Exam (elaborations)
UNITED HEALTHCARE CERTIFICATION EXAM QUESTIONS AND ANSWERS.
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- Oxford University (OX)
UNITED HEALTHCARE CERTIFICATION EXAM QUESTIONS AND ANSWERS.
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UNITED HEALTHCARE CERTIFICATIONEXAM QUESTIONS AND ANSWERS
The value proposition for the AARP brand is seen in what kinds of benefits for the members?
(Select 3)
Quality of products offered.
Efforts to improve the lives of members.
Security and reputation of the AARP name.
Which of the following is a characteristic of a drug tier?
All of the drugs in the tier have the same utilization management rules
All of the drugs in the tier have the same copayment or coinsurance
All of the drugs in the tier treat the same medical condition
All of the drugs in the tier have the same copayment or coinsurance
Which of the following must you ensure a consumer who is making a plan change understands?
(Select 2)
I must make sure the consumer understands the benefits, costs, and limitations of the new plan
I must make sure the consumer understands what they are giving up by enrolling in the new
plan I'm recommending
Which of the following consumers are eligible for Medicare if other eligibility requirements are
met?
Consumers age 65 or older, consumers under 65 years of age with certain disabilities for more
than 24 months and consumers of all ages with ESRD or ALS
Which of the following best describes a "like" plan change?
When a consumer enrolls in a plan that is of the same type as their current plan, such as any
medicare advantage plan to any other medicare advantage plan
which of the following is not true about UnitedHealth Care Medicare plans carrying the AARP
name?
AARP endorses UnitedHealth Care MA, PDP, and Medicare supplement plans
,AARP expects agents offering AARP-branded products to demonstrate 5 key behaviors when
interacting with customers. AARP wants customers we work with to feel their relationship with
AARP is _________________
Effortless and inspiring
Which of the following are part of being straightforward when servicing a customer?
Communicating clearly to alleviate any confusion
Being upfront about what information means
providing the right information
Do consumers have to be an AARP member to enroll in an AARP-branded plan with
UnitedHealth Care?
yes, if the consumer is enrolling in a medicare supplement plan
How many status levels are in the Authorized to offer program?
2
which of the following statements about AARP are true? (select 2)
The AARP motto is to serve, not be served
AARP advocates for the 50+ population in congress for legislation to lower medical costs
which of the following is true about the production requirement for the authorized to offer Elite
status?
Each calendar year, agents need to have at least 30 commission-eligible, accepted, and paid
AARP medicare supplement plan and / or medicare select plan sales or retain a book of business
of 150 or more active members
The value proposition for the AARP brand is seen in what kinds of benefits for the members
(select 3)?
ensuring products are well below the going market rate
efforts to improve the lives of members
quality of products offered
Which AARP brand medicare products does UnitedHealth Care offer? (select 3)
,Prescription drug plans
medicare advantage plans
mediare supplement plans
The 3 types of special needs plans are
dual, chronic condition and institutional / institutional-equivalent.
When does the special election period for dual / LIS change in status begin for D-SNP members
that lose medicaid eligibility?
Upon notification or effective date of the loss, whichever is earlier
which statement describes the primary characteristic of a consumer who may benefit from a D-
SNP?
Is enrolled in their state Medicaid program, typically as a full dual, with their Medicare cost
sharing paid by the state in which they reside.
which program is available to support the unique health care needs of C-SNP and D-SNP
members?
A care management program that varies depending upon the level of the member's health risk
level
which statement is true about C-SNPs, D-SNPs, and prescription drug coverage?
C-SNPs and D-SNPs include Medicare part D prescriptions drug coverage.
when selling D-SNPs, agent must:
confirm the customer's medicaid level and that the consumer is entitled to Medicare part A and
enrolled in part B
The consumer states they currently pay a percentage of charges when they receive medical
care. This means
The consumer is not likely to be a full dual-eligible and may be better suited for enrollment in
another type of plan
which of the following consumer characteristics demonstrates a good fit for a C-SNP?
A consumer with a qualifying chronic condition who wants a plan that will help them manage
their illness and health care costs
, On May 10, Michael meets with an agent and says he is enrolled in another carrier's C-SNP due
to his diabetes. When can Michael enroll in a different C-SNP that also covers diabetes (his only
chronic condition), assuming he has not moved out of his current plan's service area?
During the annual election period (AEP) or open enrollment period (OEP)
which service will a C-SNP or D-SNP member in the high risk care management category
receive?
Case management ( telephonic, digital and / or face to face) according to individual needs
it is very important for consumers enrolling in a C-SNP to know the following about accessing
providers:
some C-SNP are preferred provider organization (PPO) or point service (POS) plans that allow
members to see out of network providers for covered services, generally with higher cost
sharing.
which statement is true about the Medicaid program?
It helps pay medical costs for certain groups of people with limited income and resources.
Ginny just enrolled in a C-SNP that uses the post-enrollment verification method. When will the
plan send her a termination notification letter if it has not yet been able to verify a qualifying
chronic condition
at the end of her second month of enrollment
member who lose their eligibility for the D-SNP due to a change or loss of Medicaid status are
responsible for what cost sharing?
All, such as premiums, deductibles, copayments, and coininsurance.
which statement is true of D-SNP members?
Members who are QMB+ or are full dual eligible are not required to pay copayments for
medicare-covered services obtained from a D-SNP in-network provider. Their provider should
bill the state Medicaid program, as appropriate, for these costs
Inez, a consumer, called the number on a piece of mail she received during the Annual Election
Period. When you answer, you can hear a lot of background noise. What actions should you take
to help ensure Inez will understand the information you share with her? (select 3)
Ask her to either move into another room or turn off the TV to help her hear me clearly and
without distraction
Ask if someone assists her with making enrollment decisions and make sure that person is
present to participate in the call
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