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In which situation may the Medicare Advantage (MA) organization decide to disenroll a member from an MA plan? - ✔✔The member calls CMS at 1-800-MEDICARE (Wrong) On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective November 1. Which statement is true for Aries? - ✔✔He may be able to use a Special Election Period to change plans if he qualifies for one
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In which situation may the Medicare Advantage (MA) organization decide to disenroll a member from an MA plan? - ✔✔The member calls CMS at 1- 800 - MEDICARE (Wrong) On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective November 1. Which statement is true for Aries? - ✔✔He may be able to use a Special Election Period to change plans if he qualifies for one. 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: - ✔✔Josh should tell Janine that she can only change her current plan to a 5-star plan during the Annual Election Period. An agent is explaining Medicare Advantage plan options to a consumer. During the conversation, the agent explains that Medicare gives each plan a Star Rating. Which statement is true? - ✔✔The agent said that Medicare uses a 5-star rating system to illustrate the plan's performance and quality. Which of the following is not considered unsolicited contact with a Medicare eligible consumer according to CMS regulations and UnitedHealthcare's rules, policies, and procedures? - ✔✔Mailing a marketing brochure to the consumer via postal mail. Which statement about discussing benefits with the consumer before an enrollment is true? - ✔✔The agent must accurately and completely disclose any benefits discussed. 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? - ✔✔Leave the field requesting a consumer email address blank. What is the purpose of the Statement of Understanding? - ✔✔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. A one-on-one marketing appointment, whether in-person or telephonic, is always considered a marketing/sales event, but it is not reported to UnitedHealthcare or CMS; instead the consumer must provide ___________________ agreement prior to the start of the appointment. - ✔✔Scope of Appointment To complete an Enrollment Application on behalf of a consumer, what authority must the individual have? - ✔✔The individual must be legally authorized in the state in which the consumer resides to act on behalf of the consumer (e.g., Power of Attorney). Melanie is currently enrolled in a Medicare Supplement Insurance Plan and a PDP. Assuming she has a valid election period, what would happen if she enrolled in an HMO MAPD plan? - ✔✔She would be automatically disenrolled from the Medicare Supplement Insurance Plan and the PDP.(wrong) She would be automatically disenrolled from the PDP. (right) 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 to add prescription drug coverage only. Since Dennis wants to keep his current coverage, which option is available to Dennis (assuming he is in a valid election period)? - ✔✔Dennis should stay enrolled in Original Medicare and his Medicare Supplement Plan and enroll in a stand-alone PDP. An agent should only enroll a consumer in a product: - ✔✔That is suitable for the consumer's needs, goals and financial resources. To avoid confusing or misleading a consumer, what type of information must the agent provide when presenting a plan? (Select 3) - ✔✔Accurate Factual Complete Annual Election Period (AEP) is a time when... - ✔✔Consumers can only enroll in a Medicare Advantage Plan or switch to a different Medicare Advantage plan. wrong
Which election period runs from October 15 to December 7 and allows consumers to elect to join a Medicare Advantage Plan or switch to a different plan? - ✔✔Annual Election Period (AEP) Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been presenting. Which statement is correct? - ✔✔Mrs. Violet can access the Star Rating for a plan on Medicare.gov or in the Enrollment Guide. What is Scope of Appointment? - ✔✔The agreement obtained from the consumer to that identifies the scope of products that can be discussed at a personal/individual marketing appointment 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? - ✔✔ 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? - ✔✔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. Melanie is currently enrolled in an HMO MAPD, and she is talking to sales agent Brenda about enrolling in a Medicare Supplement Insurance Plan. What should Brenda tell Melanie? - ✔✔Brenda should tell Melanie that if she would like drug coverage, she will also need to enroll into a PDP and have a valid election period.