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SilverScript 2019 Certification Answers


AHIP2019
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Agents need to act in a manner consistent with the SilverScript Code of Conduct. The SilverScript Code of Conduct is available for viewing/download via the SilverScript Agent Portal’s Reference Material tab.
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The date the agent receives the application is the official Application Date. CMS does not consider the date the member signed/completed the application.
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The SilverScript Choice PDP formulary is NOT the same as the SilverScript Plus PDP and SilverScript Allure PDP formulary in 2019.
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Agents MUST communicate the pricing tool disclaimer to prospects and clients. The disclaimers for SilverScript's Drug Lookup & Pricing tool appear at bottom of the pricing tool pages.
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Your client will never receive a letter from SilverScript requesting proof of  Creditable Coverage if you or your client have already submitted proof of creditable coverage with the enrollment application.
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In 2019, SilverScript Choice PDP only utilizes a standard pharmacy network. There are no preferred pharmacies.
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SilverScript will NOT perform data entry on behalf of the agent.
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Plan performance summary ratings are issued in October and reflect the previous plan contract year. Enrollment kits fulfilled prior to November will reflect the previous year's star rating. SilverScript will insert the updated star ratings sheet into the enrollment kits once the new ratings are released. SilverScript will post an announcement on the SilverScript Agent Portal when new Star Ratings are released. You should download the updated star ratings sheet from the SilverScript Agent Portal, print copies of the updated document and replace the form that is in the kits you have in your office supply to ensure you distributed current information to your prospects.
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Plan sponsors may engage in discriminatory practices.
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The pricing tools on Medicare, SilverScript, and most third-party websites reflect retail and mail network pricing. A pharmacy can also participate in a long term care (LTC) network. The costs displayed on most pricing tools will typically be different than what your clients in a long term care facility will be charged. Be certain to inform your clients that your estimates are based on retail and/or mail pharmacies and not LTC pharmacies.
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CMS has eliminated the requirement to obtain a scope of appointment.
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If a member is assessed a Part D Income Related Monthly Adjustment Amount (Part D-IRMAA), the member will be notified by the Social Security Administration.  Part D-IRMAA is not paid to SilverScript.
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Mail service is not available for any SilverScript PDP.
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SilverScript PDPs will be supported by two plan-specific pharmacy networks in 2019.
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The SilverScript Plus PDP offers extra gap coverage for Tier 1 and Tier 2 medications.
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The SilverScript Choice retail pharmacy network is identical to the SilverScript Plus/Allure retail pharmacy network.
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the member will pay whichever is lower the tiered copay or Silverscript negotiated price.
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SilverScript Insurance Company is a CVS Health company.
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SilverScript members can pay the monthly plan premium (including any late enrollment penalty) by mail, automatic bank draft withdrawal, automatic deduction from monthly Railroad Retirement Board check, automatic deduction from Social Security benefit check, or credit card.
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The SilverScript Agent Portal functionality allows agents to view enrollment status and enrollment reports.
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