Aetna Complete Package Deal With Verified Study Solutions Rated A+

Plan performance summary ratings are issued in October and reflect the previous plan contract year. Therefore, enrollment kits fulfilled prior to November will reflect the previous year's star rating. After release, you should download the updated star ratings sheet from the SilverScript Agent Po...

A conflict of interest may arise when personal interests or activities appear to improperly influence our ability to act in the best interests of the company. Any potential conflict of interest should be reported immediately. - True If submitted after the first month of eligibility, the effective...

Producers may only use CMS and Aetna-approved marketing materials that have been created by our marketing team, approved by us and filed with CMS by us when discussing Aetna Individual Medicare plans. - True You are prohibited from soliciting referral clients through cold calling, door-to-door vi...

Aetna Medicare Case Management has teams of registered nurses, social workers, behavioral health professionals, and pharmacists who help members navigate the health care system and access services. - True What is a Special Needs Plan (SNP)? - All of the above or A type of Medicare Advantage Pres...

There are three ways to verify your ready-to-sell status. - True Producers may only use CMS and Aetna-approved marketing materials that have been created by our marketing team, approved by us, and filed with CMS by us when discussing Aetna Individual Medicare plans. - True Agent Oversight routin...

A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard pharmacy. True or False - True A) A type of MAPD plan designed to provide targeted care and services to individuals with specific needs. B) A MA plan that tailors benefits, provider choices and dru...

Each pharmacy component of an MAPD plan consists of a formulary, a pharmacy network and benefit designs (cost sharing and tier structure). Select one: True False - True What is a Special Needs Plan (SNP)? a.A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits...

HNO (HMO on ACAS) QPOS & HMO - -Nicknames: QPOS/HMO - PCP uses CAP ID and not PIN -PCP Required: Yes -Referrals Required: Yes -Levels of Benefits: QPOS - 2 ; HMO - 1 -Network: MHMO open choice / PPO - - Nicknames: OC; PPO -PCP Required: No -Referrals Required: No -Levels of Benefits: 2 -Net...

Any time you see or suspect a violation of our Code, the law or our policies, you must report it. Ways to report your concerns include: - Calling the Ethics Hotline Emailing Medicare Compliance directly Discussing the issue with your manager Once submitted, who can cancel an enrollment applicati...