UHC CERTIFICATION ACTUAL EXAM 300 QUESTIONS AND CORRECT ANSWERS 2023-2024 UPDATE ALREADY A GRADED WITH EXPERT FEEDBACK If you conduct an educational event and invite a provider or vendor to be a part of the event, the provider/vendor must not do which of the following? - ANSWER- Provide free health screenings such as blood pressure checks or hearing tests as a marketing activity Agent John Rogers is planning a formal marketing/sales event and has decided to place an advertisement in the local paper. What disclaimers must John include in the advertisement? - ANSWER- "For accommodation of persons with special needs at sales meetings, call 555-555-1234, TTY 711." Janine is conducting a marketing/sales event in a senior center cafeteria. The cafeteria generally provides a dinner meal from 5pm to 6pm. Can Janine conduct her marketing/sales meeting in the cafeteria between 5pm and 6pm? - ANSWER- No, she can conduct an event that ends no later than 5pm or wait until after 6pm. Agent Rita Garcia must not do which of the following while conducting a marketing/sales event? - ANSWER- State the plan she is presenting is the best plan on the market. At a formal marketing/sales event, an agent presented information about prescription drug coverage. Which statement is not accurate? - ANSWER- Members and providers are not able to ask the plan for exceptions to any utilization management rules At an informal marketing/sales event, which of the following activities is not permitted? - ANSWER- Approaching consumers as they pass by your booth/kiosk/table Agent Santana has developed a relationship with Dr. Westberry, a Primary Care Provider contracted with several Medicare Advantage Plans. Dr. Westberry is asked to attend a formal marketing/sales event conducted by Agent Santana. Which of Dr. Westberry's actions is non-compliant? - ANSWER- Offers blood pressure screenings as consumers wait for the event to begin Which of the following best describes the purpose of event observation? - ANSWER- An oversight activity where an individual evaluates an event as a means to ensure the information provided by the agent was accurate and compliant. Which of the following statements describes compliant activity during a formal marketing/sales event? - ANSWER- Not one plan fits all Which of the following statements is true about conducting a formal marketing/sales event in a conference room inside a UnitedHealthcare MedicareStore? - ANSWER- All rules relating to formal marketing/sales events apply including event reporting and providing a complete plan presentation. When must an agent inform the consumer of the availability of no-cost interpreter services? - ANSWER- Whenever the agent is presenting a Medicare Advantage or Prescription Drug Plan. Which of the following statements is true about eligibility requirements for Medicare Prescription Drug Plans? Consumers must live in the same zip code as the pharmacy they intend to use A consumer must be entitled to Medicare Part A and/or enrolled in Medicare Part B A consumer must receive a pension from a former employer Consumers do not need to live in the plan's service area - ANSWER- A consumer must be entitled to Medicare Part A and/or enrolled in Medicare Part B Aside from a stand-alone Medicare Prescription Drug Plan, how else could a Medicareeligible consumer get Part D prescription drug coverage? They could sign up for a pharmacy savings card through their local pharmacy. There is no other way a Medicare consumer could get Part D prescription drug coverage. They could enroll in a Medicare Supplement Insurance Plan. They could enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription drug coverage. - ANSWER- They could enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription drug coverage. Which of the following statements does not correctly define prescription drug stages? The catastrophic coverage stage is when the member will only pay a small coinsurance or copayment for covered drugs for the remainder of the plan year. Initial coverage is the stage when the plan pays part and the member pays part, usually as coinsurance or copayments. A deductible is the amount the member must pay for every prescription medication, regardless of what stage they are in. The coverage gap ends when the member has spent $6,550 (in 2021) in out-of-pocket expenses for the plan year. - ANSWER- A deductible is the amount the member must pay for every prescription medication, regardless of what stage they are in. Which of the following options are drug utilization management (UM) rules? (Select 3 - ANSWER- Quantity Limit Prior Authorization Step Therapy A consumer may have to pay a Late Enrollment Penalty (LEP) if they did not enroll in a Medicare Advantage plan with Part D benefits or stand-alone prescription drug plan when they were first eligible for Medicare Parts A and/or B or went without creditable prescription drug coverage for - ANSWER- 63 continuous days or more