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UHC ETHICS & COMPLIANCE 2026 QUESTIONS WITH 100% CORRECT SOLUTIONS.

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UHC ETHICS & COMPLIANCE 2026 QUESTIONS WITH 100% CORRECT SOLUTIONS.

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Geüpload op
12 december 2025
Aantal pagina's
18
Geschreven in
2025/2026
Type
Tentamen (uitwerkingen)
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Vragen en antwoorden

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1 | Page


UHC ETHICS & COMPLIANCE
2026 QUESTIONS WITH 100%
CORRECT SOLUTIONS.
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 disenroll 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.

,2 | Page

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
UnitedHealthcare's rules, policies, and procedures?

, 3 | Page

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.
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