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Sonder Insurance Agent Exam
3 attempts, must make an 85% or more.
1
Information
2
Questions
Consent
(Required)
I understand and agree with the rules outlined above.
(Required)
Consent
(Required)
I attest to having reviewed the training Modules.
(Required)
Agent ID (NPN)
(Required)
First Name
(Required)
Last Name
(Required)
Phone
(Required)
Email
(Required)
In 2023, Sonder Health Plans is offering the following types of Medicare Advantage Prescription Drug (MAPD) Products?
(Required)
HMO and CSNP
PPFS
DSNP
PPO
Select the statement that best describes a feature of CSNPs.
(Required)
There is never a cost to the member when receiving care from a provider, even if the provider is out-of-network
CSNPs do not include prescription drug coverage, so a member may enroll in a stand-alone Prescription Drug Plan in addition to their C-SNP.
A member can see any participation Medicaid provider
CSNPs are network-based
In which of the following settings is a Scope of Appointment form NOT required to be collected?
(Required)
All of the above scenarios require a Scope of Appointment form be collected.
An unscheduled meeting with a beneficiary who arrives at an agent's office without an appointment and requests information
A one-on-one appointment occurring in the beneficiary's home
A formal marketing event that a beneficiary did not pre-register to attend
How long must an agent retain a Scope of Appointment?
(Required)
10 Days
10 Minutes
10 Hours
10 Years
In 2023, Sonder Health Plans is offering the following types of Medicare Advantage Prescription Drug (MAPD) Products?
(Required)
PPO
PPFS
HMO and CSNP
DSNP
Notification of events must be received to Sonder Health Plans prior to the event.
(Required)
True
False
Sonder Health Plans has plans in the following counties of Georgia:
(Required)
Cobb
Dekalb
Fulton
Gwinnett
All of the above
Enrollment application must be received by Sonder Health Plans no later than ___ calendar days(s) following receipt from the beneficiary.
(Required)
2
3
5
4
Sonder Health Plans have plans with a:
(Required)
$0 annual deductible
All of the above
$0 monthly plan premium
Silver&Fit health benefit
Marketing events are designed to:
(Required)
Help sign potential enrollees up for Medicare.
Educate people about Medicare.
Let current members know how much we appreciate them.
Steer potential enrollees toward a plan limited set of plans.
The Minimum Necessary Rule within the Privacy Rule requires that any request or distribution of PHI includes only the minimum amount of PHI required to complete the intended task. This includes email and physical distribution.
(Required)
True
False
Regular visits to a primary care provider (PCP) can decrease inpatient hospitalizations and ER visits.
(Required)
True
False
Which of the following statements about the Open Enrollment Period (OEP) election type is FALSE?
(Required)
Plan sponsors and agents may market the OEP to beneficiaries to boost sales after AEP has ended.
The OEP replaces the Medicare Advantage (MA) Disenrollment Period
Medicare Advantage (MA) enrollees can use the OEP to switch or disenroll from MA plans.
OEP runs from January 1 to March 31 each year.
For plan year 2023, all Sonder Health Plans have a $0 copay on Tier 1 prescriptions.
(Required)
True
False
Once a beneficiary is enrolled in an MA plan and has paid his plan-specific monthly premium, he no longer needs to pay his Part B premium.
(Required)
True
False
Mrs. Doe will turn 65 at the end of March and signed up for an MA plan in January during her Initial Coverage Election Period (ICEP). When will her coverage begin?
(Required)
On January 1
On March 1
On April 1
On February 1
Materials, websites and other beneficiary-facing content that include Sonder Health Plans product or benefit information must be submitted for review and CMS submission/approval prior to distribution.
(Required)
True
False
Steps to take when safeguarding and securing PHI and PII include:
(Required)
Shred documents that contain PHI or PII using appropriate means.
Never leave laptops, PHI or PII in an unattended vehicle.
Do not include PHI or PII in the subject line or body of an email.
All of the above
Silver&Fit is the fitness benefit for all Sonder Health Plans.
(Required)
True
False
Inquiries are not grievances, as they do not express dissatisfaction.
(Required)
True
False
When discussing prescription drug coverage, agents should:
(Required)
Explain how to use the formulary look up limitations and exclusions (e.g. step therapy, quantity limits)
Confirm coverage of the beneficiary's current and/or anticipated prescriptions.
Explain formulary tiers as well as drug co-payment amounts.
All of the above
What are the chronic conditions covered on the H1748-004 (HMO C-SNP) plan?
(Required)
Cardiovascular disorders
Asthma
Diabetes Mellitus
COPD
You may not discuss any products or plan lines of business not agreed to in advance by the beneficiary. Another SOA would need to be obtained if the conversation were to lead a discussion of another product or line of business (e.g. Prescription Drug Plan [PDP] vs. Medicare Advantage Prescription Drug Plan [MAPD]).
(Required)
True
False
A prospective beneficiary asks an agent if plan XYZ has an urgent care benefit and if so, what the benefit includes. Where would the agent find this information for plan XYZ.
(Required)
Summary of Benefits
Provider Directory
Evidence of Coverage
None of above
How many counties have Sonder added to the footprint for 2023?
(Required)
8
5
9
15
When agents explain plans, CMS expects them to provide a clear concise explanation of the drug benefit. You are presenting a Sonder health plan to Ms. Smith. Which document in required when explaining the drug benefit?
(Required)
The CMS Medicare & You Handbook
The plan Summary of Benefits booklet
The enrollment application
The drug benefit information on the plan STAR rating sheet
Which of the following are plans offered by Sonder Health Plans for beneficiaries that have special needs?
(Required)
CSNP
DSNP
BSNP
ASNP
Penalties and sanctions for HIPAA privacy violations potentially include:
(Required)
Fines and possible imprisonment
Up to 50% reduction of all commissions
A handwritten letter of apology to the member
A transfer to another department
Which of the following forms of PHI is covered under HIPAA?
(Required)
Printed information and information contained on a computer hard drive
Oral, handwritten, printed and information contained on a computer hard drive.
Only handwritten information
Oral, handwritten and printed information
During appointments, sales agents/brokers can discuss non-health related products, such as life insurance and annuities?
(Required)
True
False
What are the chronic conditions covered on the H1748-003 (HMO C-SNP) plan?
(Required)
Diabetes Mellitus
COPD
Asthma
Cardiovascular disorders
Δ
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