UHC Ethnic test Questions with Complete Solutions

In which situation may the Medicare Advantage (MA) organization decide to disenroll a member from an MA plan? -Answer The member calls CMS at 1-800-MEDICARE (Wrong) On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective November 1. Which statement is true for Aries? -Answer He may be able to use a Special Election Period to change plans if he qualifies for one. Janine, currently enrolled in a 3-star plan, discovers there is 5-star plan available where she lives. She asks her agent, Josh, to enroll her in the 5-star plan. Josh can advise Janine of each of the following except: -Answer Josh should tell Janine that she can only change her current plan to a 5-star plan during the Annual Election Period. An agent is explaining Medicare Advantage plan options to a consumer. During the conversation, the agent explains that Medicare gives each plan a Star Rating. Which statement is true? -Answer The agent said that Medicare uses a 5-star rating system to illustrate the plan's performance and quality. Which of the following is not considered unsolicited contact with a Medicare eligible consumer according to CMS regulations and UnitedHealthcare's rules, policies, and procedures? - Answer Mailing a marketing brochure to the consumer via postal mail. Which statement about discussing benefits with the consumer before an enrollment is true? - Answer The agent must accurately and completely disclose any benefits discussed.