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UHC ETHICS AND COMPLIANCE EXAM NEWEST
ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT VERIFIED ANSWERS (DETAILED
ANSWERS) ALREADY GRADED A+ 100%
GUARANTEED TO PASS CONCEPTS!!!
Gene got Medicare before he turned 65 and enrolled
into a Medicare Advantage plan. He calls in February
the month before his 65th birthday and is unhappy with
his current plan. On the date of the call, what can Gene
do about his coverage? - .....ANSWER ...✔✔ On the
day he called, he can enroll in a different Medicare
Advantage plan with an effective date of March 1.
Mrs. Violet asks agent Bob where she can find the Star
Rating for the plan he has been presenting. Which
statement is correct? - .....ANSWER ...✔✔ Mrs. Violet
can access the Star Rating for a plan on Medicare.gov
or in the Enrollment Guide.
Which of the following is not considered unsolicited
contact with a Medicare eligible consumer according to
CMS regulations and UnitedHealthcare's rules, policies,
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and procedures? - .....ANSWER ...✔✔ Mailing a
marketing brochure to the consumer via postal mail.
Which statement is true about discussing benefits with
the consumer before an enrollment? - .....ANSWER
...✔✔ The agent must accurately and completely
disclose any benefits discussed.
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.
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
applicant 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.
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What is Scope of Appointment? - .....ANSWER ...✔✔
The agreement obtained from the consumer that
identifies the scope of products that can be discussed at
a personal/individual marketing appointment (in-person
or telephonic)
Jane, an agent, is speaking to Albert about a
Prescription Drug plan. Albert seems confused and is
struggling to understand the information Jane is
explaining. Which option should Jane consider? -
.....ANSWER ...✔✔ Jane should ask Albert if someone,
such as an Authorized Legal Representative, helps him
make health care or insurance-related decisions and
should be present.
In which situation MAY the Medicare Advantage (MA)
organization disenroll a member from an MA plan?
(if question says *must* it is not the same answer) -
.....ANSWER ...✔✔ Premiums are not paid on a timely
basis.
Dennis, a consumer, is currently enrolled in Original
Medicare plus a Medicare Supplement Plan. His current
plan is suitable for his medical needs, but he would like
UHC ETHICS AND COMPLIANCE EXAM NEWEST
ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT VERIFIED ANSWERS (DETAILED
ANSWERS) ALREADY GRADED A+ 100%
GUARANTEED TO PASS CONCEPTS!!!
Gene got Medicare before he turned 65 and enrolled
into a Medicare Advantage plan. He calls in February
the month before his 65th birthday and is unhappy with
his current plan. On the date of the call, what can Gene
do about his coverage? - .....ANSWER ...✔✔ On the
day he called, he can enroll in a different Medicare
Advantage plan with an effective date of March 1.
Mrs. Violet asks agent Bob where she can find the Star
Rating for the plan he has been presenting. Which
statement is correct? - .....ANSWER ...✔✔ Mrs. Violet
can access the Star Rating for a plan on Medicare.gov
or in the Enrollment Guide.
Which of the following is not considered unsolicited
contact with a Medicare eligible consumer according to
CMS regulations and UnitedHealthcare's rules, policies,
,2|Page
and procedures? - .....ANSWER ...✔✔ Mailing a
marketing brochure to the consumer via postal mail.
Which statement is true about discussing benefits with
the consumer before an enrollment? - .....ANSWER
...✔✔ The agent must accurately and completely
disclose any benefits discussed.
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.
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
applicant 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.
, 3|Page
What is Scope of Appointment? - .....ANSWER ...✔✔
The agreement obtained from the consumer that
identifies the scope of products that can be discussed at
a personal/individual marketing appointment (in-person
or telephonic)
Jane, an agent, is speaking to Albert about a
Prescription Drug plan. Albert seems confused and is
struggling to understand the information Jane is
explaining. Which option should Jane consider? -
.....ANSWER ...✔✔ Jane should ask Albert if someone,
such as an Authorized Legal Representative, helps him
make health care or insurance-related decisions and
should be present.
In which situation MAY the Medicare Advantage (MA)
organization disenroll a member from an MA plan?
(if question says *must* it is not the same answer) -
.....ANSWER ...✔✔ Premiums are not paid on a timely
basis.
Dennis, a consumer, is currently enrolled in Original
Medicare plus a Medicare Supplement Plan. His current
plan is suitable for his medical needs, but he would like
