https://www.stuvia.com/user/Performance
UHC Certification Fast Track Questions and Answers with
Complete Solutions UPDATED!!!
Which statement is true about MEDICAID program? - ANSWER -
It helps pay medical costs for certain groups of people with
limited income and resources.
-Benefits vary from state to state
Which statement is true about C-SNPs, D-SNPs, and prescription
drug coverage? - ANSWER C-SNPs and D-SNPs include Medicare
Part D prescription drug coverage.
Which statement is true of D-SNP members? - ANSWER
Generally, members who are Full Dual-Eligible are not required
to pay copayments for Medicare-covered services obtain from a
D-SNP in-network provider in the state in which they live.
,https://www.stuvia.com/user/Performance
Of the election periods listed, which one can Full Dual-Eligible
consumers use to enroll in an Integrated D-SNP in JULY? -
ANSWER SEP- INTEGRATED CARE
Which two consumers can use the Special Election Period "SEP-
Special Need/Chronic"? - ANSWER *Mark, currently enrolled in
a medicare supplement plan and a stand alone prescription
drug plan, was just diagnosed with a cardiovascular disorder
and would like to enroll in a c-snp that covers the condition.
*Thu is enrolled in a C-SNP that only covers diabetes. Newly
diagnosed with a cardiovascular disorder, she wants to enroll in
a C-SNP that covers her new condition.
The Chronic Condition Verification form/ questionnaire
authorizes the plan to do what? - ANSWER It authorizes the
plan to contact the provider identified on the
form/questionnaire in order to verify that the consumer has at
, https://www.stuvia.com/user/Performance
least one of the qualifying chronic conditions covered by the C-
SNP.
Which statement is true about how the loss of Medicaid affects
a member's enrollment in a Dual Eligibility Special Needs plan
(D-SNP)? - ANSWER Special Election period (SEP Dual/LIS
change in status) is available for D-SNP members, and they will
be responsible for all cost-sharing.
When conducting an informal marketing/sales events, agents
may__________ - ANSWER Display plan materials, lead cards,
business cards, and scope of appointment forms.
Select the option that describes the rule about conducting a
marketing/sales event following an educational event. -
ANSWER At least 12 hours must separate a marketing/sales
event that follows an educational event at the same location
(i.e. building or adjacent building).
UHC Certification Fast Track Questions and Answers with
Complete Solutions UPDATED!!!
Which statement is true about MEDICAID program? - ANSWER -
It helps pay medical costs for certain groups of people with
limited income and resources.
-Benefits vary from state to state
Which statement is true about C-SNPs, D-SNPs, and prescription
drug coverage? - ANSWER C-SNPs and D-SNPs include Medicare
Part D prescription drug coverage.
Which statement is true of D-SNP members? - ANSWER
Generally, members who are Full Dual-Eligible are not required
to pay copayments for Medicare-covered services obtain from a
D-SNP in-network provider in the state in which they live.
,https://www.stuvia.com/user/Performance
Of the election periods listed, which one can Full Dual-Eligible
consumers use to enroll in an Integrated D-SNP in JULY? -
ANSWER SEP- INTEGRATED CARE
Which two consumers can use the Special Election Period "SEP-
Special Need/Chronic"? - ANSWER *Mark, currently enrolled in
a medicare supplement plan and a stand alone prescription
drug plan, was just diagnosed with a cardiovascular disorder
and would like to enroll in a c-snp that covers the condition.
*Thu is enrolled in a C-SNP that only covers diabetes. Newly
diagnosed with a cardiovascular disorder, she wants to enroll in
a C-SNP that covers her new condition.
The Chronic Condition Verification form/ questionnaire
authorizes the plan to do what? - ANSWER It authorizes the
plan to contact the provider identified on the
form/questionnaire in order to verify that the consumer has at
, https://www.stuvia.com/user/Performance
least one of the qualifying chronic conditions covered by the C-
SNP.
Which statement is true about how the loss of Medicaid affects
a member's enrollment in a Dual Eligibility Special Needs plan
(D-SNP)? - ANSWER Special Election period (SEP Dual/LIS
change in status) is available for D-SNP members, and they will
be responsible for all cost-sharing.
When conducting an informal marketing/sales events, agents
may__________ - ANSWER Display plan materials, lead cards,
business cards, and scope of appointment forms.
Select the option that describes the rule about conducting a
marketing/sales event following an educational event. -
ANSWER At least 12 hours must separate a marketing/sales
event that follows an educational event at the same location
(i.e. building or adjacent building).
