SOA and Key words
What is the main reason for getting a signed SOA?
A) To document what the beneficiary agrees to discuss
B) To verify the agent’s license
C) To collect payment information
D) To record call length
A) To document what the beneficiary agrees to discuss
Which is required at the start of a sales call?
A) State your name, who you are and the company you work for
B) Ask for a credit card
C) Guarantee plan savings
D) Recommend the “best” plan
A) State your name, who you are and the company you work for
Which is compliant when promoting a Medicare plan?
A) Providing educational materials about plan types
B) Promising gifts for enrollment
C) Claiming a plan is “free” without explanation
D) Saying a plan is “the best” for everyone
A) Providing educational materials about plan types
When can a beneficiary enroll in Medicare Advantage during AEP?
A) Jan 1 – Mar 31
B) Oct 15 – Dec 7
C) May 1 – Jun 30
D) Anytime
B) Oct 15 – Dec 7
Which is considered a prohibited practice on a sales call?
A) Reviewing plan star ratings
B) Pressuring a client to enroll immediately
C) Comparing formularies
D) Reviewing copays and deductibles
B) Pressuring a client to enroll immediately
Which of these is required to be documented in the SOA?
A) The products the beneficiary wants to discuss
B) The agent’s favorite plan
C) Client’s prescription list
D) The next call time
A) The products the beneficiary wants to discuss
True or False: Agents must disclose if they don’t offer every plan in the area
True
True or False: You can use personal anecdotes to steer a client to a particular plan.
False
Which is required to complete enrollment?
A) Social Security Number
B) Medicare Beneficiary Identifier (MBI)
C) A signature from a witness
D) Agent NPN only
B) Medicare Beneficiary Identifier (MBI)
Which phrase indicates steering?
A) “I can show you plans that match your prescriptions and doctors.”
B) “Pick this plan because it pays me more.”
C) “Let’s compare options and see what fits your needs.”
D) “Here’s a list of all available plans we represent.”
B) “Pick this plan because it pays me more.”
True or False: You may verbally add additional products to the SOA after it’s signed without documenting a new SOA.
False
Which is a compliant statement about plan coverage?
A) “This plan covers all your needs, guaranteed.”
B) “This plan may cover the services you need; we can review it together.”
C) “You’ll never pay out-of-pocket costs with this plan.”
D) “This is the only plan that works.”
B) “This plan may cover the services you need; we can review it together.”
Which phrase is compliant for describing a $0 premium plan?
A) “This plan is free.”
B) “This plan has a $0 premium, but costs may apply when using benefits.”
C) “Sign up today and pay nothing.”
D) “You’ll save the most money with this plan.
B) “This plan has a $0 premium, but costs may apply when using benefits.”
True or False: You can enroll a beneficiary without consent if they were previously interested.
False
True or False: Threatening a client with loss of benefits is compliant.
False
Which of the following is a compliant use of the word “best” during a Medicare sales call?
A) “This is the best plan for everyone in your county.” B)“I think this is the best option for you personally.”
C)“According to CMS data, this plan has the best star rating in your county.”
D)“You’ll get the best savings if you sign up today.”
C)“According to CMS data, this plan has the best star rating in your county.”
What is the correct way to disclose plan compensation?
A) “I may earn a commission if you enroll in this plan.”
B) “I’ll get paid more if you pick this plan.”
C) “I don’t get paid, so you can trust me.”
D) “My income depends on this sale.”
A) “I may earn a commission if you enroll in this plan.”
Which marketing practice is prohibited?
A) Hosting an educational event with brochures
B) Comparing plan copays and deductibles
C) Offering meals over $15 to attend a presentation
D) Explaining network restrictions
C) Offering meals over $15 to attend a presentation
Which of the following statements is compliant when describing a Medicare plan with no monthly premium?
a)“This plan is completely free, you won’t pay anything ever.”
b)“This plan has a $0 premium, but you may still have other costs like copays or deductibles"
c)“You get everything free with this plan, no questions asked.”
d)“This is the best free plan for you.”
b)“This plan has a $0 premium, but you may still have other costs like copays or deductibles"
Which of the following is compliant if a client says, “I think this is a scam”?
A) “No, it’s not a scam, trust me.”
B) “Let me explain who I am, who I represent, and that the call is recorded for your protection.”
C) “Don’t worry, scams happen but not here.”
D) Ignore the concern and continue
B) “Let me explain who I am, who I represent, and that the call is recorded for your protection.”
How long must SOAs be retained by an agent or agency?
A) 6 months
B) 1 year
C) 3 years
D) 10 years
D) 10 years
True or False: Agents must disclose if a plan has a provider network before enrollment.
True
Which of these is a compliant way to refer to plan popularity?
A) “Most people pick this plan, so you should too.”
B) “Many of our clients have chosen this plan; we can see if it fits your needs.”
C) “This is the most popular plan, guaranteed to be the best.”
D) “This plan is trending, so enroll today.”
B) “Many of our clients have chosen this plan; we can see if it fits your needs.”
Which is NOT a valid reason for an SEP that an agent can use?
A) Moving out of service area
B) Gaining Medicaid eligibility
C) Client's doctor is not in network
D) Losing other creditable coverage
C) Client's doctor is not in network
Which action is prohibited for all Medicare sales agents?
A) Offering educational materials
B) Using approved plan comparison tools
C) Misrepresenting plan benefits or costs
D) Asking about a client’s doctors
C) Misrepresenting plan benefits or costs