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Exam (elaborations)

UHC medicare certification exam 2024|2025

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  • Course
  • Medicare
  • Institution
  • Medicare

Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her Initial Election Period (IEP), when can she submit an application for a Medicare Advantage or Prescription Drug plan? March 1 through July 31 April 1 through October 31 July 1 through Decem...

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  • August 11, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • uhc medicare
  • Medicare
  • Medicare
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waindigrace87
Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her
Initial Election Period (IEP), when can she submit an application for a Medicare Advantage or Prescription
Drug plan?

March 1 through July 31

April 1 through October 31

July 1 through December 30

June 1 through July 31 - -ANS---Not July 1 - Dec 30 - WRONG




Annual Election Period (AEP) is a time when. . .

Consumers can only disenroll from their Medicare Advantage or Prescription Drug Plan and return to
Original Medicare.

Consumers can only enroll in a Medicare Advantage Plan or switch to a different Medicare Advantage
plan.

Consumers can elect to switch to a different plan or join a Medicare Advantage plan or Prescription Drug
Plan.

Only certain Medicare-eligible consumers can make changes. - -ANS---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.

The agent said that the Star Ratings are based on a plan's performance from two years ago and,
therefore, do not accurately reflect a plan's current value.

Star Ratings are based on a plan's performance from the prior year and, therefore, may not accurately
reflect a plan's current value.

Medicare uses a 5-star rating system to illustrate the plan's relative popularity in a market as measured by
membership and retention rates. - -ANS---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?

Emailing a marketing brochure to a consumer whose email address was obtained on a purchased lead
list.

Approaching a consumer in a common area of a senior living complex.

Placing a marketing brochure on the door handle of the consumer's residence.

Mailing a marketing brochure to the consumer via postal mail. - -ANS---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)

The providers they see and medications they take to determine network and formulary status.

Their current health care coverage, including what they like about it and what they don't.

Their favorite foods and hygiene products to determine if they are covered by a grocery allowance - -
ANS---The providers they see and medications they take to determine network and formulary status.

Their current health care coverage, including what they like about it and what they don't.



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 enrollment application may be denied.

The consumer/member would not receive plan related correspondence intended for him/her.

The agent may experience commission payment processing issues. - -ANS---The consumer/member
would not receive plan related correspondence intended for him/her



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