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UHC Health Care Assessment Practice Exam With Answers (174 Solved Questions) - Document preview page 1

UHC Health Care Assessment Practice Exam With Answers (174 Solved Questions) - Page 1

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UHC Health Care Assessment Practice Exam With Answers (174 Solved Questions)

UHC Health Care Assessment Practice Exam With Answers is your ultimate study companion, offering a wide range of past exams.

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UHC Health Care Assessment Practice Exam With Answers (174 Solved Questions) - Page 1 preview imageExam(elaborations)(Answered)UHCethicsandcompliancesectionforcertificationExamTestBank,A+Ratedguide.Whatisaservicingagent?>>>aninactive,nonemployeewhohassignedaservicingagreementin order to receive renewal commissions on Medicare advantage andprescription drug planenrollments on or after 1-1-2014. The agent must maintain anactive resident license andappointment and pass Medicare basics and ethicscomplianceassessments on an annual basisWhatdoesCMSstandfor?>>>centerforMedicareand MedicaidservicesWho administers the Medicare program and contracts with private health carecompaniestoofferMedicaidplans?>>>CMSWho holds the authority to approve or disapprove plans that can be sold, and is theregulatingagencythatalso monitorsourprogresses? >>>CMSWhoregulatesMA'sandPDP's>>>CMSEnrolling a customer in a plan when you are not certified in the product is non-compliantandconsidered?>>>an unqualified saleAgents who are not qualified to sell the product will not be? >>>compensated and mayreceivecorrectiveandordisciplinaryactionuptoan includingterminationWhat is the purpose of an educational event? >>>it’s designed to inform Medicareconsumersabout original Medicare, Medicare advantage, prescription drug and otherMedicare programs.Whereeducationaleventsmustbeconducted?>>>inapublicvenueAretheeducationaleventsunbiasedsothatitdoesn'tsteertheconsumertowardsaspecificplan orlimitednumberofplans? >>>yesWHat is a marketing/sales event? >>>an event designed to steer or attempt to steer,consumers toward a plan or limited set of plans. Agents may discuss plan specificinformationand collectapplications.Canmarketing/salesbeformalorinformal?>>>bothWhatdescribesaformalmarketing/salesevent?>>>afullplanpresentation,giveninapresenter-audienceformat.
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UHC Health Care Assessment Practice Exam With Answers (174 Solved Questions) - Page 2 preview image
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UHC Health Care Assessment Practice Exam With Answers (174 Solved Questions) - Page 3 preview imageWhat is an inform marketing/sales event? >>>they're passive in nature where theconsumerapproachestheagenttoengageinconversation.abooth,table,orkioskistypicallyusedWhat are marketing appointments? >>>They're commonly referred to as "in home, facetoface,oroneon oneappointment"andtypicallytakeplace inthe consumershome.Whatotherplacescanmarketingappointmentshappen?>>>coffeeshop,orevenoverthephonebecause marketing appointments are not formal and informal marketing sales events,they'renotreportedtowho?>>>UHCorCMS.instead,agentsmustobtainacompletedscopeofappointmentprior toconductingtheappointment.Toreportevents,whatshouldagentsuse?>>>aneventrequestformto ensure that events are in UHC's event reporting application no less than 7 calenderdayspriortotheevent...>>>submittheeventrequestform,accordingtoinstructionsontheform,NO LESSTHAN 14 CALENDARDAYSeventrequestformssubmittedwithin7 calendardayswillNOTbewhat?>>>processedconductinganunreportedeventis?>>>prohibitedto schedule a sign language interpreter for a formal marketing/sales event or apersonal/individualmarketingappointment,entertheconsumer'srequestdirect;yinbconnectedatleast?>>>14daysprior to theevent orappointmentWhat are marketing materials used for? >>>1) draw attention to a plan sponsor or theirplan(s)and2)influenceaconsumer'sdecisionwhenselectinga planinwhichtoenrolloramember'sdecisiontoremain enrolled intheircurrentplanMarketing materials contain information about the plan or plans: >>>1) benefits orbenefitstructure2)costsharing(includingpremiums,copayments,anddeductibles)3)Measurementsorrankingstandards(suchasstarratings.comparisonstootherplans,orstatistical studies or surveys)Approvalisrequiredfor?>>>1)ALLmedicaremarketingmaterialsor2)ANYmaterialthatmentionsaplan sponsor(suchas"unitedhealth care")oneofitsaffliatedplans ordisplays anylogosWhat does generic mean with marketing materials? >>>materials that do not meet themarketingmaterialscriteriaanddonotcarryanyplansponsorinformationorlogos
