Uhc stuvia - Study guides, Class notes & Summaries

Milton is retiring on his 65th birthday. He is eligible for Medicare and already receives Social Security benefits. How does he enroll in Original Medicare? - ANSWERSHis enrollment in Medicare Parts A and B is generally automatic if he meets all eligibility requirements Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement Insurance Plan? - ANSWERSWhen a consumer enrolls in a Medicare Supplement Insurance Plan, they are not autom...

In terms of events, which of the following is true? - ANSWERSAgents are required to report all events (marketing/sales and education) to UnitedHealthcare according to Company policy You have a scheduled appointment with a Consumer to discuss DSNPs. The consumer has completed the SOA form. Two days before the appointment, the consumer calls and requests to discuss PDP plans, which you are also certified to sell. What should you tell the consumer? - ANSWERSTell the consumer to sign a new SOA be...

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. ...

Which statement below accurately describes MassHealth? - ANSWERSMedicaid for those in Massachusetts Which of the following is an eligibility requirement for MassHealth Standard? - ANSWERSResident of the state of Massachusetts Which of the following components of the UnitedHealthcare SCO Plan is considered its foundation? - ANSWERSCare Management Which of the following is not a key component of the UnitedHealthcare SCO care management program? - ANSWERSStandardized care plan that fits al...

What type of events must an agent report to UnitedHealthcare? - ANSWERSOnly the marketing/sales events, both formal and informal. While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the consumer does not have an email address. What should Jeff do? - ANSWERSLeave any field requesting a consumer email address blank. Which election period occurs from October 15 to December 7? - ANSWERSAnnual Election Period (AEP) Which of the following materials is an ...

Select which group of individuals might qualify for Medicaid. - ANSWERScertain families and individuals Which of the following is true about MassHealth? - ANSWERSIn a sense, it is a combination of Medicaid and SCHIP (the State Children Health Insurance Plan). Which of the following is a component of the UnitedHealthcare SCO Plan? - ANSWERSA Care Management Team What is the purpose of UnitedHealthcare SCO plan's care management program? - ANSWERSCare Management helps to proactively coor...

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...

In terms of events, which of the following is true? - ANSWERSAgents are required to report all events (marketing/sales and education) to UnitedHealthcare according to Company policy You have a scheduled appointment with a Consumer to discuss DSNPs. The consumer has completed the SOA form. Two days before the appointment, the consumer calls and requests to discuss PDP plans, which you are also certified to sell. What should you tell the consumer? - ANSWERSTell the consumer to sign a new SOA be...

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...