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Exam (elaborations)

Uhc Certification Comprehensive Course Review

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UHC CERTIFICATION COMPREHENSIVE COURSE REVIEW

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UHC CERTIFICATION COMPREHENSIVE
COURSE REVIEW


◉ 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?

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