UHC Certification 2023 Exam Questions With Answers All Correct

UHC Certification 2023 Exam Questions With Answers All Correct 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 - ANSWER- Not July 1 - Dec 30 - WRONG April 1 through October 31 - CORRECT Annual Election Period (AEP) is a time when. . . Consumers can only disenrollment from their Medicare Advantage or Prescription Drug Plan and return to Original Medicare. 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. - ANSWER- Consumers can elect to switch to a different plan or join a Medicare Advantage plan or Prescription Drug Plan. 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. - ANSWER- 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 UnitedHealth care’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 - ANSWER- 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 - 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 consumer/member would not receive plan related correspondence intended for him/her. The agent may experience commission payment processing issues. - ANSWER- 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 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. - ANSWER- 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 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 - ANSWER- 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. - ANSWER- 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. Select the option that describes the coverage combinations a member can be enrolled in at the same time. MA-Only PFFS plan and a stand-alone PDP MA-Only non-PFFS plan and a stand-alone PDP Medicare Supplement plan and MA-PD plan - ANSWER- Medicare Supplement plan and MA-PD plan - WRONG In which situation will a member be involuntarily disembroiled from their MA plan? The member lost entitlement to either Medicare Part A or Part B. The member did not pay plan premiums on a timely basis. The member engaged in disruptive behavior. Premiums are not paid on a timely basis. - ANSWER- The member lost entitlement to either Medicare Part A or Part B. Rosanna is enrolled in a Medicare Advantage Only (MA-Only) Private Fee-for-Service (PFFS) Plan. The plan is suitable for her needs and service area. She has decided she wants to add prescription drug coverage. Which option is available to Rosanna (assuming she is in a valid election period)? Rosanna could stay enrolled in her MA-Only PFFS plan and enroll in a stand-alone PDP. Rosanna could stay enrolled in her MA-Only PFFS plan and enroll in a Medicare Advantage Prescription Drug (MA-PD) plan. Rosanna could disenrollment from her MA-Only PFFS plan and enroll in an MA-Only HMO plan and a stand-alone PDP. Rosanna could stay enrolled in her MA-Only PFFS plan and enroll in a Medicare Supplement Plan. - ANSWER- Rosanna could stay enrolled in her MA-Only PFFS plan and enroll in a Medicare Advantage Prescription Drug (MA-PD) plan. - WRONG Rosanna could stay enrolled in her MA-Only PFFS plan and enroll in a stand-alone PDP - CORRECT