UHC Ethic and Compliance 2022 Questions with Correct Answers

What is the definition of Abuse? CORRECT ANSWER Abuse includes any practice that results in the provision of services that are not medically necessary An agent should only enroll a consumer in a product: CORRECT ANSWER That is suitable for the consumer's needs, goals and financial resources. When marketing UnitedHealth care Medicare Advantage plans to consumers, which of the following must an agent do? CORRECT ANSWER Provide current marketing materials that have been approved by CMS and UnitedHealth care. Agent Jacob learns that Emily, the consumer with whom he is meeting, is the authorized legal representative for her father. What must Jacob explain to Emily when completing an Enrollment Application for her father? CORRECT ANSWER Jacob must explain that Emily will sign the Enrollment Application and must be able to provide documentation upon request by the Plan that indicates her legal authority to enroll her father. When can telephonic contact with a Medicare eligible consumer be made? CORRECT ANSWER When the consumer consented to be contacted for sales activities, subsequent telephonic contact has not yet occurred, and the permission has not yet expired. An individual with Power of Attorney is an example of what authority? CORRECT ANSWER Legal authority under state law to act on behalf of another individual. 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: CORRECT ANSWER Josh should tell Janine that she can only change her current plan to a 5-star plan during the Annual Election Period.