Exam (elaborations)
2024 Ethics and Compliance Assessment UHC EXAM QUESTIONS AND CORRECT ANSWERS.
Course
UHC ETHICS AND COMPLIANCE
Institution
UHC ETHICS AND COMPLIANCE
2024 Ethics and Compliance Assessment UHC EXAM QUESTIONS AND CORRECT ANSWERS.
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UHC ETHICS AND COMPLIANCE
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UHC ETHICS AND COMPLIANCE
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2024 Ethics and Compliance Assessment UHC EXAM
QUESTIONS AND CORRECT ANSWERS
Cynthia .is .turning .65 .on .July .5. .Her .Medicare .Part .A .and .Part .B .will .be .effective .on .July .1. .Using .
her .Initial .Election .Period .
(IEP), .when .can .she .submit .an .application .for .a .Medicare .Advantage .or .Prescription .Drug .plan? .- .
(correct .answer) .-April .1 .through .October .31
Which .of .the .following .statements .is .true .about .using .a .five .star .special .enrollment .period .
(SEP)? .- .(correct .answer) .-
It .can .be .used .once .from .December .8 .through .November .30 .and .coverage .will .start .the .first .of .th
e .month .following .recipient .of .the .enrollment .application
Which .statement .regarding .star .ratings .is .true .- .(correct .answer) .-
Medicare .uses .a .five .star .rating .system .to .illustrate .the .plans .performance .and .quality
In .which .of .the .following .situations .can .a .telephonic .contract .be .made .with .a .Medicare .eligible .co
nsumer? .- .(correct .answer) .-
When .the .consumer .consented .to .be .contracted .for .sales .activities, .and .the .permission .has .not .ye
t .expired
What .information .should .be .obtained .from .the .consumer .when .conducting .a .thorough .needs .asses
sment? .(Select .2) .- .(correct .answer) .-
• .their .current .health .care .coverage, .including .what .they .like .about .it, .and .what .they .don't
• .the .providers .they .see .in .medication .they .take .to .determine .network .and .formulary .status
Will .using .LEAN .to .complete .an .enrollment .application .with .the .consumer .agent .Jeff .learns .the .co
nsumer .does .not .have .an .email .address. .What .should .Jeff .do? .- .(correct .answer) .-
The .consumer/member .would .not .receive .plan .related, .corresponds, .intent .for .him/her
, What .is .the .purpose .of .the .statement .of .understanding? .- .(correct .answer) .-
It .ensures .that .when .consumers .complete .the .Medicare .Advantage
.and/or .Part .D .Enrollment .Application, .they .are .acknowledging .their .understanding .that .they .are .ac
tually .enrolling, .in .which .plan .they .are .enrolling, .and .standard .disclosures.
What .is .scope .of .appointment? .- .(correct .answer) .-
The .agreement .obtained .from .the .consumer .to .that .identifies .the .scope .of .products .that .can .be .d
iscussed .at .a .personal/individual .marketing .appointment
Which .statement .is .accurate .when .a .consumer .has .a .power .of .authority .(POA) .- .(correct .answer) .-
If .the .POA .signed .the .enrollment .application, .they .must .be .able .to .provide .documentation .upon .r
equest .for .the .plan .that .indicates .authority .under .state .law .to .enroll .the .consumer
What .happens .on .the .plan .effective .date .when .a .member .enrolled .in .a .Medicare .supplement .insu
rance .plan .and .standalone .PDP .enroll .in .a .Medicare .vantage .plan .that .includes .drug .coverage .- .
(correct .answer) .-Automatic .disenrollment .from .the .standalone .PDP
In .which .situation, .MAY .the .Medicare .advantage .
(MA) .organization .decide .to .disenroll .a .member .from .an .MA .plan? .- .(correct .answer) .-
Premiums .are .not .paid .on .a .timely .basis
Dennis .a .consumer .is .currently .enrolled .in .the .original .Medicare, .plus .a .Medicare .supplement .plan
. .His .current .plan .is .suitable .for .his .Medicare .needs, .but .he .would .like .to .add .prescription .drug .co
verage .only .since .Dennis .wants .to .keep .his .current .coverage .which .option .is .available .to .Dennis .
(assuming .he .is .in .a .valid .election .period)? .- .(correct .answer) .-
Dennis .should .stay .enrolled .in .original .Medicare .and .his .Medicare .supplement .plan .and .enroll .in .a
.standalone .PDP
In .what .product .should .agents .and .roll .consumers? .- .(correct .answer) .-
A .product .that .is .suitable .for .the .consumers .needs, .goals .and .financial .resources