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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!!)£14.69
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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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Module
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 EXAM 2024/2025 WITH 100 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (100% CORRECT VERIFIED ANSWERS)
UNITED HEALTHCARE ETHICS & COMPLIANCE TEST (NEWEST!!)
When must a Medicare Advantage (MA) Plan or stand-alone Prescription Drug Plan (PDP)
disenroll a member?
• A) When the member moves to a different state
• B) When the member turns 65
• C) When eligibility requirements are no longer met
• D) When the member fails to pay premiums
Answer: C) When eligibility requirements are no longer met
Aries, a current member of a stand-alone PDP, wishes to obtain additional medical coverage.
Which option is available to Aries if he is in a valid election period?
• A) Aries can enroll into a Medicare Advantage plan with prescription drug coverage, which will
disenroll him from his PDP.
• B) Aries must stay with his current plan until the next open enrollment.
• C) Aries can only switch to a different stand-alone PDP.
• D) Aries can enroll in a Medicaid plan.
Answer: A) Aries can enroll into a Medicare Advantage plan with prescription drug coverage,
which will disenroll him from his PDP.
As an agent, what is your obligation when enrolling a consumer in a Medicare product?
• A) To enroll the consumer in the highest premium plan
• B) To ensure the product is suitable for the consumer’s needs, goals, and financial resources
• C) To enroll the consumer in any available plan
• D) To prioritize the plan with the most comprehensive advertising
Answer: B) To ensure the product is suitable for the consumer’s needs, goals, and financial
resources
,Dino, an agent, presented a plan prior to October 1 to a consumer interested in Medicare
Advantage plans. What did Dino do that was NOT compliant?
• A) He verified the consumer's Medicare eligibility.
• B) He described the costs and benefits of the plan.
• C) He refused to accept an enrollment application until October 15.
• D) He presented a plan prior to October 1.
Answer: D) He presented a plan prior to October 1.
Which of the following are examples of lead generation materials that could result in an inbound
call from a Medicare-eligible consumer?
• A) Direct mail, TV ads, billboards
• B) Private emails, text messages, cold calls
• C) Social media posts, door-to-door flyers, radio ads
• D) Newsletters, community events, sponsorships
Answer: A) Direct mail, TV ads, billboards
Jane, a consumer, calls your call center asking to be enrolled in a plan that will put money back into
her Social Security every month. What should you consider when you hear this request? (Select
three)
• A) Verify the specific plan benefit mentioned.
• B) Confirm that Jane understands the full scope of the plan.
• C) Proceed to enroll her without further clarification.
• D) Make sure the plan she’s referring to is suitable for her needs, goals, and financial resources.
• E) Ensure that Jane is aware of the limitations and qualifications required for that benefit.
Answers: A) Verify the specific plan benefit mentioned., B) Confirm that Jane understands the
full scope of the plan., D) Make sure the plan she’s referring to is suitable for her needs, goals,
and financial resources.
When discussing a Medicare plan with a consumer, what must you avoid doing before October 1?
• A) Mentioning the upcoming enrollment period
, • B) Presenting or marketing any plan details for the new plan year
• C) Explaining the benefits of their current plan
• D) Reviewing their current healthcare needs
Answer: B) Presenting or marketing any plan details for the new plan year
A consumer mentions that they want a plan that covers all their prescriptions with no out-of-
pocket costs. What should you clarify during this conversation?
• A) Ensure that they understand formulary restrictions and potential co-pays.
• B) Automatically enroll them in a plan without checking the formulary.
• C) Tell them that all Medicare plans have no out-of-pocket costs.
• D) Advise them to purchase a supplemental plan immediately.
Answer: A) Ensure that they understand formulary restrictions and potential co-pays.
If a Medicare-eligible consumer inquires about a Special Enrollment Period (SEP), what must you
verify before proceeding with enrollment?
• A) Whether the consumer qualifies for an SEP based on specific criteria
• B) Whether the consumer can wait until the next Annual Enrollment Period (AEP)
• C) If the consumer is under 65 years of age
• D) Whether the consumer has received prior plan marketing materials
Answer: A) Whether the consumer qualifies for an SEP based on specific criteria
During the Medicare Annual Enrollment Period (AEP), which actions are agents permitted to take?
• A) Assist consumers with reviewing and enrolling in new plans for the upcoming year
• B) Change a consumer’s plan without their consent
• C) Provide gifts in exchange for enrollment
• D) Enroll consumers in plans that are not suitable for their needs
Answer: A) Assist consumers with reviewing and enrolling in new plans for the upcoming year
Which of the following actions would be considered a compliant approach when a consumer asks
about the benefits of a new Medicare Advantage plan?
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