Exam (elaborations)
(solved) UHC Ethics & Compliance 2022
- Course
- UHC Ethics & Compliance
- Institution
- Franklin University
(solved) UHC Ethics & Compliance 2022
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UHC Ethics & Compliance 20221. On the day he called, he can enroll in a different Medicare Advantage plan with an
effective date of March 1.: Gene got Medicare before he turned 65 and enrolled into a
Medicare Advantage plan. He calls in February the month before his65th birthday and is
unhappy with his current plan. On the date of the call, what canGene do about his
coverage?
2. Mrs. Violet can access the Star Rating for a plan on Medicare.gov or in the
Enrollment Guide.: Mrs. Violet asks agent Bob where she can find the Star Ratingfor the
plan he has been presenting. Which statement is correct?
3. Mailing a marketing brochure to the consumer via postal mail.: Which of the
following is not considered unsolicited contact with a Medicare eligible consumer ac- cording
to CMS regulations and UnitedHealthcare's rules, policies, and procedures?
4. The agent must accurately and completely disclose any benefits dis- cussed.:
Which statement is true about discussing benefits with the consumerbefore an
enrollment?
5. The agent must explain any provider and/or pharmacy network limitations.: - Which
statement about discussing benefits with the consumer before an enrollmentis true?
6. Leave the field requesting applicant email address blank.: While using LEANto
complete an enrollment application with a consumer, Agent Jeff learns the consumer does
not have an email address. What should Jeff do?
7. 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 standarddisclosures.: What is
the purpose of the Statement of Understanding?
8. The agreement obtained from the consumer that identifies the scope of products
that can be discussed at a personal/individual marketing appoint-ment (in-person
or telephonic): What is Scope of Appointment?
9. Jane should ask Albert if someone, such as an Authorized Legal Represen-tative,
helps him make health care or insurance-related decisions and shouldbe present.:
Jane, an agent, is speaking to Albert about a Prescription Drug plan.Albert seems confused
and is struggling to understand the information Jane is explaining. Which option should
Jane consider?
10. Premiums are not paid on a timely basis.: In which situation MAY the
Medicare Advantage (MA) organization disenroll a member from an MA plan?
(if question says *must* it is not the same answer)
11. Dennis should stay enrolled in Original Medicare and his Medicare Sup- plement
Plan and enroll in a stand-alone PDP.: Dennis, a consumer, is currentlyenrolled in
Original Medicare plus a Medicare Supplement Plan. His current plan is
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