UHC ETHIC AND COMPLIANCE REAL ACTUAL
LATEST FINAL EXAM WITH QUESTIONS AND
CORRECT DETAILED ANSWER S (WELL
VERIFIED ANSWERS) //UHC LATEST VERSION
2024-2025 [GURANTEED PASS!!]
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 compliant? - ANSWER-No. Victor violated UnitedHealthcare permission to contact guidelines by emailing Julie's cousin without the cousin's permission.
When does Permission to Contact for Medicare Advantage and/or Prescription Drug Plans expire? - ANSWER-Once contact is made or 9 months from the date the consumer provided permission (e.g. consumer signature date on BRC) or 90 days if on federal do not call list, whichever comes first.
Agent Brenda is presenting Medicare Advantage plan options to her consumer, Melanie. During the presentation, Brenda tells Melanie that Medicare gives each plan a Star Rating. Which of the following is not an appropriate response when Melanie asks what the Star Rating means? - ANSWER-Brenda should tell Melanie that the Star Rating is the same for every plan and it does not accurately reflect a plan's performance in certain categories.
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Providing objective information about the Medicare program and/or health improvement and wellness at public venues is the purpose of which of the following? - ANSWER-Educational events
What is the definition of Fraud? - ANSWER-Fraud is intentionally misrepresenting or concealing facts to obtain something of value.
What is the purpose of the Statement of Understanding? - ANSWER-It ensures that when consumers sign 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.
In what product should agents enroll consumers? - ANSWER-A product that is suitable for the consumer's needs, goals and financial resources.
As an agent, you must not do which of the following when marketing UnitedHealthcare Medicare Advantage plans to consumers? - ANSWER-Use providers or provider groups to distribute printed information comparing benefits of different health plans without approval.
To sign an Enrollment Application on behalf of a consumer, what authority must the individual have? - ANSWER-The individual must be legally authorized in the state in which the consumer resides to act on behalf of the consumer (e.g. Power of Attorney).
In which of the following situations can telephonic contact be made with a Medicare eligible consumer? - ANSWER-When the consumer consented to be contacted for sales activities, subsequent telephonic contact has not yet occurred, and that the permission has not yet expired.
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