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United Health Care Test Question
Agent John is planning to conduct a series of events. Some will be strictly educational, others will be formal presentations of specific UnitedHealthcare plans, and others will be informal marketing events where he can generate leads and schedule future in-home marketing appointments. Of the three types of events John plans to conduct, which need to be reported to UnitedHealthcare? - answer-All events: educational and marketing/sales, formal and informal. Whose email address may the agent enter into the LEAN enrollment application? - answer-Only the consumer's (or leave it blank). 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? - answer-Annual Election Period (AEP) Which of the following materials is an agent NOT permitted to display and/or distribute at a marketing/sales event? - answer-5 dollar gift cards to an in-network pharmacy. Rina, a consumer, has requested an appointment with Connor, an agent, to discuss DSNPs. Prior to the appointment Rina completed a Scope of Appointment (SOA) form. On the day of the appointment, Rina brings her friend Shelley, who is Medicare-eligible, to the meeting. Shelley also wants to talk about DSNPs. What should Connor do when he sees both Rina and Shelley at the appointment? - answer-Ask Shelley to complete an SOA before the start of the meeting. Educational events allow for which of the following to occur? Provide objective information about the Medicare program and/or health improvement and wellness. Provide an opportunity to review benefits, premiums and product information with consumers. Provide an opportunity to steer a consumer toward a specific or limited number of plans.
Provide an opportunity to give an introductory presentation followed by an informal marketing/sales event. - answer-Provide objective information about the Medicare program and/or health improvement and wellness. 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 the new coverage will start the first of the month after she enrolls in the 5 star plan. Josh should tell Janine that she can change her current plan to a 5 star plan since one is available in the area where she lives. Josh should tell Janine that she can only change her current plan to a 5 star plan during the Annual Election Period. Josh should tell Janine that she can only use the 5-Star SEP once per calendar year. - answer- Josh should tell Janine that she can only change her current plan to a 5 star plan during the Annual Election Period. Which of the following describes Permission to Contact guidelines? It allows the agent to discuss the products identified during the marketing appointment. It does not have to be provided by the consumer, but can be provided by the consumer's spouse or adult child. It is method specific, (e.g., telephone, email), short term (i.e., expires when contact is made), and event specific (i.e., limited to the products identified). - answer-It is method specific, (e.g., telephone, email), short term (i.e., expires when contact is made), and event specific (i.e., limited to the products identified). Agent Ralph wants to market Medicare Advantage Plans in his neighborhood - an area that consists of single-family houses, an assisted living facility, a church, and public library. Which of the following methods of contact is permitted?
The consumer or the consumer's authorized legal representative (e.g., Power of Attorney). - answer-The consumer or the consumer's authorized legal representative (e.g., Power of Attorney). When marketing UnitedHealthcare Medicare Advantage plans to consumers, which of the following must an agent do? Review and complete an SOA form with each consumer after a personal/individual (e.g., in- home or telephonic) marketing appointment. Provide current marketing materials that have been approved by CMS and UnitedHealthcare. Provide only the information for which the consumer asks. Review the Summary of Benefits only upon request. - answer-Provide current marketing materials that have been approved by CMS and UnitedHealthcare. As an agent, you have an obligation to only enroll a consumer in a product: That provides a financial advantage to a network of providers. That meets the sales goal of the Centers for Medicare and Medicaid Services, UnitedHealthcare and the Social Security Administration. That is suitable for the consumer's needs, goals and financial resources. That meets the interest you have in the transaction, for example commissions received for the sale. - answer-That is suitable for the consumer's needs, goals and financial resources. What is the purpose of the Statement of Understanding? It ensures that when consumers sign the Medicare Advantage and/or Part D Enrollment Application, they are acknowledging their understanding that they will continue to receive materials and information at the agent's discretion. It ensures that when consumers sign the Medicare Advantage and/or Part D Enrollment Application, they are acknowledging their understanding of standard enrollment and disenrollment procedures.
It ensures that when consumers sign the Medicare Advantage and/or Part D Enrollment Application, they are acknowledging their understanding of monthly premiums and deductibles. It ensures that when consumers sign 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. - answer-It ensures that when consumers sign 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. What is the definition of Fraud? Fraud includes inaccurate payments for services, such as unintentional duplicate payments, and can include inappropriate utilization and/or inefficient use of resources. Fraud includes any practice that results in the provision of services that are not medically necessary. Fraud is intentionally misrepresenting or concealing facts to obtain something of value. - answer- Fraud is intentionally misrepresenting or concealing facts to obtain something of value. Which of the following are the ways to report potential FWA? (Select 2) Fraud, Waste and/or Abuse hotline Local law enforcement Text message to the member Producer Help Desk (PHD) - answer-Fraud, Waste and/or Abuse hotline Producer Help Desk (PHD)
