UHC Certification Final Exam Study Guide Test.

UHC Certification Final Exam Study Guide Test. 1. Cynthia is turning 65 on July 5. Her Medicare Part A and Not July 1 - Dec 30 - Part B will be effective on July 1. Using her Initial Elec- tion 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 2. Annual Election Period (AEP) is a time when. . . WRONG April 1 through October 31 - CORRECT Consumers can elect to Consumers can only disenroll from their Medicare Ad- switch to a ditterent plan vantage or Prescription Drug Plan and return to Orig- inal 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. 3. 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 re- flect a plan's current value. Medicare uses a 5-star rating system to illustrate the or join a Medicare Advan- tage plan or Prescription Drug Plan. Medicare uses a 5-star rating system to illustrate a plan's performance and quality. plan's relative popularity in a market as measured by membership and retention rates. 4. Which of the following is not considered unsolicited contact with a Medicare eligible consumer according Mailing a marketing brochure to the consumer to CMS regulations and UnitedHealthcare's rules, poli- via postal mail cies, 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. 5. What information should be obtained from the con- sumer when conducting a thorough needs assess- ment? (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 deter- mine if they are covered by a grocery allowance 6. 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 con- sumer's email address? The enrollment application may be denied. The consumer/member would not receive plan related 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. The consumer/member would not receive plan re- lated correspondence in- tended for him/her correspondence intended for him/her. The agent may experience commission payment pro- cessing issues. 7. What is the purpose of the Statement of Understand- ing? 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 Appli- cation, they are acknowledging their understanding that they are actually enrolling, in which plan they are enrolling, and standard disclosures. 8. Which of the following must an agent obtain from the consumer no less than 48 hours (unless an excep- tion applies) before an in-person, online, or telephonic marketing appointment? Scope of Appointment Statement of Understanding Permission to Call 9. 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 It ensures that when consumers complete the Medicare Advantage and/or Part D Enrollment Application, they are ac- knowledging their under- standing that they are ac- tually enrolling, in which plan they are enrolling, and standard disclosures Scope of Appointment If the POA signs the En- rollment Application, they must be able to provide documentation upon re- to sign the Enrollment Application. quest by the Plan that indi- If the POA signs the Enrollment Application, they must cates authority under state be able to provide documentation upon request by the law to enroll the consumer. 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 author-