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UHC Exam (2024/2025) | Actual Questions and Answers Latest Updated 2024/2025 (Graded A+), Exams of Business Economics

University of Houston – Clear Lake (UHCL)Business Economics

In terms of events, which of the following is true? - ✔✔Agents are required to report all events (marketing/sales and education) to UnitedHealthcare according to Company policy You have a scheduled appointment with a Consumer to discuss DSNPs. The consumer has completed the SOA form. Two days before the appointment, the consumer calls and requests to discuss PDP plans, which you are also certified to sell. What should you tell the consumer? - ✔✔Tell the consumer to sign a new SOA before the start of the meeting. which election period occurs from October 15 to December 17? - ✔✔Annual Election Period (AEP)

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2023/2024

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UHC Exam (2024/2025) | Actual Questions and Answers Latest Updated
2024/2025 (Graded A+)
In terms of events, which of the following is true? - ✔✔Agents are required to report all events
(marketing/sales and education) to UnitedHealthcare according to Company policy
You have a scheduled appointment with a Consumer to discuss DSNPs. The consumer has completed the
SOA form. Two days before the appointment, the consumer calls and requests to discuss PDP plans,
which you are also certified to sell. What should you tell the consumer? - ✔✔Tell the consumer to sign a
new SOA before the start of the meeting.
which election period occurs from October 15 to December 17? - ✔✔Annual Election Period (AEP)
You are invite to give a presentation on Medicare Advantage Plans during a marketing/sales event. You
display and distribute business cards, brochures, and plan-approved business reply cards and lead cards.
Is this permitted? - ✔✔Yes, agents may provide business cards, lead cards, marketing brochures, and
promotional materials during marketing events, but must not require consumers to provide contact
information.
You have rescheduled an appointment and obtained a Scope of Appointment (SOA) form to discuss
Medicare Advantage Plans with a consumer. When you arrive at the appointment, a friend of the
consumer is present to hear your presentation, What should you do? - ✔✔Before you can start the
appointment with both consumers, ask the consumer's friend to complete an SOA and mark on the SOA
the reason it was not obtained prior to the meeting.
Educational events allow for which of the following to occur? - ✔✔Provide objective information about
the Medicare program and/or health improvement and wellness.
Julie, a consumer, is having difficulty understanding the information her agent, Victor, is presenting at
her in-home appointment. She provides Victor with her cousin's telephone number and email address
and asks him to explain the plan to her cousin, who frequently assists with her health care decisions. The
next day, Victor emails Julie's cousin Has Victor been complaint? - ✔✔No. Victor violated CMS
permission to call guidelines by emailing the cousin without the cousin's permission.
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Download UHC Exam (2024/2025) | Actual Questions and Answers Latest Updated 2024/2025 (Graded A+) and more Exams Business Economics in PDF only on Docsity!

UHC Exam ( 2024 /2025) | Actual Questions and Answers Latest Updated

2024 /2025 (Graded A+)

In terms of events, which of the following is true? - ✔✔Agents are required to report all events (marketing/sales and education) to UnitedHealthcare according to Company policy You have a scheduled appointment with a Consumer to discuss DSNPs. The consumer has completed the SOA form. Two days before the appointment, the consumer calls and requests to discuss PDP plans, which you are also certified to sell. What should you tell the consumer? - ✔✔Tell the consumer to sign a new SOA before the start of the meeting. which election period occurs from October 15 to December 17? - ✔✔Annual Election Period (AEP) You are invite to give a presentation on Medicare Advantage Plans during a marketing/sales event. You display and distribute business cards, brochures, and plan-approved business reply cards and lead cards. Is this permitted? - ✔✔Yes, agents may provide business cards, lead cards, marketing brochures, and promotional materials during marketing events, but must not require consumers to provide contact information. You have rescheduled an appointment and obtained a Scope of Appointment (SOA) form to discuss Medicare Advantage Plans with a consumer. When you arrive at the appointment, a friend of the consumer is present to hear your presentation, What should you do? - ✔✔Before you can start the appointment with both consumers, ask the consumer's friend to complete an SOA and mark on the SOA the reason it was not obtained prior to the meeting. Educational events allow for which of the following to occur? - ✔✔Provide objective information about the Medicare program and/or health improvement and wellness. Julie, a consumer, is having difficulty understanding the information her agent, Victor, is presenting at her in-home appointment. She provides Victor with her cousin's telephone number and email address and asks him to explain the plan to her cousin, who frequently assists with her health care decisions. The next day, Victor emails Julie's cousin Has Victor been complaint? - ✔✔No. Victor violated CMS permission to call guidelines by emailing the cousin without the cousin's permission.

Which of the consumers below would not likely have the authority to enroll a consumer in a Medicare Advantage Plan? - ✔✔The Consumer's spouse, who is neither a Power of Attorney or legal guardian. When can telephonic contact with a Medicare eligible consumer be made? - ✔✔When the consumer consented to be contacted for sales activities and subsequent telephonic contact has not yet occurred. When marketing United Healthcare Medicare plans to consumers, which of the following must an agent do? - ✔✔provide current marketing materials that have been approved by the CMS and United Healthcare. In what product should agents enroll consumers? - ✔✔A product that is sutable for the consumer's needs, goals and financial resources. Based on the CMS Fraud, Waste, and Abuse (FWA) training, any person who knowingly submits false claims to the Government is liable for _____ times the Government's damages caused by the violator plus a penalty - ✔✔Three Based on the CMS Fraud, Waste, and Abuse (FWA) training, which of the issues below should be reported to a Compliance Department? (Select 3) - ✔✔-Unethical behavior/employee misconduct.

