Study guides, Class notes & Summaries

UHC ethics and compliance section for certification Exam Questions and Answers 100% Pass 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 fo...

UHC 2021 Medicare Basics Test with Verified Solutions Graded A+ a consumer currently has original Medicare and is enrolled in a stand alone prescription drug plan what will happen if the consumer enrolls in an MA plan that has integrated prescription drug coverage - ️️ -the consumer will be automatically disenrolled from the standalone PDP upon in Roman in the MA plan that has integrated prescription drug coverage aside from a standalone Medicare prescription drug plan how else could ...

UHC 2024 EXAM QUESTIONS WITH ANSWERS In terms of events, which of the following is true? - ANSWER Agents are required to report all events (marketing/sales and education) to UnitedHealthcare according to Company policy You have a scheduled appointment with a Consumer to discuss DSNPs. The consumer has completed the SOA form. Two days before the appointment, the consumer calls and requests to discuss PDP plans, which you are also certified to sell. What should you tell the consumer? - A...

UHC - 2024 Events Basics (English) What type of event must agent conduct when she wants to be able to collect consumer information schedule future appointments and accept enrollment applications - ANSWER marketing/sales event Louise wants to hold an event that helps consumers understand Medicare programs and perhaps an prove their health/Wellness knowledge but she is not interested in completing enrollment applications at the event she would like to staff a table at the Public Library a...

UHC 2024 EXAM QUESTIONS WITH ALL CORRECT ANSWERS what filipinos can expect from the universal health care law? - ANSWER all filipinos will be granted health coverage but not everything will be free universal health care law - ANSWER - all Filipinos are covered - it is not completely free - PhilHealth will become the "national purchaser" of health goods and services - DOH will still be in charge of "population-based" health services - health systems will become city-wide and provinc...

UHC 2024 AHIP - MEDICARE BASICS ASSESSMENT (MEDICARE ADVANTAGE [NON-SNP], PRESCRIPTION DRUG AND MEDICARE SUPPLEMENT PLANS) Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? - correct answer Her enrollment in Medicare Parts A and B is generally automatic if she meets all eligibility requirements. Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicar...

Which of the following is true about Medicare Supplement Insurance underwriting criteria in states where underwriting applies? - Answer Underwriting is required if the consumer is not in their Medicare Supplement Open Enrollment period or does not meet Guaranteed issue criteria. Can a consumer who qualifies for low Income Subsidy receive financial assistance for their part of Medicare Part D costs? - Answer Yes, through subsidies such as lower or no monthly plan premiums and lower or no c...

What is the definition of Abuse? - Answer 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: - Answer 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? - Answer Provide current marketing materials that have been approved by CMS and UnitedHealthcar...

Events are catagorized by which 2 things? - Answer Type of event and whether its formal or informal Larry wants to hold an event that covers SNP He will use UHC presentation and will help consumers enroll at the end. What type of event is this? - Answer Not marketing sales event informal Which of the following is NOT required when selecting a venue? - Answer COnvenient vending machines When must an event be reported to UHC - Answer not less than 7 days before event Which of t...