UHC CERTIFICATION 2024 QUESTIONS AND DETAILED ANSWERS~ UNITED HEALTH CARE CERTIFICATION EXAM

UHC CERTIFICATION 2024 QUES TIONS AND DETAILED ANSWERS~ UNITED HEALTH CARE CERTIFICATION EXAM Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her Initial Election Period (IEP), when can she submit an appli cation for a Medicare Advantage or Prescription Drug plan? March 1 through July 31 April 1 through October 31 July 1 through December 30 June 1 through July 31 Correct Answer April 1 through October 31 - CORRECT Annual Election Period (AEP) is a time whe n. . . Consumers can only disenroll from their Medicare Advantage or Prescription Drug Plan and return to Original Medicare. Consumers can only enroll in a Medicare Advantage Plan or switch to a different Medicare Advantage plan. Consumers can elect to swi tch to a different plan or join a Medicare Advantage plan or Prescription Drug Plan. Only certain Medicare -eligible consumers can make changes. Correct Answer Consumers can elect to switch to a different plan or join a Medicare Advantage plan or Prescripti on Drug Plan. Which statement regarding Star Ratings is true? Medicare uses a 5 -star rating system to illustrate a plan's performance and quality. The agent said that the Star Ratings are based on a plan's performance from two years ago and, therefore, do not accurately reflect a plan's current value. Star Ratings are based on a plan's performance from the prior year and, therefore, may not accurately reflect a plan's current value. Medicare uses a 5 -star rating system to illustrate the plan's relative pop ularity in a market as measured by membership and retention rates. Correct Answer Medicare uses a 5 -star rating system to illustrate a plan's performance and quality. Which of the following is not considered unsolicited contact with a Medicare eligible co nsumer according to CMS regulations and UnitedHealthcare's rules, policies, and procedures? Emailing a marketing brochure to a consumer whose email address was obtained on a purchased lead list. Approaching a consumer in a common area of a senior living complex. Placing a marketing brochure on the door handle of the consumer's residence. Mailing a marketing brochure to the consumer via postal mail. Correct Answer Mailing a marketing brochure to the consumer via postal mail What information should be obtain ed from the consumer when conducting a thorough needs assessment? (Select 2) The providers they see and medications they take to determine network and formulary status. Their current health care coverage, including what they like about it and what they don 't. Their favorite foods and hygiene products to determine if they are covered by a grocery allowance Correct Answer The providers they see and medications they take to determine network and formulary status. Their current health care coverage, including w hat they like about it and what they don't. 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? The enrollment application may be d enied. The consumer/member would not receive plan related correspondence intended for him/her. The agent may experience commission payment processing issues. Correct Answer The consumer/member would not receive plan related correspondence intended for him/ her What is the purpose of the Statement of Understanding? It ensures that when consumers sign the Medicare Advantage and/or Part D Enrollment Application, they are acknowledging their understanding of monthly premiums and deductibles. It ensures that whe n consumers sign the Medicare Advantage and/or Part D Enrollment Application, they are acknowledging their understanding of standard enrollment and disenrollment procedures. It ensures that when consumers complete the Medicare Advantage and/or Part D Enrol lment Application, they are acknowledging their understanding that they are actually enrolling, in which plan they are enrolling, and standard disclosures. Correct Answer It ensures that when consumers complete the Medicare Advantage and/or Part D Enrollme nt Application, they are acknowledging their understanding that they are actually enrolling, in which plan they are enrolling, and standard disclosures Which of the following must an agent obtain from the consumer no less than 48 hours (unless an exceptio n applies) before an in-person, online, or telephonic marketing appointment? Scope of Appointment Statement of Understanding Permission to Call Correct Answer Scope of Appointment Which statement is accurate when a consumer has a Power of Attorney (POA)? The POA may attend a personal/individual marketing appointment with the consumer but has no authority to sign the Enrollment Application. If the POA signs the Enrollment Application, they must be able to provide documentation upon request by the Plan that indicates authority under state law to enroll the consumer. The POA may sign the Enrollment Application and must submit documentation that indicates his authority under state law to enroll his mother with the application. Correct Answer If the POA signs th e Enrollment Application, they must be able to provide documentation upon request by the Plan that indicates authority under state law to enroll the consumer. Select the option that describes the coverage combinations a member can be enrolled in at the sa me time. MA-Only PFFS plan and a stand -alone PDP MA-Only non -PFFS plan and a stand -alone PDP Medicare Supplement plan and MA -PD plan Correct Answer Medicare Supplement plan and MA -PD plan - WRONG In which situation will a member be involuntarily disenroll ed from their MA plan? The member lost entitlement to either Medicare Part A or Part B. The member did not pay plan premiums on a timely basis. The member engaged in disruptive behavior. Premiums are not paid on a timely basis. Correct Answer The member lo st entitlement to either Medicare Part A or Part B. Rosanna is enrolled in a Medicare Advantage Only (MA -Only) Private Fee -for-Service (PFFS) Plan. The plan is suitable for her needs and service area. She has decided she wants to add prescription drug cov erage. Which option is available to Rosanna (assuming she is in a valid election period)? Rosanna could stay enrolled in her MA -Only PFFS plan and enroll in a stand -alone PDP. Rosanna could stay enrolled in her MA -Only PFFS plan and enroll in a Medicare Ad vantage Prescription Drug (MA -PD) plan.