Page 1 of 76
UHC CERTIFICATION MEDICARE exam ALL 300
Questions and Verified Solutions Latest Update
This Year
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 popularity in a market as
measured by membership and retention rates.
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
consumer 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.
, Page 2 of 76
Mailing a marketing brochure to the consumer via postal mail
What information should be obtained 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
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 consumer/member would not receive plan related correspondence intended for him/her.
The agent may experience commission payment processing issues.
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 when consumers sign the Medicare Advantage and/or Part D Enrollment
, Page 3 of 76
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 Enrollment
Application, they are acknowledging their understanding that they are actually enrolling, in
which plan they are enrolling, and standard disclosures.
It ensures that when consumers complete the Medicare Advantage and/or Part D Enrollment
Application, they are acknowledging their understanding that they are actually enrolling, in
which plan they are enrolling, and standard disclosures
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 application 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
Not July 1 - Dec 30 - WRONG
April 1 through October 31 - CORRECT
Annual Election Period (AEP) is a time when. . .
Consumers can only disenroll from their Medicare Advantage or Prescription Drug Plan and
return to Original Medicare.
, Page 4 of 76
Consumers can only enroll in a Medicare Advantage Plan or switch to a different Medicare
Advantage plan.
Consumers can elect to switch to a different plan or join a Medicare Advantage plan or
Prescription Drug Plan.
Only certain Medicare-eligible consumers can make changes.
Consumers can elect to switch to a different plan or join a Medicare Advantage plan or
Prescription Drug Plan.
Which of the following must an agent obtain from the consumer no less than 48 hours (unless
an exception applies) before an in-person, online, or telephonic marketing appointment?
Scope of Appointment
Statement of Understanding
Permission to Call
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.
UHC CERTIFICATION MEDICARE exam ALL 300
Questions and Verified Solutions Latest Update
This Year
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 popularity in a market as
measured by membership and retention rates.
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
consumer 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.
, Page 2 of 76
Mailing a marketing brochure to the consumer via postal mail
What information should be obtained 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
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 consumer/member would not receive plan related correspondence intended for him/her.
The agent may experience commission payment processing issues.
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 when consumers sign the Medicare Advantage and/or Part D Enrollment
, Page 3 of 76
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 Enrollment
Application, they are acknowledging their understanding that they are actually enrolling, in
which plan they are enrolling, and standard disclosures.
It ensures that when consumers complete the Medicare Advantage and/or Part D Enrollment
Application, they are acknowledging their understanding that they are actually enrolling, in
which plan they are enrolling, and standard disclosures
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 application 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
Not July 1 - Dec 30 - WRONG
April 1 through October 31 - CORRECT
Annual Election Period (AEP) is a time when. . .
Consumers can only disenroll from their Medicare Advantage or Prescription Drug Plan and
return to Original Medicare.
, Page 4 of 76
Consumers can only enroll in a Medicare Advantage Plan or switch to a different Medicare
Advantage plan.
Consumers can elect to switch to a different plan or join a Medicare Advantage plan or
Prescription Drug Plan.
Only certain Medicare-eligible consumers can make changes.
Consumers can elect to switch to a different plan or join a Medicare Advantage plan or
Prescription Drug Plan.
Which of the following must an agent obtain from the consumer no less than 48 hours (unless
an exception applies) before an in-person, online, or telephonic marketing appointment?
Scope of Appointment
Statement of Understanding
Permission to Call
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.
