UHC Ethics And Compliance Assessment EXAM with Elaborate and 100% verified answers

Rosanna is enrolled in a Medicare Advantage Only (MA-Only) Private Fee-for-Service (PFFS) Plan. The plan is suitable for her needs and service area. She has decided she wants to add prescription drug coverage. Which option is available to Rosanna (assuming she is in a valid election period)? - ANSWER Rosanna could stay enrolled in her MA-Only PFFS plan and enroll in a stand-alone PDP. A thorough needs assessment will include which of the following components? (Select 3) - ANSWER Identifying what healthcare coverage attributes are most important to the consumer and what tradeoffs they might be willing to make., Identifying the consumer's current providers (including primary care, specialists, hospitals, and pharmacies) and the medications they take., Learning about their current coverage, lifestyle and financial characteristics Inez, a consumer, called you after seeing a Medicare Advantage advertisement. When you answer, you can hear a lot of background noise. What actions should you take to help ensure Inez will understand the information you share with her? (Select 3) - ANSWER Ask her to either move into another room or turn off the TV to help her hear me clearly and without distraction., Ask if someone assists her with making enrollment decisions and make sure that person is present to participate in the call., Speak clearly, at an appropriate volume, and at a moderate pace. What should an agent tell a consumer who asks what a 2-star rating means? - ANSWER That the plan has received a "Below Average" rating. Which of the following is not considered prohibited unsolicited contact with a Medicare eligible consumer according to CMS regulations and UnitedHealthcare's rules, policies, and 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 explain any provider and/or pharmacy network limitations. Whose email address may the agent enter into the applicant information section of the JarvisEnroll enrollment application? - ANSWER Only the consumer's email (or leave it blank). Simon is currently enrolled in a Medicare Advantage plan. He calls saying he saw an ad on TV that says he can get a plan with dental coverage of $3500 per year. What guidelines must you follow before recommending a new plan to Simon? (Select 3) - ANSWER Only recommend a plan that is the best fit plan, which may be the consumer's current plan., Conduct a thorough needs assessment to gather comprehensive information related to the consumer's situation and needs., Do not rely only on and become biased by the consumer's stated reason for calling. Which of the following are examples of phrases that must not be spoken by an agent when a consumer is contemplating a plan change? (Select 2) - ANSWER "Nothing will change", "Everything will be the same" 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. What is Scope of Appointment? - ANSWER The agreement obtained from the consumer no less than 48 hours prior to the start of an in-person or telephonic personal/individual marketing appointment (unless an exception applies) that identifies the scope of products that can be discussed