP-MOV
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After the plan has gone into effect
2 months after loss of coverage
30 days after loss of coverage
A and B
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Medicare Advantage with prescription drug coverage (MAPD)
Medicare Advantage (MA)
Medicare Part D (PDP)
All of the above
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End Stage Renal Disease
Disability
Because they asked Medicare nicely
A & B
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Wherever they are when you are speaking to them
The address Medicare/IRS has as their permanent address
The address AARP has on file
Their Approved (HIPAA) Representative’s address
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Let either of them answer any question because, in the eyes of the law, they are the same person for this call
Address only the POA since the customer is too old to understand any of this anyway
Address only the customer and ignore the POA because they don’t need to be there if the customer doesn’t need help
Treat the POA as a HIPAA Representative; do not complete the POA section of the application; take the voice signature from the customer.
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The application is perfectly uncomplicated and nothing bad will happen.
The application guide was not followed, and the application will need to be corrected before you submit it.
The customer knows what the answers should be, so they know what will happen if they don’t get it right.
The customer will be arrested for fraud because not all the answers can be “NO.”
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November 15 – December 15
January 1 – March 31
October 15 – December 7
None of the above
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Health Maintenance Organization
Health Management Organization
Holistic Medicine Organization
Happy Management Organization
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Health Reimbursement Arrangement (HRA) or Funding
Co-Payment
Deductible
Rationing
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Health Insurance Patient and Accountability Act
Health Insurance Portability and Accountability Act
Health Insurance Plan and Accountability Act
None of the above
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Full Name, Date of Birth, Zip Code, & Gender
Full Name, Last 4 of Social Security Number, Date of Birth, & Phone Number
Full Name, Date of Birth, Address, & Zip Code
A & C
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True
False
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The son & daughter-in-law
The son, Mr. Smith, & Mrs. Smith
The son, daughter-in-law, & Mr. Smith
None of the above
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Verify Mr. Smith’s number
Trust that the BA verified the number
Verify Mrs. Smith’s number
A & C
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When you feel like it
Always
When you don’t know the answer on the application
All of the above
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True
False
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True
False
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SEP-LEC
ICEP
AEP
None of the above
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Within 3-5 business days of making the payment
On the effective date
Within 2-3 months of the effective date of the plan
As soon as they submit the claim
Yes
No
Only after you authorize them as a HIPAA
Only if the customer listened to the disclaimer
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True
False
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True
False
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Checking account numbers are at the bottom left. Routing numbers are to the right.
Routing numbers are on the bottom left. Checking account numbers are to the right.
It changes, depending on the type of bank (Bank vs. Credit Union)
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True
False
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Was not able to complete applications
Not buying from OneExchange
They just hung up
Call Interrupted–Wait for Customer Call Back
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Tell them to call AARP directly, then call us back
Tell them, “That’s not the way it works!”
Tell them, “We cannot accept checks.”
Do a 3-way call with AARP and the customer.
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