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UHC ETHICS AND COMPLIANCE EXAM 2024/2025 WITH ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS | UNITED HEALTHCARE ETHICS & COMPLIANCE£17.71
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UHC ETHICS AND COMPLIANCE EXAM
2024/2025 WITH ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS | UNITED HEALTHCARE
ETHICS & COMPLIANCE
What information should be obtained from the consumer
when conducting a thorough needs assessment? (Select
2)
-Their favorite foods and hygiene products to determine if
they are covered by a grocery allowance.
-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. 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.
Select the option that describes the coverage
combinations a member can be enrolled in at the same
time.
,-Medicare Supplement plan and MA-PD plan
-MA-Only PFFS plan and a stand-alone PDP
-MA-Only non-PFFS plan and a stand-alone PDP Correct
Answer MA-Only PFFS plan and a stand-alone PDP
In which situation MAY the Medicare Advantage (MA)
organization decide to disenroll a member from an MA
plan?
-Premiums are not paid on a timely basis
-The member expresses dissatisfaction with the plan
-The member is diagnosed with a condition Correct
Answer Premiums are not paid on a timely basis
Dennis, a consumer, is currently enrolled in Original
Medicare plus a Medicare Supplement Plan. His current
plan is suitable for his medical needs, but he would like to
add prescription drug coverage only. Since Dennis wants
to keep his current coverage, which option is available to
Dennis (assuming he is in a valid election period)?
-Dennis should disenroll from his Medicare Supplement
Plan, return to Original Medicare and enroll in a stand-
alone PDP.
, -Dennis should disenroll from his Medicare Supplement
Plan and enroll in any of the Medicare Advantage Plans
that have prescription drug coverage included.
-Dennis should stay enrolled in his Medicare Supplement
Plan and enroll in a Medicare Advantage Plan with
prescription drug coverage included.
-Dennis should stay enrolled in Original Medicare and his
Medicare Supplement Plan and enroll in a stand-alone
PDP. Correct Answer Dennis should stay enrolled in
Original Medicare and his Medicare Supplement Plan and
enroll in a stand-alone PDP.
In what product should agents enroll consumers?
-A product that meets the sales goal of the Centers for
Medicare and Medicaid Services, UnitedHealthcare and
the Social Security Administration.
-A product that meets the interest the agent has in the
transaction, for example commissions received for the
sale.
-A product that is suitable for the consumer's needs, goals
and financial resources.
-A product that provides a financial advantage to a
network of providers. Correct Answer A product that is
suitable for the consumer's needs, goals and financial
resources.
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