2023 Mass Advantage Agent Certification
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Month
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Day
Year
Date
Agent Name
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First Name
Last Name
Agency (if applicable)
NPN
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Email
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example@example.com
1. What is the cost of a Tier 2 Generic 90 day prescription for a Mass Advantage HMO Basic member?
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a. $6
b. $8
c. $12
d. $4
2. Mass Advantage HMO Plus members receive an OTC card with a quarterly balance in the amount of?
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a. $100
b. $50
c. $75
d. $125
3. Mass Advantage plan benefits can change every year. When can we talk with prospects about these changes?
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a. October 1st
b. October 15th
c. September 15th
d. September 1st
4. Please select all of the following that would count towards the MOOP?
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a. Dental Benefits
b. Emergency Room Copay
c. Prescription Drugs
d. Vision Benefits
e. Premium
f. Hospital Copay
g. Doctor's Copay
5. Annual Enrollment Period (AEP) starts October 15th, and ends on?
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a. December 7th
b. December 15th
c. December 31st
d. January 1st
6. What are the eligibility requirements to be able to join a Mass Advantage plan? (Select all that apply)
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a. Enrolled in Medicare Part D
b. Does not have End Stage Renal Disease (ESRD)
c. Enrolled in Medicare Part A
d. Have Medicaid
e. Have an election period
f. Lives in Worcester County in Massachusetts
g. Enrolled in Medicare Part B
7. What two states are included in Mass Advantage SnowBird Network?
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a. Arizona and Texas
b. Florida and Alabama
c. Florida and Arizona
d. Alabama and Texas
8. Mrs. Smith will turn 65 on March 15th and signed up for an MA plan in January during her Initial Coverage Election Period (ICEP). When will her MA coverage begin?
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a. February 1st
b. March 1st
c. April 1st
d. May 1st
9. A plan may end a beneficiary’s membership if:
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a. The enrollee moves out of the plan's service area
b. The enrollee loses Medicare Part B entitlement
c. The enrollee is not lawfully present in the United States
d. All of the above
10. A beneficiary enrolled in the Mass Advantage Premiere (PPO) plan tells you that they want to see a specialist, you should tell them:
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a. You do not need a referral from your primary care physician (PCP) to see a specialist
b. Call and make the appointment
c. You do not need to see a specialist
d. All of the above
11. Mass Advantage Flex Card is only included with the HMO plans
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a. True
b. False
12. Which prescription drug tiers are subject to the deductible on Mass Advantage plans?
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a. Tier 3
b. Tier 4
c. Tier 5
d. All of the above
13. Which Mass Advantage plan does not offer the Parking benefit for members with chronic conditions?
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a. Mass Advantage Premier PPO
b. Mass Advantage Basic HMO
c. Mass Advantage Plus HMO
d. All of the above
14. Mr. Johnson’s Medicare Part A coverage began on 3/1/2023 and his Part B Coverage began on 5/1/2023. Mr. Johnson is eligible to enroll under “New to Medicare SEP” effective 6/1/2023.
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a. True
b. False
15. Prior to writing any business for Mass Advantage, agents must:
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a. Be licensed in the state of Massachusetts
b. Carry an errors and omissions policy
c. Complete most recent version of AHIP and the Mass Advantage Certification
d. All of the above
16. Effective October 1, 2022 all beneficiary calls must be recorded and stored on a secure drive for 10 years.
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a. True
b. False
17. CMS agent call recording disclaimer must be read within the first ____ unless you offer every plan in the service area.
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a. 5 Minutes
b. 2 Minutes
c. 1 Minutes
d. 3 Minutes
18. Mass Advantage offers Value Based Enrollment
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a. True
b. False
19. In Person Appointments must be recorded based off the regulations surrounding the new CMS guidance effective October 1, 2022
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a. True
b. False
20. All Mass Advantage Members qualify for 2023 Parking Benefit regardless of health status
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a. True
b. False
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