Uhc stuvia - Study guides, Class notes & Summaries

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 Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? - ANSWERSThe consumer must be in a valid MA election or disenrollment period. Being 65 or older, being under 65 years of age with certain disabilities for more than 24 months, and being any age wi...

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...

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 Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? - ANSWERSThe consumer must be in a valid MA election or disenrollment period. Being 65 or older, being under 65 years of age with certain disabilities for more than 24 months, and being any age wi...

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. ...

Select which group of individuals might qualify for Medicaid. - ANSWERScertain families and individuals Which of the following is true about MassHealth? - ANSWERSIn a sense, it is a combination of Medicaid and SCHIP (the State Children Health Insurance Plan). Which of the following is a component of the UnitedHealthcare SCO Plan? - ANSWERSA Care Management Team What is the purpose of UnitedHealthcare SCO plan's care management program? - ANSWERSCare Management helps to proactively coor...

Which statement below accurately describes MassHealth? - ANSWERSMedicaid for those in Massachusetts Which of the following is an eligibility requirement for MassHealth Standard? - ANSWERSResident of the state of Massachusetts Which of the following components of the UnitedHealthcare SCO Plan is considered its foundation? - ANSWERSCare Management Which of the following is not a key component of the UnitedHealthcare SCO care management program? - ANSWERSStandardized care plan that fits al...

a consumer currently has original Medicare and is enrolled in a stand alone prescription drug plan what will happen if the consumer enrolls in an MA plan that has integrated prescription drug coverage - ANSWERSthe consumer will be automatically disenrolled from the standalone PDP upon in Roman in the MA plan that has integrated prescription drug coverage aside from a standalone Medicare prescription drug plan how else could a Medicare eligible consumer get Part D prescription drug coverage - ...

Agent John is planning to conduct a series of events. Some will be strictly educational, others will be formal presentations of specific UnitedHealthcare plans, and others will be informal marketing events where he can generate leads and schedule future in-home marketing appointments. Of the three types of events John plans to conduct, which need to be reported to UnitedHealthcare? - ANSWERS******* When completing an enrollment application in LEAN, why is an agent prohibited from entering his...

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...

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...