Bundle for UHC Certification Tests

In which situation may the Medicare Advantage (MA) organization decide to disenroll a member from an MA plan? - Answer The member calls CMS at 1-800-MEDICARE (Wrong) On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective Novembe...

Which statement is true of D-SNP members? - Ans Members who are QMB+ or are Full Dual Eligible are not required to pay copayments for Medicare-covered services obtained from a D-SNP in-network provider. Their provider should bill the state Medicaid program, as appropriate, for these costs. Whic...

Medicare - Ans Federal health insurance program Medicare is administered by whom? - Ans CMS ( Centers for medicare and medicaid services) Parts A & B of medicare are - Ans federal health insurance program referred to as original medicare Part A? - Ans Hospital insurance Part B? - Ans...

Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare helps cover the costs of his inpatient hospital stay? - Ans Part A - Ans The consumer must be in a valid MA election or disenrollment period. Which of the following consumers would be eligible fo...

In terms of events, which of the following is true? Agents must only report formal marketing/sales events UnitedHealthcare. Agents must only report informal marketing/sales events to UnitedHealthcare. Agents must only report formal and informal marketing/sales events to UnitedHealthcare. - Ans ...

what filipinos can expect from the universal health care law? Ans all filipinos will be granted health coverage but not everything will be free universal health care law Ans - all Filipinos are covered - it is not completely free - PhilHealth will become the "national purchaser" of he...

What is a servicing agent? - Ans an inactive, nonemployee who has signed a servicing agreement in order to receive renewal commisions on medicare advantage and prescription drug plan enrollments on or after 1-1-2014. the agent must maintain an active resident license and appointment and pass medic...

Milton is retiring on his 65th birthday. He is eligible for Medicare and already receives Social Security benefits. How does he enroll in Original Medicare? - Ans His enrollment in Medicare Parts A and B is generally automatic if he meets all eligibility requirements Which statement is true abo...