Study guides, Class notes & Summaries

UNITED HEALTHCARE (UHC) – ETHICS AND COMPLIANCE LATEST 2023-2024 EXAM| ACTUAL QUESTIONS AND VERIFIED ANSWERS |A+ GRADE Q: 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? Answer: Jacob must explain that Emily will sign the Enrollment Application and must be able to provide documentation upon request by the Plan that indic...

UHC Ethics and Compliance Certification 2023/2024 Exam| Questions and Verified Answers| Graded A Q: What does generic mean with marketing materials? Answer: materials that do not meet the marketing materials criteria and do not carry any plan sponsor information or logos Q: does generic materials require prior approval? Answer: no Q: What methods are considered marketing material? Answer: newspaper, tv, internet, radio advertisements, direct mail, postcards, fl...

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?On the day he called, he can enroll in a different Medicare Advantage plan with an effective date of March 1. An agent is explaining Medicare Advantage plan options to a consumer. During the conversation, the agent explains that Medicare gives each plan...

UHC Ethics and compliance Questions & answers

What is a servicing agent? Correct Answer an inactive, nonemployee who has signed a servicing agreement in order to receive renewal commisions on medicare advantage and prescription drug plan enrollments on or after 1-1-2014. the agent must maintain an active resident license and appointment and pass medicare basics and ethics compliance assessments on an annual basis What does CMS stand for? Correct Answer center for medicare and medicaid services Who administers the medicare program and ...

What is a servicing agent? - an inactive, nonemployee who has signed a servicing agreement in order to receive renewal commisions on medicare advantage and prescription drug plan enrollments on or after 1- 1-2014. the agent must maintain an active resident license and appointment and pass medicare basics and ethics compliance assessments on an annual basis What does CMS stand for? - center for medicare and medicaid services

In terms of events, which of the following is true? Agents must only report formal marketing/sales events UnitedHealthcare. Agents must only report informal marketing/sales events to UnitedHealthcare. Agents must only report formal and informal marketing/sales events to UnitedHealthcare. - answer...

What type of events must an agent report to UnitedHealthcare? - cORRECT ANSWER Only the marketing/sales events, both formal and informal. 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? - cORRECT ANSWER Leave any field requesting a consumer email address blank

gent John is planning to conduct a series of events. Some will be strictly educational, others will be formal presentations of specific UnitedHealthcare plans, and others will be informal marketing events where he can generate leads and schedule future in-home marketing appointments. Of the three types of events John plans to conduct, which need to be reported to UnitedHealthcare? - CORRECT ANSWER *******

UHC CERTIFICATION ETHICS AND COMPLIANCE 2024 QUESTIONS AND DETAILED ANSWERS – UNITED HEALTH CARE CERTIFICATION 2024 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? Correct Answer The consumer/member would not receive plan related correspondence intended for him/her. Which election period runs from October 15 to December 7 and allows consumers to elect to jo...

UHC Ethics and Compliance Test 2023 Questions and Answers (Verified Answers) reporting all events (marketing/sales and educational) to united health care is required so that the company can: Comply with CMS and medicaid services event reporting You have a scheduled appointment with a consumer to discuss DSNP. They have the SOA form. 2 days before the appointment they call and request to discuss PDP, which you are certified to sell. What do you tell them? tell the consumer to sign a new SOA...

UHC Ethics and Compliance Test 2023 Questions and Answers (Verified Answers) What is the definition of Abuse? Abuse includes any practice that results in the provision of services that are not medically necesary An agent should only enroll a consumer in a product: That is suitable for the consumer's needs, goals and financial resources. When marketing UnitedHealthcare Medicare Advantage plans to consumers, which of the following must an agent do? Provide current marketing materials that...