UNITED HEALTHCARE (UHC)– ETHICS AND COMPLIANCE LATEST EXAM REAL EXAM 230 QUESTIONS AND CORRECT ANSWERS|AGRADE

UNITED HEALTHCARE (UHC)– ETHICS AND

COMPLIANCE LATEST EXAM 2023-2024 REAL

EXAM 230 QUESTIONS AND CORRECT

ANSWERS|AGRADE

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? - ANSWER- Brenda should tell her that she is automatically

disenrolled from her MA Plan if she enrolls in a Medicare Supplement Insurance

Plan

In which situation must the Medicare Advantage (MA) organization disenroll a

member from an MA plan? - ANSWER- The member loses entitlement to either

Medicare Part A or Part B

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)? - ANSWER- Dennis should stay enrolled in Original Medicare and his

Medicare Supplement Plan and enroll in a stand-alone PDP.

In what product should agents enroll consumers? - ANSWER- 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) - ANSWER- Accurate

Complete

Factual

Annual Election Period (AEP) is a time when. . . - ANSWER- Consumers can elect

to switch to a different plan or join a Medicare Advantage plan or Prescription

Drug Plan.

Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective

on July 1. Using her Initial Election Period (IEP), when can she submit an

application for a Medicare Advantage or Prescription Drug plan? - ANSWERApril 1 through October 31

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.

In which of the following situations can telephonic contact be made with a

Medicare eligible consumer? - ANSWER- When the consumer consented to be

contacted for Sales Activities and the permission has not yet expired

Before starting an enrollment, what benefit information are agents required to

provide to the consumer? - ANSWER- 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? -

ANSWER- Leave the field requesting applicant email address blank

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 insurancerelated decisions and should be present.

Melanie is currently enrolled in a MAPD, and she is interested in enrolling in a

PDP. Which statement is true? - ANSWERAn agent should only enroll a consumer in a product - ANSWER- That is suitable

for the consumer's needs, goals and financial resources

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- AEP

In terms of events, which of the following is true? - ANSWER- WRONG - Agents

must report formal marketing/sales events only to UnitedHealthcare

When completing an enrollment application in LEAN, why is an agent prohibited

from entering their own email address in a field available for the consumer's email

address? - ANSWER- The consumer/member would not receive plan related

correspondence intended for him/her.

Annual Election Period (AEP) is a time when: - ANSWER- Consumers can elect

to join a Medicare Advantage Plan or switch to a different plan.

You have scheduled an appointment and obtained a Scope of Appointment (SOA)

form to discuss Medicare Advantage Plans with a consumer. When you arrive at

the appointment, a friend of the consumer who is Medicare-eligible is present to

hear your presentation. What should you do? - ANSWER- Before you can start the

appointment with both consumers, ask the consumer's friend to complete an SOA.

Educational events allow for which of the following to occur? - ANSWERProvide objective information about the Medicare program and/or health

improvement and wellness.

Agent Brenda is presenting Medicare Advantage plan options to her consumer,

Melanie. During the presentation, Brenda tells Melanie that Medicare gives each

plan a Star Rating. Which of the following is not an appropriate response when

Melanie asks what the Star Rating means? - ANSWER- Brenda should tell

Melanie that the Star Rating is the same for every plan and it does not accurately

reflect a plan's performance in certain categories.

When does Permission to Contact for Medicare Advantage and/or Prescription

Drug Plans expire? - ANSWER- Once contact is made or 9 months from the date

the consumer provided permission (e.g. consumer signature date on BRC) or 90

days if on federal do not call list, whichever comes first.

Julie, a consumer, is having difficulty understanding the information her agent,

Victor, is presenting at her in-home appointment. She provides Victor with her

cousin's telephone number and email address and asks him to explain the plan to

her cousin, who frequently assists with her health care decisions. The next day,

Victor emails Julie's cousin. Has Victor been compliant? - ANSWER- No. Victor

violated United Healthcare permission to contact guidelines by emailing the cousin

without the cousin's permission.

John has Power of Attorney to act on behalf of his mother. What does that mean

when it comes to his mother enrolling in a Medicare Advantage Plan? - ANSWERJohn may sign the Enrollment Application and must be able to provide