UHC ETHICS CORRECT EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔How many different types of SEPs and are not limited to - ✔✔dual eligibles.
customers who move into reside in, or move out of a nursing home , and those who
have qualifying chronic conditions.
✔✔A member may disenroll from their MA plan and return to original medicare during
which time - ✔✔SEP's
✔✔A customer with original medicare may enroll in a MA plan, during which time? -
✔✔SEP's
✔✔A member of one MA plan may enroll in a different MA plan during which time? -
✔✔SEP's
✔✔For a SEP, when is the members start date? - ✔✔1st day of the month following
receipt of election. Note: for some SEP's consumers may choose effective date up to 3
months after plan receives enrollment request.
Note: if the SEP is due to a move, the plan effective date CANNOT be earlier than that
of the move date or receipt of the enrollment request
✔✔If a customer is eligible for AEP, can they also be eligible for a SEP at the same
time? - ✔✔yes
✔✔WHat does ICEP stand for? - ✔✔initial coverage election period
✔✔What does IEP stand for? - ✔✔initial enrollment period
✔✔What is the enrollment period for a MA only plan? - ✔✔ICEP ( initial coverage
election period)
, ✔✔What is the enrollment period for a stand alone PDP or M-PD plan? - ✔✔initial
enrollment period
✔✔What is ICEP used for? - ✔✔is for customers newly eligible for medicare parts Aand
B who elect an MA-only plan
✔✔what is IEP used for? - ✔✔for customers newly eligible for medicare parts A and B
who elect a stand alone PDP or MA-PD plan
✔✔What is the time period for medicare advantage and prescription drug plans? - ✔✔7
month enrollment period that includes 3 months prior to their eligibility, the month they
are eligible and 3 months following the month of eligibility
✔✔What is a 5- star special election period? - ✔✔its an election period available to
consumers that allows them to enroll in a 5 star rated plan. consumers can use this SEP
once during the benefit year.
✔✔Can consumers join a 5 star MA plan if one is not available in their area? - ✔✔no
they cannot
✔✔Consumers who use this SEP to enroll in a 5 star MA-only PFFS plan also have a
coordinating - ✔✔SEP to enroll in a PDP even if its not 5-star rated
NOTE: consumers may lose their prescription drug coverage if they move from a MA
plan that has drug coverage to a MAP that does NOT.
if the above scenario happens, members will have to wait until the next AEP to obtain
drug coverage, and customers will have to pay a late enrollment penalty
✔✔When is AEP? - ✔✔oct 15th through Dec 7th
✔✔What does AEP stand for - ✔✔Annual election period
✔✔AEP can be used with - ✔✔Medicare open enrollment
✔✔What is the AEP used for? - ✔✔a medicare consumer can enroll in or disenroll from
a MA or PDP plan.
All AEP enrollment elections become effective janurary 1st and disenrollments elections
become effective Dec 31st
✔✔For AEP, agents may not begin marketing until what date - ✔✔october 1st
QUESTIONS SET A+
✔✔How many different types of SEPs and are not limited to - ✔✔dual eligibles.
customers who move into reside in, or move out of a nursing home , and those who
have qualifying chronic conditions.
✔✔A member may disenroll from their MA plan and return to original medicare during
which time - ✔✔SEP's
✔✔A customer with original medicare may enroll in a MA plan, during which time? -
✔✔SEP's
✔✔A member of one MA plan may enroll in a different MA plan during which time? -
✔✔SEP's
✔✔For a SEP, when is the members start date? - ✔✔1st day of the month following
receipt of election. Note: for some SEP's consumers may choose effective date up to 3
months after plan receives enrollment request.
Note: if the SEP is due to a move, the plan effective date CANNOT be earlier than that
of the move date or receipt of the enrollment request
✔✔If a customer is eligible for AEP, can they also be eligible for a SEP at the same
time? - ✔✔yes
✔✔WHat does ICEP stand for? - ✔✔initial coverage election period
✔✔What does IEP stand for? - ✔✔initial enrollment period
✔✔What is the enrollment period for a MA only plan? - ✔✔ICEP ( initial coverage
election period)
, ✔✔What is the enrollment period for a stand alone PDP or M-PD plan? - ✔✔initial
enrollment period
✔✔What is ICEP used for? - ✔✔is for customers newly eligible for medicare parts Aand
B who elect an MA-only plan
✔✔what is IEP used for? - ✔✔for customers newly eligible for medicare parts A and B
who elect a stand alone PDP or MA-PD plan
✔✔What is the time period for medicare advantage and prescription drug plans? - ✔✔7
month enrollment period that includes 3 months prior to their eligibility, the month they
are eligible and 3 months following the month of eligibility
✔✔What is a 5- star special election period? - ✔✔its an election period available to
consumers that allows them to enroll in a 5 star rated plan. consumers can use this SEP
once during the benefit year.
✔✔Can consumers join a 5 star MA plan if one is not available in their area? - ✔✔no
they cannot
✔✔Consumers who use this SEP to enroll in a 5 star MA-only PFFS plan also have a
coordinating - ✔✔SEP to enroll in a PDP even if its not 5-star rated
NOTE: consumers may lose their prescription drug coverage if they move from a MA
plan that has drug coverage to a MAP that does NOT.
if the above scenario happens, members will have to wait until the next AEP to obtain
drug coverage, and customers will have to pay a late enrollment penalty
✔✔When is AEP? - ✔✔oct 15th through Dec 7th
✔✔What does AEP stand for - ✔✔Annual election period
✔✔AEP can be used with - ✔✔Medicare open enrollment
✔✔What is the AEP used for? - ✔✔a medicare consumer can enroll in or disenroll from
a MA or PDP plan.
All AEP enrollment elections become effective janurary 1st and disenrollments elections
become effective Dec 31st
✔✔For AEP, agents may not begin marketing until what date - ✔✔october 1st
