UHC Ethics & Compliance 2024
Test(Questions and Answers)
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? - Answers:On the day he called, he can enroll in
a different Medicare Advantage plan with an effective date of March 1.
Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been
presenting. Which statement is correct? - Answers:Mrs. Violet can access the Star Rating for a
plan on Medicare.gov or in the Enrollment Guide.
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? -
Answers:Mailing a marketing brochure to the consumer via postal mail.
Which statement is true about discussing benefits with the consumer before an enrollment? -
Answers:The agent must accurately and completely disclose any benefits discussed.
Which statement about discussing benefits with the consumer before an enrollment is true? -
Answers:The agent must explain any provider and/or pharmacy network limitations.
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? - Answers:Leave the field
requesting applicant email address blank.
What is the purpose of the Statement of Understanding? - Answers: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.
Test(Questions and Answers)
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? - Answers:On the day he called, he can enroll in
a different Medicare Advantage plan with an effective date of March 1.
Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been
presenting. Which statement is correct? - Answers:Mrs. Violet can access the Star Rating for a
plan on Medicare.gov or in the Enrollment Guide.
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? -
Answers:Mailing a marketing brochure to the consumer via postal mail.
Which statement is true about discussing benefits with the consumer before an enrollment? -
Answers:The agent must accurately and completely disclose any benefits discussed.
Which statement about discussing benefits with the consumer before an enrollment is true? -
Answers:The agent must explain any provider and/or pharmacy network limitations.
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? - Answers:Leave the field
requesting applicant email address blank.
What is the purpose of the Statement of Understanding? - Answers: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.
