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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!!)$25.99
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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!!)
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!!)
pg. 1 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 an MA Plan or stand -alone PDP disenroll a member? When eligibility requirements are no longer met Aries is currently a member of a stand -alone PDP. Aries would like to have additional medical coverage. A thorough needs analysis indicates a Medicare Advantage Pl an would be a good fit, there are plans available in his area, and he is in a valid election period. Which option is available to Aries? Aries can enroll into a Medicare Advantage plan with prescription drug coverage, which will disenroll him from his PDP. As an agent, you have an obligation to only enroll a consumer in a product: That is suitable for the consumer's needs, goals and financial resources. Dino, an agent, received a phone call on September 29 from a consumer interested in Medicare Advantage pl ans for the new plan year. Dino proceeded to verify the consumer's Medicare eligibility, describe the costs and benefit coverage of the plan, and explained that he could not accept an enrollment application until October 15. What did Dino do that was NOT c ompliant? Dino presented a plan prior to October 1. Which of the following are examples of lead generation materials that might result in an inbound call from a Medicare -eligible consumer? Direct mail, TV ads, billboards Jane, a consumer, calls your call center and asks to be enrolled in the plan that will put money back into her Social Security every month. What do you keep in mind when you hear the consumer mention a specific plan benefit from an ad? (Select 3) pg. 2 While I take note of what might be imp ortant to the consumer, I do not want to rely on one benefit and become biased as to what type of plan to recommend I make sure whatever plan I recommend has that stated benefit because I know it will be the best fit plan for the consumer I remember to not overlook the importance of a thorough needs assessment On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effecti ve November 1. Which statement is true for Aries? He may be able to use a Special Election Period to change plans if he qualifies for one. Annual Election Period (AEP) is a time when. . Consumers can elect to switch to a different plan or join a Medicare A dvantage 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. 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? Mailing a marketing brochure to the consumer via postal mail. What information should be obtained from the consumer when conducting a thorough needs assessmen t? (Select 2) Their current health care coverage, including what they like about it and what they don't. The providers they see and medications they take to determine network and formulary status. Whose email address may the agent enter into the applicant information section of LEAN enrollment application? Only the consumer's email (or leave it blank). The __________ ensures that when consumers provide their verbal agreement during the telephonic enrollment, they acknowledge and understand they are pg. 3 actually enrolling, in which plan they are enrolling, as well as the standard disclosures. Statement of Understanding Which of the following must an agent obtain from the consumer no less than 48 hours (unless an exception applies) before an in -person, online, or telephonic marketing appointment? Scope of Appointment Which statement is accurate when a consumer has a Power of Attorney (POA)? If the POA signs the Enrollment Application, they must be able to provide documentation upon request by the Plan that indicate s authority under state law to enroll the consumer. What happens on the plan effective date when a member enrolled in a Medicare Supplement Insurance Plan and stand -alone PDP enrolls in a Medicare Advantage plan that includes drug coverage? ........ What are you required to do prior to making a plan recommendation? Conduct a thorough needs assessment to make sure I gather information about the consumer's situation and preferences What is th e purpose of a needs assessment? To gather as much information about the consumer as possible to ensure I am recommending the plan that is the best fit for the consumer A thorough needs assessment will include which of the following components? (Select 3) Identifying what healthcare coverage attributes are most important to the consumer and what tradeoffs they might be willing to make Identifying their current providers (including primary care, specialists, hospitals, and pharmacies) and the medications the y take Learning about their level of education and former career field Learning about their current coverage, lifestyle and financial characteristics What must you do if the consumer indicates that someone assists them with making decisions such as enrolli ng in health insurance coverage?
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