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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!!)
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Voorbeeld van de inhoud
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 Plan 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 plans 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 compliant?
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. 1
,While I take note of what might be important 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 effective 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 Advantage
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 assessment? (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. 2
, 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 indicates 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 the 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 they 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 enrolling in health insurance coverage?
pg. 3
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