UHC ETHICS AND COMPLIANCE EXAM BANK | 2025
CYRRENTLY TESTING ACCURATE REAL EXAM
QUESTIONS WITH DETAILED ANSWERS GRADED A+
| GUARANTEED EXCELLENCE PASS
Agent Santana has developed a relationship with Dr. Westberry, a Primary Care
Provider contracted with several Medicare Advantage Plans. Dr. Westberry is
asked to attend a formal marketing/sales event conducted by Agent Santana.
Which of Dr. Westberry's actions is non-compliant? - ✔✔✔ Correct Answer >
Offers blood pressure screenings as consumers wait for the event to begin
The __________ ensures that when consumers provide their verbal agreement
during the telephonic enrollment, they acknowledge and understand they are
actually enrolling, in which plan they are enrolling, as well as the standard
disclosures. - ✔✔✔ Correct Answer > Statement of Understanding
Which statement is true about discussing benefits with the consumer before an
enrollment? - ✔✔✔ Correct Answer > The agent must accurately and completely
disclose any benefits discussed.
,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? - ✔✔✔ Correct Answer > The consumer/member would not
receive plan related correspondence intended for him/her.
Which of the following best describes the purpose of event observation? - ✔✔✔
Correct Answer > An oversight activity where an individual evaluates an event
as a means to ensure the information provided by the agent was accurate and
compliant.
Which of the following is NOT an eligibility requirement for enrollment in a
Medicare Advantage Plan? - ✔✔✔ Correct Answer > Does not have any pre-
existing conditions such as diabetes or End Stage Renal Disease (ESRD)
Which of the following statements is correct about HMO MA Plans? - ✔✔✔
Correct Answer > Members must receive covered services from contracted
network providers with limited exceptions.
Which of the following is NOT a correct statement about in-network provider
services? - ✔✔✔ Correct Answer > (INCORRECT) Network-based MA plans have
, a provider network the member can use, and some plans also cover certain
services outside the network.
What is true about Medicare supplement open enrollment? - ✔✔✔ Correct
Answer > (INCORRECT) A consumer who waits to enroll in Medicare Part B until
age 66 or older cannot qualify for Medicare Supplement Open Enrollment.
(INCORRECT) It is the only time a consumer is eligible to purchase a Medicare
Supplement Insurance Plan.
Jennifer is enrolling into a Medicare Advantage (MA) plan and wants to know
what counts toward the Out-of-Pocket Maximum. Which of the following is
accurate? - ✔✔✔ Correct Answer > The Out-of-Pocket Maximum will include her
costs toward any Medicare-covered Part A or B services.
Which of the following statements is true about a Medicare Supplement
Insurance Plan member who wants to enroll in an MA Plan? - ✔✔✔ Correct
Answer > Medicare Supplement Insurance cannot be used in conjunction with
an MA Plan; therefore, after receiving confirmation of enrollment into the MA
Plan, the member must cancel their Medicare Supplement Insurance policy
according to their carrier's rules.
CYRRENTLY TESTING ACCURATE REAL EXAM
QUESTIONS WITH DETAILED ANSWERS GRADED A+
| GUARANTEED EXCELLENCE PASS
Agent Santana has developed a relationship with Dr. Westberry, a Primary Care
Provider contracted with several Medicare Advantage Plans. Dr. Westberry is
asked to attend a formal marketing/sales event conducted by Agent Santana.
Which of Dr. Westberry's actions is non-compliant? - ✔✔✔ Correct Answer >
Offers blood pressure screenings as consumers wait for the event to begin
The __________ ensures that when consumers provide their verbal agreement
during the telephonic enrollment, they acknowledge and understand they are
actually enrolling, in which plan they are enrolling, as well as the standard
disclosures. - ✔✔✔ Correct Answer > Statement of Understanding
Which statement is true about discussing benefits with the consumer before an
enrollment? - ✔✔✔ Correct Answer > The agent must accurately and completely
disclose any benefits discussed.
,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? - ✔✔✔ Correct Answer > The consumer/member would not
receive plan related correspondence intended for him/her.
Which of the following best describes the purpose of event observation? - ✔✔✔
Correct Answer > An oversight activity where an individual evaluates an event
as a means to ensure the information provided by the agent was accurate and
compliant.
Which of the following is NOT an eligibility requirement for enrollment in a
Medicare Advantage Plan? - ✔✔✔ Correct Answer > Does not have any pre-
existing conditions such as diabetes or End Stage Renal Disease (ESRD)
Which of the following statements is correct about HMO MA Plans? - ✔✔✔
Correct Answer > Members must receive covered services from contracted
network providers with limited exceptions.
Which of the following is NOT a correct statement about in-network provider
services? - ✔✔✔ Correct Answer > (INCORRECT) Network-based MA plans have
, a provider network the member can use, and some plans also cover certain
services outside the network.
What is true about Medicare supplement open enrollment? - ✔✔✔ Correct
Answer > (INCORRECT) A consumer who waits to enroll in Medicare Part B until
age 66 or older cannot qualify for Medicare Supplement Open Enrollment.
(INCORRECT) It is the only time a consumer is eligible to purchase a Medicare
Supplement Insurance Plan.
Jennifer is enrolling into a Medicare Advantage (MA) plan and wants to know
what counts toward the Out-of-Pocket Maximum. Which of the following is
accurate? - ✔✔✔ Correct Answer > The Out-of-Pocket Maximum will include her
costs toward any Medicare-covered Part A or B services.
Which of the following statements is true about a Medicare Supplement
Insurance Plan member who wants to enroll in an MA Plan? - ✔✔✔ Correct
Answer > Medicare Supplement Insurance cannot be used in conjunction with
an MA Plan; therefore, after receiving confirmation of enrollment into the MA
Plan, the member must cancel their Medicare Supplement Insurance policy
according to their carrier's rules.
