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2022 Ethics and Compliance Test UHC EXAM QUESTIONS AND CORRECT ANSWERS.
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2022 Ethics and Compliance Test UHC EXAM QUESTIONS AND CORRECT ANSWERS.
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2022 Ethics and Compliance Test UHC EXAM QUESTIONSAND CORRECT ANSWERS
A
gent .John .is .planning .to .conduct .a .series .of .events. .Some .will .be .strictly .educational, .others .will .be .
formal .presentations .of .specific .UnitedHealthcare .plans, .and .others .will .be .informal .marketing .event
s .where .he .can .generate .leads .and .schedule .future .in-
home .marketing .appointments. .Of .the .three .types .of .events .John .plans .to .conduct, .which .need .to .
be .reported .to .UnitedHealthcare? .- .(correct .answer) .-
Only .the .marketing/sales .events, .both .formal .and .informal.
Whose .email .address .may .the .agent .enter .into .the .LEAN .enrollment .application? .- .
(correct .answer) .-Only .the .consumer's .email .(or .leave .it .blank).
Annual .Election .Period .(AEP) .is .a .time .when: .- .(correct .answer) .-
Consumers .can .elect .to .join .a .Medicare .Advantage .Plan .or .switch .to .a .different .plan.
Which .of .the .following .materials .is .an .agent .NOT .permitted .to .display
.and/or .distribute .at .a .marketing/sales .event? .- .(correct .answer) .-5-dollar .gift .cards .to .an .in-network
.pharmacy.
Rina, .a .consumer, .has .requested .an .appointment .with .Connor, .an .agent, .to .discuss .DSNPs. .Prior .to .
the .appointment .Rina .completed .a .Scope .of .Appointment .
(SOA) .form. .On .the .day .of .the .appointment, .Rina .brings .her .friend .Shelley, .who .is .Medicare-eligible,
.to .the .meeting. .Shelley .also .wants .to .talk .about .DSNPs. .What .should .Connor .do .when .he .sees .both
.Rina .and .Shelley .at .the .appointment? .- .(correct .answer) .-
Ask .Shelley .to .complete .an .SOA .before .the .start .of .the .meeting.
Which .describes .the .purpose .of .educational .events? .- .(correct .answer) .-
Educational .events .provide .objective .information .about .the .Medicare .program
.and/or .health .improvement .and .wellness.
Which .of .the .following .describes .Permission .to .Contact .guidelines? .- .(correct .answer) .-
It .is .method .specific .(e.g., .telephone, .email), .short .term .
(i.e., .expires .when .contact .is .made), .and .event .specific .(i.e., .limited .to .the .products .identified).
, Agent .Ralph .wants .to .market .Medicare .Advantage .Plans .in .his .neighborhood .- .an .area .that .consists .
of .single-
family .houses, .an .assisted .living .facility, .a .church, .and .public .library. .Which .of .the .following .method
s .of .contact .is .permitted? .- .(correct .answer) .-
Ralph .sends .a .flyer .inviting .consumers .to .a .marketing/sales .event .to .each .resident .via .postal .mail.
An .individual .with .Power .of .Attorney .is .an .example .of .what .authority? .- .(correct .answer) .-
Legal .authority .under .state .law .to .act .on .behalf .of .another .individual.
Which .of .the .following .is .not .considered .unsolicited .contact .with .a .Medicare .eligible .consumer .acco
rding .to .CMS .regulations .and .UnitedHealthcare's .rules, .policies, .and .procedures? .- .(correct .answer) .-
Mailing .a .marketing .brochure .to .the .consumer .via .postal .mail.
Agent .Jacob .learns .that .Emily, .the .consumer .with .whom .he .is .meeting, .is .the .authorized .legal .repre
sentative .for .her .father. .What .must .Jacob .explain .to .Emily .when .completing .an .Enrollment .Applicati
on .for .her .father? .- .(correct .answer) .-
(WRONG)Jacob .must .explain .that .Emily .will .sign .the .Enrollment .Application .and .must .be .able .to .pro
vide .documentation .UPON .REQUEST .by .the .Plan .that .indicates .her .legal .authority .to .enroll .her .fath
er.
Which .of .the .following .must .you .not .do .when .marketing .UnitedHealthcare .Medicare .Advantage .or .
Prescription .Drug .Plans .to .consumers? .- .(correct .answer) .-
Provide .only .those .items .from .the .plan's .Enrollment .Guide .that .are .most .relevant .to .the .consumer's
.situation.
As .an .agent, .you .have .an .obligation .to .only .enroll .a .consumer .in .a .product: .- .(correct .answer) .-That
.is .suitable .for .the .consumer's .needs, .goals .and .financial .resources
Which .of .the .following .statements .is .true .about .the .Statement .of .Understanding? .- .(correct .answer)
.-It .ensures .when .the .consumer .signs .the .Medicare .Advantage .and/or .Part .D .Enrollment .Application,
.they .are .acknowledging .their .understanding .they .are .actually .enrolling, .in .which .plan .they .are .enrol
ling, .and .standard .disclosures.
What .is .the .definition .of .Waste? .- .(correct .answer) .-
(WRONG)Waste .includes .any .practice .that .results .in .the .provision .of .services .that .are .not .medically .
necessary.
Which .of .the .items .listed .are .examples .of .Fraud, .Waste, .and .Abuse .(FWA)? .(Select .3) .- .
(correct .answer) .-Submitting .claims .for .services .or .supplies .that .were .never .provided.
&
Billing .for .brand .name .drugs .when .generics .were .dispensed.
&
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