UHC Ethnic test 2023 with Complete Solutions

In which situation may the Medicare Advantage (MA) organization decide to disenroll a member from an MA plan? - Correct Answer The member calls CMS at 1-800-MEDICARE (Wrong) On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective November 1. Which statement is true for Aries? - Correct Answer He may be able to use a Special Election Period to change plans if he qualifies for one. Janine, currently enrolled in a 3-star plan, discovers there is 5-star plan available where she lives. She asks her agent, Josh, to enroll her in the 5-star plan. Josh can advise Janine of each of the following except: - Correct Answer Josh should tell Janine that she can only change her current plan to a 5-star plan during the Annual Election Period. An agent is explaining Medicare Advantage plan options to a consumer. During the conversation, the agent explains that Medicare gives each plan a Star Rating. Which statement is true? - Correct Answer The agent said that Medicare uses a 5-star rating system to illustrate the 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? - Correct Answer Mailing a marketing brochure to the consumer via postal mail. Which statement about discussing benefits with the consumer before an enrollment is true? - Correct Answer The agent must accurately and completely disclose any benefits discussed. While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the consumer does not have an email address. What should Jeff do? - Correct Answer Leave the field requesting a consumer email address blank. 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 actually enrolling, in which plan they are enrolling, and standard disclosures. A one-on-one marketing appointment, whether in-person or telephonic, is always considered a marketing/sales event, but it is not reported to UnitedHealthcare or CMS; instead the consumer must provide ___________________ agreement prior to the start of the appointment. - Correct Answer Scope of Appointment To complete an