UHC Medicare Certification Exam (2024/2025) | Actual Questions
with verified Answers Latest Updated 2024/2025 (Graded A+)
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?
March 1 through July 31
April 1 through October 31
July 1 through December 30
June 1 through July 31 - CORRECT ANSWER ; Not July 1 - Dec 30 -
WRONG
April 1 through October 31 - CORRECT
Annual Election Period (AEP) is a time when. . .
Consumers can only disenroll from their Medicare Advantage or
Prescription Drug Plan and return to Original Medicare.
Consumers can only enroll in a Medicare Advantage Plan or switch to a
different Medicare Advantage plan.
Consumers can elect to switch to a different plan or join a Medicare
Advantage plan or Prescription Drug Plan.
,Only certain Medicare-eligible consumers can make changes. -
CORRECT ANSWER ; Consumers can elect to switch to a different
plan or join a Medicare Advantage plan or Prescription Drug Plan.
Which statement regarding Star Ratings is true?
Medicare uses a 5-star rating system to illustrate a plan's performance
and quality.
The agent said that the Star Ratings are based on a plan's performance
from two years ago and, therefore, do not accurately reflect a plan's
current value.
Star Ratings are based on a plan's performance from the prior year and,
therefore, may not accurately reflect a plan's current value.
Medicare uses a 5-star rating system to illustrate the plan's relative
popularity in a market as measured by membership and retention rates. -
CORRECT ANSWER ; Medicare uses a 5-star rating system to
illustrate a plan's performance and quality.
Which of the following is not considered unsolicited contact with a
Medicare eligible consumer according to CMS regulations and
UnitedHealthcare's rules, policies, and procedures?
Emailing a marketing brochure to a consumer whose email address was
obtained on a purchased lead list.
Approaching a consumer in a common area of a senior living complex.
Placing a marketing brochure on the door handle of the consumer's
residence.
, Mailing a marketing brochure to the consumer via postal mail. -
CORRECT ANSWER ; Mailing a marketing brochure to the consumer
via postal mail
What information should be obtained from the consumer when
conducting a thorough needs assessment? (Select 2)
The providers they see and medications they take to determine network
and formulary status.
Their current health care coverage, including what they like about it and
what they don't.
Their favorite foods and hygiene products to determine if they are
covered by a grocery allowance - CORRECT ANSWER ; The
providers they see and medications they take to determine network and
formulary status.
Their current health care coverage, including what they like about it and
what they don't.
When completing an enrollment application in LEAN, why is an agent
prohibited from entering his or her own email address in a field available
for the consumer's email address?
The enrollment application may be denied.
The consumer/member would not receive plan related correspondence
intended for him/her.
The agent may experience commission payment processing issues. -
CORRECT ANSWER ; The consumer/member would not receive plan
related correspondence intended for him/her
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