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UHC Ethics & Compliance Latest Update

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Gene got Medicare before he turned 65 and enrolled into a Medicare Advantage plan. He calls in February the month before his 65th birthday and is unhappy with his current plan. On the date of the call, what can Gene do about his coverage? - ANSWERSOn the day he called, he can enroll in a different Medicare Advantage plan with an effective date of March 1. Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been presenting. Which statement is correct? - ANSWERSMrs. Violet can access the Star Rating for a plan on M or in the Enrollment Guide. Which of the following is not considered unsolicited contact with a Medicare eligible consumer according to CMS regulations and UnitedHealthcare's rules, policies, and procedures? - ANSWERSMailing a marketing brochure to the consumer via postal mail. Which statement is true about discussing benefits with the consumer before an enrollment? - ANSWERSThe agent must accurately and completely disclose any benefits discussed. Which statement about discussing benefits with the consumer before an enrollment is true? - ANSWERSThe agent must explain any provider and/or pharmacy network limitations. While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the consumer does not have an email address. What should Jeff do? - ANSWERSLeave the field requesting applicant email address blank. What is the purpose of the Statement of Understanding? - ANSWERSIt ensur

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UHC Ethics & Compliance

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  • uhc
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