UHC Ethics and compliance Practice Questions and Answers (100% Pass)
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Course
UHC ethics and compliance
Institution
UHC Ethics And Compliance
UHC Ethics and compliance Practice
Questions and Answers (100% Pass)
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 ...
UHC Ethics and compliance Practice
Questions and Answers (100% Pass)
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? - Answer✔️✔️-On the day he called, he can
enroll in a different Medicare Advantage plan with an effective date of
March 1.
An agent is explaining Medicare Advantage plan options to a consumer.
During the conversation, the agent explains that Medicare gives each plan
a Star Rating. Which statement is true? - Answer✔️✔️-The agent said that
Medicare uses a 5-star rating system to illustrate the plan's performance
and quality.
Which of the following describes Permission to Contact guidelines? -
Answer✔️✔️-it allows the agent to discuss the products identified during the
marketing appointment
Which statement about discussing benefits with the consumer before an
enrollment is true? - Answer✔️✔️-
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? - Answer✔️✔️-The consumer/member
would not receive plan related correspondence intended for him/her.
What is the purpose of the Statement of Understanding? - Answer✔️✔️-It
ensures that when consumers complete 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 Scope of Appointment? - Answer✔️✔️-The agreement obtained
from the consumer that identifies the scope of products that can be
discussed at a personal/individual marketing appointment (in-person or
telephonic)
To complete an Enrollment Application on behalf of a consumer, what
authority must the individual have? - Answer✔️✔️-The individual must be
legally authorized in the state in which the consumer resides to act on
behalf of the consumer (e.g., Power of Attorney).
melanie is currently enrolled in an HMO MAPD, and she is talking to sales
agent Brenda about enrolling in a Medicare Supplement Insurance Plan.
What should Brenda tell Melanie? - Answer✔️✔️-Brenda should tell her that
she is automatically disenrolled from her MA Plan if she enrolls in a
Medicare Supplement Insurance Plan
In which situation must the Medicare Advantage (MA) organization
disenroll a member from an MA plan? - Answer✔️✔️-The member loses
entitlement to either Medicare Part A or Part B
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