UHC Ethics and Compliance Assessment Test Questions With 100% Verified Solutions

UHC Ethics and Compliance Assessment Test Questions With 100% Verified Solutions What is the purpose of the Statement of Understanding? -It ensures that when consumers sign the Medicare Advantage and/or Part D Enrollment Application, they are acknowledging their understanding of monthly premiums and deductibles. -It ensures that when consumers sign the Medicare Advantage and/or Part D Enrollment Application, they are acknowledging their understanding of standard enrollment and disenrollment procedures. -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. - 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. 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 -Permission to Call -Statement of Understanding - ANSWER -Scope of Appointment Jane, an agent, is speaking to Albert about a Prescription Drug plan. Albert seems confused and is struggling to understand the information Jane is explaining. Which option should Jane consider? -Jane should ask another agent to take over the call because she is not getting through to Albert. -Jane should forge ahead with the presentation and enroll Albert if he is interested. -Jane should ask Albert if someone, such as an Authorized Legal Representative, helps him make health care or insurance-related decisions and should be present. -Jane should tell Albert to find the information on the plan's website. - ANSWER Jane should ask Albert if someone, such as an Authorized Legal Representative, helps him make health care or insurance-related decisions and should be present. Select the option that describes the coverage combinations a member can be enrolled in at the same time. -Medicare Supplement plan and MA-PD plan -MA-Only PFFS plan and a stand-alone PDP -MA-Only non-PFFS plan and a stand-alone PDP - ANSWER -MA-Only PFFS plan and a stand-alone PDP In which situation MAY the Medicare Advantage (MA) organization decide to disenroll a member from an MA plan? -Premiums are not paid on a timely basis -The member expresses dissatisfaction with the plan -The member is diagnosed with a condition - ANSWER -Premiums are not paid on a timely basis Dennis, a consumer, is currently enrolled in Original Medicare plus a Medicare Supplement Plan. His current plan is suitable for his medical needs, but he would like to add prescription drug coverage only. Since Dennis wants to keep his current coverage, which option is available to Dennis (assuming he is in a valid election period)? -Dennis should disenroll from his Medicare Supplement Plan, return to Original Medicare and enroll in a stand-alone PDP. -Dennis should disenroll from his Medicare Supplement Plan and enroll in any of the Medicare Advantage Plans that have prescription drug coverage included. -Dennis should stay enrolled in his Medicare Supplement Plan and enroll in a Medicare Advantage Plan with prescription drug coverage included. -Dennis should stay enrolled in Original Medicare and his Medicare Supplement Plan and enroll in a stand-alone PDP. - ANSWER -Dennis should stay enrolled in Original Medicare and his Medicare Supplement Plan and enroll in a stand-alone PDP. In what product should agents enroll consumers? -A product that meets the sales goal of the Centers for Medicare and Medicaid Services, UnitedHealthcare and the Social Security Administration. -A product that meets the interest the agent has in the transaction, for example commissions received for the sale. -A product that is suitable for the consumer's needs, goals and financial resources. -A product that provides a financial advantage to a network of providers. - ANSWER -A product that is suitable for the consumer's needs, goals and financial resources. To avoid confusing or misleading a consumer, what type of information must the agent provide when presenting a plan? (Select 3) -Unsubstantiated -Complete -Factual -Accurate - ANSWER -Complete Factual Accurate