  • Suspected Fraud, Waste, and Abuse (FWA).
  • Potential health privacy violation. Providing objective information about the Medicare program and/or health improvement and wellness at public venues is the purpose of which of the following? - ✔✔Educational events. How should agent Erin respond when consumer Mrs. Rose notices that the presented MA Plan has a Star Rating of 2 Stars? - ✔✔Erin should tell Mrs. Rose that the plan has received a "Below Average" rating. Consumer Gary gives his friend's telephone number and email address to Bethany. What should Bethany do? - ✔✔She should explain to Gary that regulations require that his friend contact her directly and could offer sales agent Bethany's business card for Gary to pass along.

Members of a either a CSNP or a DSNP may have unique health care needs. Which of the following is available to support these members? - ✔✔A care management program that varies depending upon the level of the member'sf health risk. Which of the following is one of the features of a DSNP? - ✔✔The monthly premium is at or below the Low Income Subsidy benchmark to cover drug costs. Confirming the consumer's level of state Medicaid and that the consumer is entitled Medicare is a requirement of: - ✔✔Selling DSNP's Which of the following consumers may not be a good candidate for a DSNP - ✔✔Maria, who pays a percentage of charges when she receives medical care. The following is a characteristic of consumer for whom a CSNP may be most appropriate. - ✔✔Consumer who have qualifying chronic condition, are focused on their health issues and may have concerns with having to manage their illness or dealing with multiple providers. On July 19, each of the following consumers met with an agent. based on the information provided, which consumer must wait until the Annual Election Period (AEP) to enroll? - ✔✔Joy has a cardiovascular disorder, is enrolled in a CSNP that covers the condition, and wants to enroll in another carrier's CSNP that covers the same condition. A consumer whose care management risk level is categorized as low to moderate would not receive which of the following? - ✔✔Telephonic Case Manager Which of the following statements are true about physician information on Chronic Condition Verification Form? - ✔✔- The form must list a physician but it doesn't have to be a primary care physician because the consumer might be treated by a specialist for their condition

  • The physician indicated on the form does not have to be contracted with the plan. Which of the following is true about the Medicaid program? - ✔✔Benefits very from state to state.

Alice is enrolling in a DSNP. Her agent should remind her of which of the following? - ✔✔As a QMB or Full Dual-Eligible she is not required to pay co-payments for Medicare covered services. Her provider should bill the state Medicaid program, as appropriate, for these costs. How long do plans using the CSNP pre-enrollment verification process have to verify the qualifying chronic condition until they must deny the enrollment request? - ✔✔Plans must verify the condition within 21 days of the request for additional information or the end of the month in which the enrollment request is made (whichever is longer) If a DSNP member loses his eligibility due to a change or loss of Medicaid status, for what cost sharing si he responsible while in the grace period? - ✔✔All, such as premiums, deductibles, co-payments, and coinsurance. All fo the following statements about Medicare Supplement Insurance Plans (other than Medicare Select plans) are true, except: - ✔✔All plans have emergency coverage when traveling outside of the United States Which of the following is not true of a consumer who qualifies for Guaranteed issue? - ✔✔The consumer cannot be denied coverage or given a higher rate based on medical conditions, but coverage may be excluded for pre-existing conditions. Which of the following is true about Medicare Supplement Insurance Plans? - ✔✔Plan benefit amounts automatically update when Medicare changes cost sharing amounts, such as deductibles, coinsurance and co-payments. Which of the following statements are correct about Medicare Supplemtn Open Enrollment? - ✔✔- If a consumer does not apply during Medicare Supplement Open Enrollment, He/she may be charged a higher rate or denied coverage.

  • By federal law, Medicare Supplement Open Enrollment is the first 6 months a consumer is 65 or older and enrolled in Medicare Part B Which of the following are true about consumer eligibility for a Medicare Supplement Insurance Plan? - ✔✔-The consumer must be a resident of a state in which he/she is applying for coverage.
  • The consumer must be enrolled in Medicare Part A and Part B

Which of the following underwriting questions are asked on the application to determine a consumer's eligibility? - ✔✔-Has a medical professional told you that you have End-Stage Renal (Kidney) Disease?

  • Are you currently being treated or living in any type of nursing facility other than an assisted living facility If a consumer is eligible for Guaranteed Issue, which of the following statements is not true? - ✔✔The consumer can enroll in as many plans as he/she would like. Which of the following are true about the Medicare access and CHIP Re-authorization Act of 2015 (MACRA) Plans and the impact to Plans C and F. - ✔✔- Consumers eligible for Medicare Part A on or after January 1, 2020,will not be able to purchase Medicare Supplement Insurance Plans C or F
  • Consumers eligible for Medicare Part A before January 1 2020 can enroll in Plan C or F even after 2020 and can keep their plans as long as they choose.