QUESTIONS WITH ANSWERS GRADED A+
✔✔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.
✔✔John has Power of Attorney to act on behalf of his mother. What does that mean
when it comes to his mother enrolling in a Medicare Advantage Plan? - ✔✔John may
sign the Enrollment Application and must be able to provide documentation that
indicates his authority under state law to enroll his mother.
✔✔Educational events allow for which of the following to occur? - ✔✔Provide objective
information about the Medicare program and/or health improvement and wellness.
✔✔Who has the authority to sign an Enrollment Application? - ✔✔The consumer or the
consumer's authorized legal representative (e.g., Power of attorney).
✔✔When marketing United Healthcare Medicare plans to consumers, which of the
following must and agent do? - ✔✔Provide current marketing materials that have been
approved by the CMS and United Healthcare.
✔✔Which of the following statements are true about the Statement of Understanding? -
✔✔It ensures that when the consumer signs 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.
✔✔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? - ✔✔Jacob must explain that Emily
will sign the Enrollment Application and must be able to provide documentation upon
request that indicates her legal authority to enroll her father.
✔✔As an agent, you must not do which of the following when marketing United
Healthcare Medicare plans to consumers? - ✔✔Use providers or provider groups to
, distribute printed information comparing benefits of different health plans without
approval.
✔✔When does the Special Election Period (SEP) for DNSP members that lose their
Medicaid eligibility begin? - ✔✔The month they are notified by the plan of the loss of
Medicaid eligibility.
✔✔Which of the following consumers may be interested in a DNSP? - ✔✔Joe, who has
a fixed income and often has trouble paying his electric bill to heat his home.
✔✔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.