UHC Ethic And Compliance Exam 2022
With Correct Solutions
What .is .the .definition .of .Abuse? .- .correct .answer.Abuse .includes .any .practice .that .results
.in .the .provision .of .services .that .are .not .medically .necesary
An .agent .should .only .enroll .a .consumer .in .a .product: .- .correct .answer.That .is .suitable .for
.the .consumer's .needs, .goals .and .financial .resources.
When .marketing .UnitedHealthcare .Medicare .Advantage .plans .to .consumers, .which .of
.the .following .must .an .agent .do? .- .correct .answer.Provide .current .marketing .materials
.that .have .been .approved .by .CMS .and .UnitedHealthcare.
Agent .Jacob .learns .that .Emily, .the .consumer .with .whom .he .is .meeting, .is .the .authorized
.legal .representative .for .her .father. .What .must .Jacob .explain .to .Emily .when .completing .an
.Enrollment .Application .for .her .father? .- .correct .answer.Jacob .must .explain .that .Emily .will
.sign .the .Enrollment .Application .and .must .be .able .to .provide .documentation .upon .request
.by .the .Plan .that .indicates .her .legal .authority .to .enroll .her .father.
When .can .telephonic .contact .with .a .Medicare .eligible .consumer .be .made? .- .correct
.answer.When .the .consumer .consented .to .be .contacted .for .sales .activities, .subsequent
.telephonic .contact .has .not .yet .occurred, .and .the .permission .has .not .yet .expired.
An .individual .with .Power .of .Attorney .is .an .example .of .what .authority? .- .correct
.answer.Legal .authority .under .state .law .to .act .on .behalf .of .another .individual.
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: .- .correct .answer.Josh .should .tell .Janine .that .she
.can .only .change .her .current .plan .to .a .5-star .plan .during .the .Annual .Election .Period.
Educational .events .allow .for .which .of .the .following .to .occur? .- .correct .answer.Provide
.objective .information .about .the .Medicare .program .and/or .health .improvement .and
.wellness.
Dino, .an .agent, .received .a .phone .call .on .September .29 .from .a .consumer .interested .in
.Medicare .Advantage .plans .for .the .new .plan .year. .Dino .proceeded .to .verify .the
With Correct Solutions
What .is .the .definition .of .Abuse? .- .correct .answer.Abuse .includes .any .practice .that .results
.in .the .provision .of .services .that .are .not .medically .necesary
An .agent .should .only .enroll .a .consumer .in .a .product: .- .correct .answer.That .is .suitable .for
.the .consumer's .needs, .goals .and .financial .resources.
When .marketing .UnitedHealthcare .Medicare .Advantage .plans .to .consumers, .which .of
.the .following .must .an .agent .do? .- .correct .answer.Provide .current .marketing .materials
.that .have .been .approved .by .CMS .and .UnitedHealthcare.
Agent .Jacob .learns .that .Emily, .the .consumer .with .whom .he .is .meeting, .is .the .authorized
.legal .representative .for .her .father. .What .must .Jacob .explain .to .Emily .when .completing .an
.Enrollment .Application .for .her .father? .- .correct .answer.Jacob .must .explain .that .Emily .will
.sign .the .Enrollment .Application .and .must .be .able .to .provide .documentation .upon .request
.by .the .Plan .that .indicates .her .legal .authority .to .enroll .her .father.
When .can .telephonic .contact .with .a .Medicare .eligible .consumer .be .made? .- .correct
.answer.When .the .consumer .consented .to .be .contacted .for .sales .activities, .subsequent
.telephonic .contact .has .not .yet .occurred, .and .the .permission .has .not .yet .expired.
An .individual .with .Power .of .Attorney .is .an .example .of .what .authority? .- .correct
.answer.Legal .authority .under .state .law .to .act .on .behalf .of .another .individual.
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: .- .correct .answer.Josh .should .tell .Janine .that .she
.can .only .change .her .current .plan .to .a .5-star .plan .during .the .Annual .Election .Period.
Educational .events .allow .for .which .of .the .following .to .occur? .- .correct .answer.Provide
.objective .information .about .the .Medicare .program .and/or .health .improvement .and
.wellness.
Dino, .an .agent, .received .a .phone .call .on .September .29 .from .a .consumer .interested .in
.Medicare .Advantage .plans .for .the .new .plan .year. .Dino .proceeded .to .verify .the
