Humana Test Questions | 91 Questions with 100% Correct Answers
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Course
Humana
Institution
KAPLAN UNIVERSITY
What are the dates for the SEP for Non-Renewal? - December 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? - Asking the beneficiary to consult with their doctor or pharmacis...
humana test questions | 91 questions with 100 correct answers
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Humana Test Questions | 91 Questions with 100% Correct Answers
What are the dates for the SEP for Non-Renewal? Correct Answer: December 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? Correct Answer: Asking 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 Correct Answer: The 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... Correct Answer: stand-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. Correct Answer: The 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? Correct Answer: ICEP
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?
Correct Answer: The Agent
What is the purpose of the Non-Discrimination notice that is included in many of Humana`s
marketing materials? Correct Answer: To 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 Correct Answer: Make 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? Correct Answer: Because 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?
Correct Answer: The 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? Correct Answer: AEP,
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? Correct Answer: Use 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? Correct Answer: Provider
Highlighting
To be compliant with state and local regulations, what change could Humana Pharmacy
members see to their prescription costs? Correct Answer: Taxes 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? Correct Answer: Use 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? Correct Answer: It 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? Correct
Answer: No, 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? Correct Answer: Initial 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? Correct Answer: No, 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.
Jim is eligible to join a Medicare Advantage plan without drug coverage for the first time. What
enrollment period will he use? Correct Answer: Initial Coverage Election Period
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