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UHC CERTIFICATION ETHICS AND COMPLIANCE 2024 QUESTIONS AND DETAILED ANSWERS – UNITED HEALTH CARE CERTIFICATION 2024| 100% CORRECT ANSWERS$20.99
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UHC CERTIFICATION ETHICS AND COMPLIANCE 2024 QUESTIONS AND DETAILED ANSWERS – UNITED HEALTH CARE CERTIFICATION 2024| 100% CORRECT ANSWERS
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Course
UHC ethics and compliance
Institution
UHC Ethics And Compliance
UHC CERTIFICATION ETHICS AND
COMPLIANCE 2024 QUESTIONS AND
DETAILED ANSWERS – UNITED
HEALTH CARE CERTIFICATION 2024
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?...
UHC CERTIFICATION ETHICS AND COMPLIANCE 2024 QUESTIONS AND DETAILED ANSWERS – UNITED HEALTH CARE CERTIFICATION 2024 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? Correct Answer The consumer/member would not receive plan related correspondence intended for him/her. Which election period runs from October 15 to December 7 and allows consumers to elect to join a Medicare Advantage Plan or switch to a different plan? Correct Answer Annual Election Period (AEP) 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 a nd 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? Correct Answer Dino presented a plan prior to October 1. Mr. and Mrs. Nelson, who are current memb ers, unexpectedly walk into Jake's insurance agency office and ask him to discuss Medicare Advantage Plans. Does Jake need to obtain a Scope of Appointment (SOA) form? Correct Answer Yes, he needs to obtain an SOA from both Mr. and Mrs. Nelson. Which desc ribes the purpose of educational events? Correct Answer Educational events provide objective information about the Medicare program and/or health improvement and wellness. How should agent Erin respond when consumer Mrs. Rose notices that the presented MA Plan has a Star Rating of 2 stars? Correct Answer Erin should tell Mrs. Rose that the plan has received a "Below Average" rating. Which of the following describes Permission to Contact guidelines? Correct Answer It is method specific (e.g., telephone, em ail), short term (i.e., expires when contact is made), and event specific (i.e., limited to the products identified). Julie, a consumer, is having difficulty understanding the information her agent, Victor, is presenting at her in -home appointment. She pr ovides Victor with her cousin's telephone number and email address and asks him to explain the plan to her cousin, who frequently assists with her health care decisions. The next day, Victor emails Julie's cousin. Has Victor been compliant? Correct Answer No. Victor violated United Healthcare permission to contact guidelines by emailing the cousin without the cousin's permission Which of the individuals below would not likely have the authority to enroll a consumer in a Medicare Advantage Plan? Correct Ans wer The consumer's spouse, who is neither a Power of Attorney nor legal guardian. In which of the following situations can telephonic contact be made with a Medicare eligible consumer? Correct Answer When the consumer consented to be contacted for sales activities, subsequent telephonic contact has not yet occurred, and the permission has not yet expired. Agent Jacob learns that Emily, the consumer with whom he is meeting, is the authorized legal representative for her father. What must Jacob explain to E mily when completing an Enrollment Application for her father? Correct Answer Jacob must explain that Emily will sign the Enrollment Application and must be able to provide documentation upon request by the Plan that indicates her legal authority to enroll her father. Which of the following must you not do when marketing UnitedHealthcare Medicare Advantage or Prescription Drug Plans to consumers? Correct Answer Provide only those items from the plan's Enrollment Guide that are most relevant to the consumer 's situation. An agent should only enroll a consumer in a product: Correct Answer That is suitable for the consumer's needs, goals and financial resources. What is the purpose of the Statement of Understanding? Correct Answer It ensures that when consume rs sign 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 standard disclosures. What is the definition of Abuse? Correct Answer Abuse includes any practice that results in the provision of services that are not medically necessary. Which of the following are the ways to report potential FWA? (Select 2) Correct Answer -Fraud, Waste and/or Abuse hotline -Producer Help Desk (PHD) In terms of events, which of the following is true? Correct Answer Agents must only report formal and informal marketing/sales events to UnitedHealthcare. Whose email address may the agent enter into the LEAN enrollment application? Correct Answer Only the c onsumer's (or leave it blank) Annual Election Period (AEP) is a time when: Correct Answer Consumers can elect to join a Medicare Advantage Plan or switch to a different plan. Agent Kim is conducting an event that has been advertised as educational. Which activities are permitted at an educational event? Correct Answer the one with scope of appointments in the answer Educational events allow for which of the following to occur? Correct Answer Provide objective information about the Medicare program and/or health improvement and wellness. Agent Brenda is presenting Medicare Advantage plan options to her consumer, Melanie. During the presentation, Brenda tells Melanie that Medicare gives each plan a Star Rating. Which of the following is not an appropriate response when Melanie asks what the Star Rating means? Correct Answer Brenda should tell Melanie that the Star Rating is the same for every plan and it does not accurately reflect a plan's performance in certain categories. John has Power of Attorney to a ct on behalf of his mother. What does that mean when it comes to his mother enrolling in a Medicare Advantage Plan? Correct Answer John may sign the Enrollment Application and must be able to provide documentation upon request by the Plan that indicates hi s authority under state law to enroll his mother. To sign an Enrollment Application on behalf of a consumer, what authority must the individual have? Correct Answer The individual must be legally authorized in the state in which the consumer resides to ac t on behalf of the consumer (e.g. Power of Attorney). When marketing UnitedHealthcare Medicare Advantage plans to consumers, which of the following must an agent do? Correct
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