UHC 2024 Fast Track Assessment exam with complete verified solutions.

Which of the following is a correct statement about in-network provider services? HMO Plans cover only in-network services. In most cases, members pay the full cost of any out-of-network services received, with a few important exceptions. Which of the following are eligibility requirements for enrollment in a Medicare Advantage (MA) Plan? (Select 3) Resides in the plan's service area Is enrolled in Medicare Part B Is entitled to Medicare Part A Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen Which statement is true about the Medicare Advantage (MA) Out-of-Pocket Maximum? All MA plans have an Out-of-Pocket Maximum to help limit the member's out-of-pocket costs for Medicare-covered medical services. Which of the following best describes eligibility to enroll in a stand-alone Prescription Drug Plan? Entitled to Part A and/or enrolled in Part B and reside in the plan service area. Which of the following statements is NOT true about the Coverage Gap? All members reach the Coverage Gap Which of the following is a characteristics of a drug tier? All of the drugs in the tier have the same copayment or coinsurance. Which of these statements is true about the drug utilization management (UM) rules? Prior authorization, quantity limit, and step therapy are some examples of the UM rules. A consumer may have to pay a Late Enrollment Penalty (LEP) if they did NOT enroll in a Medicare Advantage plan with Part D benefits or stand-alone prescription drug plan when they were first eligible for Medicare Parts A and/or B or went without creditable prescription drug coverage for ______________. 63 or more continuous days How does a consumer who qualifies for Low Income Subsidy receive financial assistance for their part of Medicare Part D costs? Through subsidies such as lower or no monthly plan premiums and lower or no copayments When does Medicare Supplement Open Enrollment take place? During the first six months a consumer is 65 or older and enrolled in Medicare Part B. When is a Medicare Supplement Insurance consumer subject to underwriting and screened for eligibility? When the consumer is not in their Medicare Supplement Open Enrollment or does not meet Guaranteed Issue criteria. Which of the following statements is true about election periods? MA Open Enrollment Period can only be used by a consumer already enrolled in an MA Plan. Which statement regarding Star Ratings is true? Medicare uses a 5-star rating system to illustrate a plan's performance and quality. Which of the following describes Permission to Contact (PTC) guidelines? Contact can only be made by the method(s) requested by the consumer and the agent can only market the product(s) indicated by the consumer. Which of the following are examples of what an agent must review with a consumer prior to completing an enrollment application? The plan's network characteristics and how using out-of-network providers may impact coverage and costs, covered benefits and limitations, and plan related costs such as monthly premium and copayments/coinsurance for services received. What is the purpose of the Statement of Understanding? It ensures that when consumers complete the Medicare Advantage and/or Part D Enrollment Application, they are acknowledging their understanding that they are actually enrolling, in which plan they are enrolling, and standard disclosures. What is Scope of Appointment? The agreement obtained from the consumer that identifies the scope of products that can be discussed at a personal/individual marketing appointment (in-person or telephonic) To complete an Enrollment Application on behalf of a consumer, what authority must the individual have? The individual must be legally authorized in the state in which the consumer resides to act on behalf of the consumer (e.g., Power of Attorney). Select the option that describes the coverage combinations a member can be enrolled in at the same time. MA-Only PFFS plan and a stand-alone PDP In which situation will a member be involuntarily disenrolled from their MA plan? The member lost entitlement to either Medicare Part A or Part B. Which of the following is true about UnitedHealthcare Medicare plans carrying the AARP name? AARP does not endorse any UnitedHealthcare MA and PDP plans but does endorse the AARP Medicare Supplement Insurance Plans. What type of event is an agent conducting when they present plan information that includes benefits and cost sharing in an audience-presenter format? Formal marketing/sales event Which of the following must be provided upon reasonable consumer request? A sign language interpreter at formal marketing/sales events only From the following options, select the THREE actions an agent must take when they need to cancel a reported formal marketing/sales event that was supposed to occur in three weeks. Note: The only advertising was a flyer posted at the event venue. (Select 3) Notify any consumers who RSVP'd and document all notification steps taken. Submit a CANCEL Event Form to UnitedHealthcare. Remove the event advertisement posted at the venue and replace it with a cancellation notification. Which of the following is a compliant activity at an educational event? Display and collect lead cards Which of the following TWO statements are true related to offering food items at events? (Select 2) Meals may be offered at educational events, provided the retail value of the meal in combination with all other giveaways (e.g., pen and tote bag) does not exceed $15 on a per person basis. Light refreshments may be offered at marketing/sales events, provided that, when bundled, they do not constitute a meal, and the retail value of the refreshments in combination with all other giveaways (e.g., refrigerator magnet and pill box) does not exceed $15 on a per person basis. Which of the following activities is a provider participating in an agent's marketing/sales event permitted to do? Speak about and/or provide general health-related education information to consumers.