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UHC Ethnic test
GRADED A+ (ACTUAL TEST ) Questions and Answers (Solved)
• In which situation may the Medicare Advantage (MA) organization decide to disenroll a member from an MA plan?
Answer: The member calls CMS at 1-800-MEDICARE (Wrong)
• On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective November 1. Which statement is true for Aries?
Answer: He may be able to use a Special Election Period to
change plans if he qualifies for one.
• Janine, currently enrolled in a 3-star plan, discovers there is 5- star plan available where she lives. She asks her agent, Josh, to enroll her in the 5-star plan. Josh can advise Janine of each of the
following except:
Answer: Josh should tell Janine that she can only change her
current plan to a 5-star plan during the Annual Election Period.
• An agent is explaining Medicare Advantage plan options to a consumer. During the conversation, the agent explains that Medicare gives each plan a Star Rating. Which statement is true?
Answer: The agent said that Medicare uses a 5-star rating system
to illustrate the plan's performance and quality.
• Which of the following is not considered unsolicited contact with a Medicare eligible consumer according to CMS regulations and UnitedHealth- care's rules, policies, and 1 / 2
procedures?
Answer: Mailing a marketing brochure to the consumer via
postal mail.
• Which statement about discussing benefits with the consumer before an enrollment is true?
Answer: The agent must accurately and completely disclose any
benefits discussed.
• 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?
Answer: Leave the field requesting a consumer email address
blank.
• What is the purpose of the Statement of Understanding?
Answer: 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.
• A one-on-one marketing appointment, whether in-person or telephon ic, is always considered a marketing/sales event, but it is not reported to UnitedHealthcare or CMS; instead the consumer must provide agreement prior to the start of the appointment.
Answer: - Scope of Appointment
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