UHC Ethics And Compliance Assessment
2024 Questions And Answers.
On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries
would like this change to be effective November 1. Which statement is true for Aries?
-He can use the Annual Election Period that runs from October 15 to December 7 and
select November 1 as his plan effective date.
-There are no rules governing how often he can change plans during the year.
-He may be able to use a Special Election Period to change plans if he qualifies for one.
-He can use the Medicare Advantage Open Enrollment Period that runs from October
15 to December 7 and select November 1 as his plan effective date. - correct answer.
He may be able to use a Special Election Period to change plans if he qualifies for one.
Which of the following statements is true about election periods?
-MA Open Enrollment Period can only be used by a consumer already enrolled in an
MA Plan
-Initial Election Period can only be used by a consumer already enrolled in a Medicare
Advantage (MA) Plan.
-Annual Election Period can only be used by a consumer already enrolled in an MA
Plan.
-5-Star SEP can only be used by a consumer already enrolled in an MA Plan. - correct
answer. MA Open Enrollment Period can only be used by a consumer already
enrolled in an MA Plan
Which statement regarding Star Ratings is true?
-Medicare uses a 5-star rating system to illustrate the plan's relative popularity in a
market as measured by membership and retention rates.
-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 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. - correct answer.
Medicare uses a 5-star rating system to illustrate a plan's performance and quality.
Which of the following describes Permission to Contact (PTC) guidelines?
-PTC expires the Dec. 31 of each year regardless of when it was obtained.
-Contact can only be made by the method(s) requested by the consumer and the agent
can only market the product(s) indicated by the consumer.
-The agent must obtain PTC no later than the start of a marketing appointment and can
only discuss the products agreed upon by the consumer. - correct answer. Contact
can only be made by the method(s) requested by the consumer and the agent can only
market the product(s) indicated by the consumer.
What information should be obtained from the consumer when conducting a thorough
needs assessment? (Select 2)
-Their favorite foods and hygiene products to determine if they are covered by a grocery
allowance.
-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. - correct answer. 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.
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 denied.
-The agent may experience commission payment processing issues.
-The consumer/member would not receive plan related correspondence intended for
him/her. - correct answer. The consumer/member would not receive plan related
correspondence intended for him/her.
What is the purpose of the Statement of Understanding?
2024 Questions And Answers.
On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries
would like this change to be effective November 1. Which statement is true for Aries?
-He can use the Annual Election Period that runs from October 15 to December 7 and
select November 1 as his plan effective date.
-There are no rules governing how often he can change plans during the year.
-He may be able to use a Special Election Period to change plans if he qualifies for one.
-He can use the Medicare Advantage Open Enrollment Period that runs from October
15 to December 7 and select November 1 as his plan effective date. - correct answer.
He may be able to use a Special Election Period to change plans if he qualifies for one.
Which of the following statements is true about election periods?
-MA Open Enrollment Period can only be used by a consumer already enrolled in an
MA Plan
-Initial Election Period can only be used by a consumer already enrolled in a Medicare
Advantage (MA) Plan.
-Annual Election Period can only be used by a consumer already enrolled in an MA
Plan.
-5-Star SEP can only be used by a consumer already enrolled in an MA Plan. - correct
answer. MA Open Enrollment Period can only be used by a consumer already
enrolled in an MA Plan
Which statement regarding Star Ratings is true?
-Medicare uses a 5-star rating system to illustrate the plan's relative popularity in a
market as measured by membership and retention rates.
-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 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. - correct answer.
Medicare uses a 5-star rating system to illustrate a plan's performance and quality.
Which of the following describes Permission to Contact (PTC) guidelines?
-PTC expires the Dec. 31 of each year regardless of when it was obtained.
-Contact can only be made by the method(s) requested by the consumer and the agent
can only market the product(s) indicated by the consumer.
-The agent must obtain PTC no later than the start of a marketing appointment and can
only discuss the products agreed upon by the consumer. - correct answer. Contact
can only be made by the method(s) requested by the consumer and the agent can only
market the product(s) indicated by the consumer.
What information should be obtained from the consumer when conducting a thorough
needs assessment? (Select 2)
-Their favorite foods and hygiene products to determine if they are covered by a grocery
allowance.
-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. - correct answer. 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.
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 denied.
-The agent may experience commission payment processing issues.
-The consumer/member would not receive plan related correspondence intended for
him/her. - correct answer. The consumer/member would not receive plan related
correspondence intended for him/her.
What is the purpose of the Statement of Understanding?
