Uhc 2023 2024 stuvia - Study guides, Class notes & Summaries

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...

Events are categorized by which two things? Type of event (educational or marketing/sales) and sponsor Sponsor and whether it is formal or informal Venue and type of event (educational or marketing/sales) Type of event (educational or marketing/sales) and whether it is formal or informal - ANSWER Type of event (educational or marketing/sales) and whether it is formal or informal Louise wants to hold an event that helps consumers understand Medicare programs and perhaps improve their healt...

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...

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...

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...

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...

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. ...

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. ...

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...

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 ...