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?
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?