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UHC Health Care Assessment Practice Exam With Answers (174 Solved Questions) - Page 4 preview imagedoesgenericmaterialsrequirepriorapproval?>>>noWhatmethodsareconsideredmarketingmaterial?>>>newspaper,tv,internet,radioadvertisements, direct mail, postcards, flyers, brochures, magnets, pre-enrollmentmaterials,websites and socialmediaplatformswhat are some examples of generic marketing materials? >>>social media sites andwebsitessitesused tomarket UHCplansmustbebyUHCand CMSprior touse>>>approvedwhen talking about marketing materials what should the agent NOT do? >>>add,enhance,delete,modify,editorcreateanycontentinthemarketingmaterialsprovidedbythe healthplanmodifyapprovedmaterialsinanyway,nomatterhowminoraskhealthrelatedorhealthscreeningquestionsongeneric,agentcreatedmaterialsWhatmustanagentdowhentalkingaboutmarketingmaterials?>>>usemarketingmaterialsonlyfor productstheyare certifiedtomarket/sellWhatdoesPTCstandfor?>>>permissiontocontractWhatdoesSOAstandfor?>>>ScopeofappointmentWhatdoespermissionto contactmean?>>>ispermissiongivenbytheconsumertobecalled orotherwise contacted by an agent for the purpse of marketng any UHCmedicaresolutionsproduct includeingMA,Prescriptiondrugormedsup plans.PTCmustbe?>>>documented,retainedandavailableuponrequestfor10 yearsPTCmustalsobe?>>>Methodspecific,shorttermandeventspecificWhat does method specific mean? >>>contact can only be made by the methodpermittedbytheconsumer.Permissiontotelephoneonlyenablestheagenttodialthenumberprovided.ANAGENTMUSTRECEIVEEXPLICITPERMISSIONTOTEXTOREMAILTHECONSUMERhaving access to a phone number or email address does not imply permission from theconsumer
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UHC Health Care Assessment Practice Exam With Answers (174 Solved Questions) - Page 5 preview imageWhatisshortterm?>>>PTCexpiresoncetheagenthasmadecontactwiththeconsumeror9monthsafter thedate the PTCwas received.PTC expires 90 days after the receipt for consumers requesting info on med sup's orwhoareonthefederalDNC list.Whatdoeseventspecificmean?>>>theagentcanonlycontacttheconsumertodiscusstheproductsindicatedin he PTCmechanismwhatdoesBRCmean?>>>businessreplycardsagents who telephone a consumer in response to a BRC that has specific productsdocumentedonthecard,mayonly>>>discuss the products that were indicatedwithinthe BRCBRC'sareonlyintendedtoobtainpermissionto contact>>>itdoesnotsatisfytheSOArequirementSOA doesnotsecurepermissiontocontact>>>it confirmspermissiontodiscussproducttypes duringan individualappointmentIfaBRCisreturnedbytheconsumerwithoutavalidphonenumber,agents>>>mayNOTlookuporsearchforconsumerinformationinordertocontacttheconsumereitherbytelphone ora visit.WhatisaScopeofappointment(SOA)?>>>capturestheconsumerspermissionto discusscertainproducts.WhereareSOAformsavailable? >>>inenrollmentguidesandasstandalonedocumentsonthesales materialportalaccessibleonjarvisWhenaconsumerwalksintoanagent'sofficeoraUHCmedicarestore, theagentmustobtainanSOA >>>prior todiscussionIn leu of a SOA form, agents must announce the products that will be presented at theformalorinformalmarketing/salesevent>>>agentsmayobtainanSOAforfuturefaceto face ortelephonic appointments if the consumer requests the future appointment atthemarketing/saleseventwhen conducting face to face or telephonic appointments to present MA and or PDPplans,theagentMUST>>>1)obtainasignedSOAfromtheconsumerpriorto thestartofthe appointmentaSOAisrequiredfromeachMedicareeligibleconsumerpresentatanyfacetofaceortelephonicmarketingappkintment to discussMA andorPDPplansincluding>>>authoriedlegalrepresentitivesandeachspouse(if amarriedcoupleispresent)
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