Uhc stuvia - Study guides, Class notes & Summaries

Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare helps cover the costs of his inpatient hospital stay? - ANSWERSPart A - ANSWERSThe consumer must be in a valid MA election or disenrollment period. Which of the following consumers would be eligible for Medicare? - ANSWERSConsumers 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 followi...

What type of event must agent conduct when she wants to be able to collect consumer information schedule future appointments and accept enrollment applications - ANSWERSmarketing/sales event Louise wants to hold an event that helps consumers understand Medicare programs and perhaps an prove their health/Wellness knowledge but she is not interested in completing enrollment applications at the event she would like to staff a table at the Public Library and how consumers approach her what type o...

Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare helps cover the costs of his inpatient hospital stay? - ANSWERSPart A Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? - ANSWERSThe consumer must be in a valid MA election or disenrollment period. Being 65 or older, being under 65 years of age with certain disabilities for more than 24 months, and being any age wi...

Jennifer is enrolling into a Medicare Advantage (MA) plan and wants to know what counts toward the Out-of-Pocket Maximum. Which of the following is accurate? A. All Out-of-Pocket costs she pays toward her health care and prescription drug expenses would count toward the Out-of-Pocket Maximum. B. Jennifer's costs for prescription drugs and any benefits not covered by Original Medicare will count toward the Out-of-Pocket Maximum. C. The Out-of-Pocket Maximum includes any costs she p...

In terms of events, which of the following is true? Agents must only report formal marketing/sales events UnitedHealthcare. Agents must only report informal marketing/sales events to UnitedHealthcare. Agents must only report formal and informal marketing/sales events to UnitedHealthcare. - ANSWERS... When completing an enrollment application in LEAN, why is an agent prohibited from entering his or her own email address in a field available for the consumer's email address? The consumer/m...

Which statement is true about the Medicare Advantage (MA) Out- of pocket Maximum? - ANSWERSAll MA plans have an Out- of Pocket maximum to help limit the member's out of pocket cost for Medicare-covered services. A consumer currently has Original Medicare and is enrolled in a stand alone PDP. What will happens if the consumer enrolls in a n MA Plan that has integrated PDP coverage? - ANSWERSThe consumer will be automatically disenrolled from their stand-alone PDP upon enrollment in the MA Pla...

What is the definition of Abuse? - ANSWERSAbuse includes any practice that results in the provision of services that are not medically necesary An agent should only enroll a consumer in a product: - ANSWERSThat is suitable for the consumer's needs, goals and financial resources. When marketing UnitedHealthcare Medicare Advantage plans to consumers, which of the following must an agent do? - ANSWERSProvide current marketing materials that have been approved by CMS and UnitedHealthcare. ...

a consumer currently has original Medicare and is enrolled in a stand alone prescription drug plan what will happen if the consumer enrolls in an MA plan that has integrated prescription drug coverage - ANSWERSthe consumer will be automatically disenrolled from the standalone PDP upon in Roman in the MA plan that has integrated prescription drug coverage aside from a standalone Medicare prescription drug plan how else could a Medicare eligible consumer get Part D prescription drug coverage - ...

Agent John is planning to conduct a series of events. Some will be strictly educational, others will be formal presentations of specific UnitedHealthcare plans, and others will be informal marketing events where he can generate leads and schedule future in-home marketing appointments. Of the three types of events John plans to conduct, which need to be reported to UnitedHealthcare? - ANSWERS******* When completing an enrollment application in LEAN, why is an agent prohibited from entering his...

Gene got Medicare before he turned 65 and enrolled into a Medicare Advantage plan. He calls in February the month before his 65th birthday and is unhappy with his current plan. On the date of the call, what can Gene do about his coverage? - ANSWERSOn the day he called, he can enroll in a different Medicare Advantage plan with an effective date of March 1. Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been presenting. Which statement is correct? - ANSWERSMrs...