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UHC ETHICS FINAL EXAMS ANSWERS AND QUESTIONS SET A.pdf

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UHC ETHICS FINAL EXAMS ANSWERS AND QUESTIONS SET A.pdf

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UHC ETHICS FINAL EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔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 that they are actually enrolling, in which plan they
are enrolling, and standard disclosures.

✔✔What is the definition of Abuse? - ✔✔Abuse includes any practice that results in the
provision of services that are not medically necessary.

✔✔Which of the following are the ways to report potential FWA? (Select 2) - ✔✔-Fraud,
Waste and/or Abuse hotline
-Producer Help Desk (PHD)

✔✔In terms of events, which of the following is true? - ✔✔Agents must only report
formal and informal marketing/sales events to UnitedHealthcare.

✔✔Whose email address may the agent enter into the LEAN enrollment application? -
✔✔Only the consumer's (or leave it blank)

✔✔Annual Election Period (AEP) is a time when: - ✔✔Consumers can elect to join a
Medicare Advantage Plan or switch to a different plan.

✔✔Agent Kim is conducting an event that has been advertised as educational. Which
activities are permitted at an educational event? - ✔✔the one with scope of
appointments in the answer

✔✔Educational events allow for which of the following to occur? - ✔✔Provide objective
information about the Medicare program and/or health improvement and wellness.

✔✔Agent Brenda is presenting Medicare Advantage plan options to her consumer,
Melanie. During the presentation, Brenda tells Melanie that Medicare gives each plan a
Star Rating. Which of the following is not an appropriate response when Melanie asks

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