Uhc Ethics And Compliance Study Guide Questions And Correct Answers

In which situation must the Medicare Advantage (MA) organization disenroll a member from an MA plan? {Ans: The member loses entitlement to either Medicare Part A or Part B}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? {Ans: Leave the field requesting applicant email address blank}In which of the following situations can telephonic contact be made with a Medicare eligible consumer? {Ans: When the consumer consented to be contacted for Sales Activities and the permission has not yet expired}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? {Ans: Brenda should tell her that she is automatically disenrolled from her MA Plan if she enrolls in a Medicare Supplement Insurance Plan}What is the purpose of the Statement of Understanding? {Ans: It ensures that when consumers complete 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.}Gene got Medicare before he turned 65