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UHC ETHICS AND COMPLIANCE EXAM 2024/2025 WITH 100 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (100% CORRECT VERIFIED ANSWERS) UNITED HEALTHCARE ETHICS & COMPLIANCE TEST (NEWEST!!)$29.99
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UHC ETHICS AND COMPLIANCE EXAM 2024/2025 WITH 100 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (100% CORRECT VERIFIED ANSWERS) UNITED HEALTHCARE ETHICS & COMPLIANCE TEST (NEWEST!!)
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Course
UHC ethics and compliance
Institution
UHC Ethics And Compliance
UHC ETHICS AND COMPLIANCE EXAM 2024/2025 WITH 100 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (100% CORRECT VERIFIED ANSWERS) UNITED HEALTHCARE ETHICS & COMPLIANCE TEST (NEWEST!!)
UHC ETHICS AND COMPLIANCE TEST QUESTIONS AND 100%
CORRECT ANSWERS
to schedule a sign language interpreter for a formal marketing/sales event or a
personal/individual marketing appointment, enter the consumer's request direct;y in
bconnected at least? - CORRECT ANSWER 14 days prior to the event or appointment
What are marketing materials used for? - CORRECT ANSWER 1) draw attention to a
plan sponsor or their plan(s) and
2) influence a consumer's decision when selecting a plan in which to enroll or a
member's decision to remain enrolled in their current plan
Marketing materials contain information about the plan or plans: - CORRECT ANSWER
1) benefits or benefit structure
2) cost sharing ( including premiums, copayments, and deductibles)
3) Measurements or ranking standards ( such as star ratings. comparisons to other
plans, or statistical studies or surveys)
Approval is required for? - CORRECT ANSWER 1) ALL medicare marketing materials
or
2) ANY material that mentions a plan sponsor ( such as " united health care") one of its
affliated plans or displays any logos
What does generic mean with marketing materials? - CORRECT ANSWER materials
that do not meet the marketing materials criteria and do not carry any plan sponsor
information or logos
does generic materials require prior approval? - CORRECT ANSWER no
What methods are considered marketing material? - CORRECT ANSWER newspaper,
tv, internet, radio advertisements, direct mail, postcards, flyers, brochures, magnets,
pre-enrollment materials, websites and social media platforms
what are some examples of generic marketing materials? - CORRECT ANSWER
social media sites and websites
by UHC and CMS prior to use -
sites used to market UHC plans must be
CORRECT ANSWER approved
when talking about marketing materials what should the agent NOT do? - CORRECT
ANSWER add, enhance, delete, modify, edit or create any content in the marketing
materials provided by the health plan
,UHC ETHICS AND COMPLIANCE TEST QUESTIONS AND 100%
CORRECT ANSWERS 2023-2024/VERIFIED SOLUTIONS
modify approved materials in any way, no matter how minor
ask health related or health screening questions on generic, agent created materials
What must an agent do when talking about marketing materials? - CORRECT
ANSWER use marketing materials only for products they are certified to market/sell
What does PTC stand for? - CORRECT ANSWER permission to contract
What does SOA stand for? - CORRECT ANSWER Scope of appointment
What is a servicing agent? - CORRECT ANSWER an inactive, nonemployee who has
signed a servicing agreement in order to receive renewal commisions on medicare
advantage and prescription drug plan enrollments on or after 1-1-2014. the agent must
maintain an active resident license and appointment and pass medicare basics and
ethics compliance assessments on an annual basis
What does CMS stand for? - CORRECT ANSWER center for medicare and medicaid
services
Who administers the medicare program and contracts with private health care
companies to offer medicaid plans? - CORRECT ANSWER CMS
Who holds the authority to approve or disaprove plans that can be sold, and is the
regulating agency that also monitors our progresses? - CORRECT ANSWER CMS
Who regulates MA's and PDP's - CORRECT ANSWER CMS
Enrolling a customer in a plan when you are not certified in the product is non-compliant
and considered ? - CORRECT ANSWER an unqualified sale
Agents who are not qualified to sell the product will not be? - CORRECT ANSWER
compensated and may receive corrective and or disciplinary action up to an including
termination
, UHC ETHICS AND COMPLIANCE TEST QUESTIONS AND 100%
CORRECT ANSWERS 2023-2024/VERIFIED SOLUTIONS
What is the purpose of an educational event? - CORRECT ANSWER its designed to
inform medicare consumers about original medicare, medicare advantage, prescription
drug and other medicare programs.
Where must educational events be conducted? - CORRECT ANSWER in a public
venue
Are the educational events unbiased so that it doesn't steer the consumer towards a
specific plan or limited number of plans? - CORRECT ANSWER yes
WHat is a marketing/sales event? - CORRECT ANSWER an event designed to steer
or attempt to steer, consumers toward a plan or limited set of plans. Agents may
discuss plan specific information and collect applications.
Can marketing/sales be formal or informal? - CORRECT ANSWER both
What describes a formal marketing/sales event? - CORRECT ANSWER a full plan
presentation, given in a presenter-audience format.
What is an inform marketing/sales event? - CORRECT ANSWER they're passive in
nature where the consumer approaches the agent to engage in conversation. a booth,
table, or kiosk is typically used
What are marketing appointments? - CORRECT ANSWER They're commonly referred
to as "in home, face to face, or one on one appointment" and typically take place in the
consumers home.
What other places can marketing appointments happen? - CORRECT ANSWER
coffee shop, or even over the phone
because marketing appointments are not formal and informal marketing sales events,
they're not reported to who? - CORRECT ANSWER UHC or CMS. instead, agents must
obtain a completed scope of appointment prior to conducting the appointment.
To report events, what should agents use? - CORRECT ANSWER an event request
form
to ensure that events are in UHC's event reporting application no less than 7 calender
days prior to the event... - CORRECT ANSWER submit the event request form,
according to instructions on the form, NO LESS THAN 14 CALENDAR DAYS
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