UHC Ethic And Compliance Exam With
100% Correct And Verified Answers
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.
Vendarsol
, 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 consumer's Medicare
eligibility, describe the costs and benefit coverage of the plan, and
explained that he could not accept an enrollment application until
October 15. What did Dino do that was NOT compliant? - Correct
Answer-Dino presented a plan prior to October 1.
Annual Election Period (AEP) is a time when: - Correct Answer-
Consumers can elect to join a Medicare Advantage Plan or switch
to a different plan.
What type of events must an agent report to
UnitedHealthcare? - Correct Answer-Formal and informal
marketing/sales events
Which of the following are the ways to report
potential FWA? - Correct Answer-Producer
Help Desk (DHP)
Fraud, Waste and/or Abuse hotline
Vendarsol
100% Correct And Verified Answers
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.
Vendarsol
, 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 consumer's Medicare
eligibility, describe the costs and benefit coverage of the plan, and
explained that he could not accept an enrollment application until
October 15. What did Dino do that was NOT compliant? - Correct
Answer-Dino presented a plan prior to October 1.
Annual Election Period (AEP) is a time when: - Correct Answer-
Consumers can elect to join a Medicare Advantage Plan or switch
to a different plan.
What type of events must an agent report to
UnitedHealthcare? - Correct Answer-Formal and informal
marketing/sales events
Which of the following are the ways to report
potential FWA? - Correct Answer-Producer
Help Desk (DHP)
Fraud, Waste and/or Abuse hotline
Vendarsol
