UHC CERTIFICATION TEST BANK
UPDATED QUESTIONS AND
ACCURATE ANSWERS GRADED A
PLUS
⩥ Which statement is true about C-SNPs, D-SNPs, and prescription drug
coverage? Answer: C-SNPs and D-SNPs include Medicare Part D
prescription drug coverage.
⩥ Which statement is true of D-SNP members? Answer: Generally,
members who are Full Dual-Eligible are not required to pay copayments
for Medicare-covered services obtain from a D-SNP in-network provider
in the state in which they live.
⩥ Of the election periods listed, which one can Full Dual-Eligible
consumers use to enroll in an Integrated D-SNP in JULY? Answer: SEP-
INTEGRATED CARE
⩥ Which two consumers can use the Special Election Period "SEP-
Special Need/Chronic"? Answer: *Mark, currently enrolled in a
medicare supplement plan and a stand alone prescription drug plan, was
just diagnosed with a cardiovascular disorder and would like to enroll in
a c-snp that covers the condition.
*Thu is enrolled in a C-SNP that only covers diabetes. Newly diagnosed
with a cardiovascular disorder, she wants to enroll in a C-SNP that
covers her new condition.
,⩥ The Chronic Condition Verification form/ questionnaire authorizes the
plan to do what? Answer: It authorizes the plan to contact the provider
identified on the form/questionnaire in order to verify that the consumer
has at least one of the qualifying chronic conditions covered by the C-
SNP.
⩥ Which statement is true about how the loss of Medicaid affects a
member's enrollment in a Dual Eligibility Special Needs plan (D-SNP)?
Answer: Special Election period (SEP Dual/LIS change in status) is
available for D-SNP members, and they will be responsible for all cost-
sharing.
⩥ When conducting an informal marketing/sales events, agents
may__________ Answer: Display plan materials, lead cards, business
cards, and scope of appointment forms.
⩥ Select the option that describes the rule about conducting a
marketing/sales event following an educational event. Answer: At least
12 hours must separate a marketing/sales event that follows an
educational event at the same location (i.e. building or adjacent
building).
⩥ What type of event is an agent conducting when they present plan
information that includes benefits and cost-sharing in an audience-
presenter format? Answer: Formal marketing/sales event
, ⩥ What event advertisement or invitation must include this disclaimer:
"For accommodation of persons with special needs at meeting, call"?
Answer: All educational and marketing/sales.
⩥ What activities can an agent engage in at an educational event?
Answer: Display and collect lead cards.
⩥ Do consumets have to be an AARP member to enroll in an AARP-
branded plan with UnitedHealthcare? Answer: Yes, if the consumer is
enrolling in a Medicare Supplement insurance plan.
⩥ Which of the following TWO statements are true related to offering
food items at events? Answer: -Light refreshments or snacks may be
offered at marketing/ sales events, provided that, when bundled, they do
not constitute a meal, and the retail value of the refreshments or snacks
in combination with all other giveaways (e.g. refrigerator magnet and
pill box) does not exceed $15 on a per person basis.
-Meals may be offered at educational events, provided the retail value of
the meal in combination with all other giveaways (e.g. pen and tote bag)
does not exceed $15 on a per person basis.
⩥ Select the option that describes when a marketing/sales event may be
conducted at a venue that serves a meal as part of the venue's daily
activities, such as a senior center, soup kitchen, or homeless shelter?
UPDATED QUESTIONS AND
ACCURATE ANSWERS GRADED A
PLUS
⩥ Which statement is true about C-SNPs, D-SNPs, and prescription drug
coverage? Answer: C-SNPs and D-SNPs include Medicare Part D
prescription drug coverage.
⩥ Which statement is true of D-SNP members? Answer: Generally,
members who are Full Dual-Eligible are not required to pay copayments
for Medicare-covered services obtain from a D-SNP in-network provider
in the state in which they live.
⩥ Of the election periods listed, which one can Full Dual-Eligible
consumers use to enroll in an Integrated D-SNP in JULY? Answer: SEP-
INTEGRATED CARE
⩥ Which two consumers can use the Special Election Period "SEP-
Special Need/Chronic"? Answer: *Mark, currently enrolled in a
medicare supplement plan and a stand alone prescription drug plan, was
just diagnosed with a cardiovascular disorder and would like to enroll in
a c-snp that covers the condition.
*Thu is enrolled in a C-SNP that only covers diabetes. Newly diagnosed
with a cardiovascular disorder, she wants to enroll in a C-SNP that
covers her new condition.
,⩥ The Chronic Condition Verification form/ questionnaire authorizes the
plan to do what? Answer: It authorizes the plan to contact the provider
identified on the form/questionnaire in order to verify that the consumer
has at least one of the qualifying chronic conditions covered by the C-
SNP.
⩥ Which statement is true about how the loss of Medicaid affects a
member's enrollment in a Dual Eligibility Special Needs plan (D-SNP)?
Answer: Special Election period (SEP Dual/LIS change in status) is
available for D-SNP members, and they will be responsible for all cost-
sharing.
⩥ When conducting an informal marketing/sales events, agents
may__________ Answer: Display plan materials, lead cards, business
cards, and scope of appointment forms.
⩥ Select the option that describes the rule about conducting a
marketing/sales event following an educational event. Answer: At least
12 hours must separate a marketing/sales event that follows an
educational event at the same location (i.e. building or adjacent
building).
⩥ What type of event is an agent conducting when they present plan
information that includes benefits and cost-sharing in an audience-
presenter format? Answer: Formal marketing/sales event
, ⩥ What event advertisement or invitation must include this disclaimer:
"For accommodation of persons with special needs at meeting, call"?
Answer: All educational and marketing/sales.
⩥ What activities can an agent engage in at an educational event?
Answer: Display and collect lead cards.
⩥ Do consumets have to be an AARP member to enroll in an AARP-
branded plan with UnitedHealthcare? Answer: Yes, if the consumer is
enrolling in a Medicare Supplement insurance plan.
⩥ Which of the following TWO statements are true related to offering
food items at events? Answer: -Light refreshments or snacks may be
offered at marketing/ sales events, provided that, when bundled, they do
not constitute a meal, and the retail value of the refreshments or snacks
in combination with all other giveaways (e.g. refrigerator magnet and
pill box) does not exceed $15 on a per person basis.
-Meals may be offered at educational events, provided the retail value of
the meal in combination with all other giveaways (e.g. pen and tote bag)
does not exceed $15 on a per person basis.
⩥ Select the option that describes when a marketing/sales event may be
conducted at a venue that serves a meal as part of the venue's daily
activities, such as a senior center, soup kitchen, or homeless shelter?
