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UHC - UNITED HEALTHCARE - 2026 CERTIFICATIONS | COMPREHENSIVE QUESTIONS & ANSWERS | GRADE A | 100% CORRECT -THE ULTIMATE GUIDE FOR YR. (2026/2027)

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UHC - UNITED HEALTHCARE - 2026 CERTIFICATIONS | COMPREHENSIVE QUESTIONS & ANSWERS | GRADE A | 100% CORRECT -THE ULTIMATE GUIDE FOR YR. (2026/2027) Terms in this set (72) Consumer John provides his cell phone number on agent Mark's Permission to Contact (PTC) mechanism and indicates he wants to be called as a means of contact. What does that mean? (select all that apply) 1.Agent Mark may only call John, not text him. 2. Agent Mark may only speak to John, the person who provided the PTC. Agent Charlie receives a Charlie may only email Rebecca marketing material Business Reply Card from related to Prescription Drug Plans. consumer Rebecca. Rebecca has provided her email address only and wants information about standalone Prescription Drug Plans. What can Charlie do? From the list below, select the items that should be confirmed or obtained when conducting a thorough needs assessment. (select all that apply) 1. Eligibility 2. Current coverage 3. Current providers 4. Current prescription medications 5. Daily living needs such as transportation, fitness,travel 6. Other wish list items such as network restrictions,premium amounts, national network needs Match the election period to the correct definition. 1. MA-OEP: Consumers can switch or disenroll fromtheir MA Plan & obtain Original Medicare 2. IEP: Newly eligible consumers can enroll 3 monthsprior, month of, & 3 months after turning 65 3. AEP: Annual period when any Medicare consumercan enroll in or disenroll from an MA or PDP 4. SEP: Opportunity to change plans for specific scenarios such as newly dual-eligible (Medicare and Medicaid) or new chronic condition 5. 5-star: One-time opportunity to enroll in a plan with a 5 star rating (if available) What should you do if the consumer is interested in an MA Plan that has a 2star rating? You should inform the consumer that the plan has received a "below average" rating. A member can voluntarily disenroll from an MA Plan or PDP or they can be involuntarily disenrolled by the plan. Select the reasons below for involuntary disenrollment. (select all that apply) 1. Member moves out of the plan's service area 2. Member loses entitlement to either Part A or Part B Can you identify these terms associated with enrollment and disenrollment basics? Read each statement and then drag the matching term to the statement. 1. Appeal: Action members take if they disagree withcoverage or payment decision 2. Summary of benefits: Detailed summary of plan'sbenefits, cost sharing and special features 3. Required involuntary disenrollment: Happens whenmember loses Part A or B entitlement 4. Statement of understanding: Required to be readand acknowledged by the consumer at the enrollment 5. Star Rating: Medicare's measure of a plan's qualityand performance Jared is planning a formal marketing/sales event for October 24. While it is strongly recommended that Jared reports his event at least 14 calendar days in advance, what is the last date the Event Request Form can be submitted to UnitedHealthcare? October 17

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UHC - UNITED HEALTHCARE - 2026
CERTIFICATIONS | COMPREHENSIVE
QUESTIONS & ANSWERS | GRADE A | 100%
CORRECT -THE ULTIMATE GUIDE FOR YR.
(2026/2027)


Terms in this set (72)

Consumer John provides his 1.Agent Mark may only call John, not text him.
cell phone number on agent 2. Agent Mark may only speak to John, the person who
Mark's Permission to Contact provided the PTC.
(PTC) mechanism and
indicates he wants to be
called as a means of contact.
What does that mean?
(select all that apply)




Agent Charlie receives a Charlie may only email Rebecca marketing material Business
Reply Card from related to Prescription Drug Plans. consumer Rebecca. Rebecca has
provided her email address only and wants information about standalone Prescription
Drug Plans. What can
Charlie do?




1

, 1. Eligibility
From the list below, select
2. Current coverage
the items that should be
3. Current providers
confirmed or obtained when
4. Current prescription medications
conducting a thorough needs
5. Daily living needs such as transportation, fitness,travel
assessment. (select all that
6. Other wish list items such as network restrictions,premium
apply)
amounts, national network needs



Match the election period to 1. MA-OEP: Consumers can switch or disenroll fromtheir MA
the correct definition. Plan & obtain Original Medicare
2. IEP: Newly eligible consumers can enroll 3 monthsprior,
month of, & 3 months after turning 65
3. AEP: Annual period when any Medicare consumercan enroll
in or disenroll from an MA or PDP 4. SEP: Opportunity to
change plans for specific scenarios such as newly dual-eligible
(Medicare and
Medicaid) or new chronic condition
5. 5-star: One-time opportunity to enroll in a plan with a 5 star
rating (if available)


What should you do if the You should inform the consumer that the plan has received a
consumer is interested in an "below average" rating.
MA Plan that has a 2star
rating?


A member can voluntarily 1. Member moves out of the plan's service area
disenroll from an MA Plan or 2. Member loses entitlement to either Part A or Part B
PDP or they can be
involuntarily disenrolled by
the plan. Select the reasons
below for involuntary
disenrollment.
(select all that apply)



2

, 1. Appeal: Action members take if they disagree withcoverage or
payment decision
2. Summary of benefits: Detailed summary of plan'sbenefits, cost
Can you identify these terms
associated with enrollment sharing and special features
and disenrollment basics? 3. Required involuntary disenrollment: Happens whenmember
Read each statement and loses Part A or B entitlement
then drag the matching term
4. Statement of understanding: Required to be readand
to the statement.
acknowledged by the consumer at the enrollment
5. Star Rating: Medicare's measure of a plan's qualityand
performance



Jared is planning a formal October 17
marketing/sales event for
October 24. While it is
strongly recommended that
Jared reports his event at
least 14 calendar days in
advance, what is the last
date the Event Request Form
can be submitted to
UnitedHealthcare?



Tori needs to cancel an At least 6 business days prior to the date of the event
event. To allow ample time
for UnitedHealthcare to
process the cancellation in
the event reporting
application, when should Tori
submit a Cancel Event
Request Form?




3

Información del documento

Subido en
20 de noviembre de 2025
Número de páginas
16
Escrito en
2025/2026
Tipo
Examen
Contiene
Preguntas y respuestas
$13.49

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