UHC Ethics and Compliance Assessment Latest Updated 2024
What information should be obtained from the consumer when conducting a thorough needs assessment?
(Select 2)
-Their favorite foods and hygiene products to determine if they are covered by a grocery allowance.
-The providers they see and medications they take to determine network and formulary status.
-Their current health care coverage, including what they like about it and what they don't. - The providers
they see and medications they take to determine network and formulary status.
Their current health care coverage, including what they like about it and what they don't.
When completing an enrollment application in LEAN, why is an agent prohibited from entering his or her
own email address in a field available for the consumer's email address?
-The enrollment application may be denied.
-The agent may experience commission payment processing issues.
-The consumer/member would not receive plan related correspondence intended for him/her. - The
consumer/member would not receive plan related correspondence intended for him/her.
, 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?
-He can use the Annual Election Period that runs from October 15 to December 7 and select November 1
as his plan effective date.
-There are no rules governing how often he can change plans during the year.
-He may be able to use a Special Election Period to change plans if he qualifies for one.
-He can use the Medicare Advantage Open Enrollment Period that runs from October 15 to December 7
and select November 1 as his plan effective date. - He may be able to use a Special Election Period to
change plans if he qualifies for one.
Which of the following statements is true about election periods?
-MA Open Enrollment Period can only be used by a consumer already enrolled in an MA Plan
-Initial Election Period can only be used by a consumer already enrolled in a Medicare Advantage (MA)
Plan.
-Annual Election Period can only be used by a consumer already enrolled in an MA Plan.
What information should be obtained from the consumer when conducting a thorough needs assessment?
(Select 2)
-Their favorite foods and hygiene products to determine if they are covered by a grocery allowance.
-The providers they see and medications they take to determine network and formulary status.
-Their current health care coverage, including what they like about it and what they don't. - The providers
they see and medications they take to determine network and formulary status.
Their current health care coverage, including what they like about it and what they don't.
When completing an enrollment application in LEAN, why is an agent prohibited from entering his or her
own email address in a field available for the consumer's email address?
-The enrollment application may be denied.
-The agent may experience commission payment processing issues.
-The consumer/member would not receive plan related correspondence intended for him/her. - The
consumer/member would not receive plan related correspondence intended for him/her.
, 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?
-He can use the Annual Election Period that runs from October 15 to December 7 and select November 1
as his plan effective date.
-There are no rules governing how often he can change plans during the year.
-He may be able to use a Special Election Period to change plans if he qualifies for one.
-He can use the Medicare Advantage Open Enrollment Period that runs from October 15 to December 7
and select November 1 as his plan effective date. - He may be able to use a Special Election Period to
change plans if he qualifies for one.
Which of the following statements is true about election periods?
-MA Open Enrollment Period can only be used by a consumer already enrolled in an MA Plan
-Initial Election Period can only be used by a consumer already enrolled in a Medicare Advantage (MA)
Plan.
-Annual Election Period can only be used by a consumer already enrolled in an MA Plan.
