*NURSING > QUESTIONS & ANSWERS > (Answered) 2022/ 2021/2020 United HealthCare - Ethics and Compliance Exam 100% scored already. (All)
(Answered) 2022/ 2021/2020 United HealthCare - Ethics and Compliance Exam 100% scored already. In terms of events, which of the following is true? - ANS-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? - ANS-The consumer/member would not receive plan related correspondence intended for him/her. Annual Election Period (AEP) is a time when: - ANS-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? - ANSBefore 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? - ANS-Provide 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? - ANS-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? - ANSOnce 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. Thenext day, Victor emails Julie's cousin. Has Victor been compliant? - ANS-No. Victor violated United Healthcare permission to contact guidelines by emailing the cousin without the cousin's permission [Show More]
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