Exam (elaborations)
UHC CERTIFICATION BASICS REAL EXAM LATEST VERSION ACTUAL QUESTIONS AND ANSWERS GRADED A+.
- Course
- Institution
UHC CERTIFICATION BASICS REAL EXAM LATEST VERSION ACTUAL QUESTIONS AND ANSWERS GRADED A+.
[Show more]
Content preview
UHC CERTIFICATION BASICS REAL EXAM LATESTVERSION 2024-2025 ACTUAL QUESTIONS AND
ANSWERS GRADED A+.
medicare supplement insurance plan does NOT pay the cost-sharing of
what type of plan? - ANSWER-MA plan
when a client enrolls in a MA plan, will it automatically terminate their
MA plan? - ANSWER-NO
Can a customer call to terminate their Med Sup plan? - ANSWER-no it
must be done in writing
What are the different types of MA plans? - ANSWER-HMO, POS, PPO,
RPPO, PFFS, SNP, and MSA
For an HMO, they customer must us IN network providers, what are the
exceptions to their rule? - ANSWER-Emergencies, Urgent care, and renal
dialysis services.
In a HMO plan, does a member have to choose a PCP? and do they
require referrals to see a specialist? - ANSWER-Yes
,In a POS plan, does a member need a referral from their PCP to see a
specialist? - ANSWER-yes
Can a member with a POS plan see a specialist? - ANSWER-Yes, but they
may have to pay a higher cost, and there coverage limits
With a PFFS plan, can a member seek treatment from any medicare
eligible provider who agrees to accept the plans conditions and
payment rates? - ANSWER-Yes
Does a PCP need to be selected with a PFFS plan? - ANSWER-No
What is the only plan to offer non-network PFFS plans? - ANSWER-UHC
What are SNP's for? ( Dual SNP) - ANSWER-People who have both
medicare and Medicaid
Institutional SNP? - ANSWER-Nursing homes
Chronic condition SNP? - ANSWER-people who have certain chronic
medical conditions
MSA? - ANSWER-Medical savings account
, What does a MSA do? - ANSWER-Combines a high deductible medicare
advantage plan and a bank account
How does MSA plans work? - ANSWER-the plan deposits money from
emdicare in the account which can then be used to pay for medical
expenses until their deductible is met
Does UHC currently offer a MSA? - ANSWER-no
MA plans include some key features such as? - ANSWER-Prescription
drug coverage, PCPs and a OOP maxium
In a MA-Part D plan, A member will be disenrolled from their stand
alone PDP upon enrollment in a ? - ANSWER-MA-PD
in a MA-part D plan, A member will be disenrolled from their MA-PD
upon enrollment in? - ANSWER-a stand-alone PDP
With MA only, a member will be disenrolled from their stand alone PDP
upon enrolling in a? - ANSWER-Non-PFFS MA-only plan
in MA-only, a member will be disenrolled from their non-PFFS MA-only
plan upon enrolling in a? - ANSWER-Stand alone PDP
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller teachme2expert. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79271 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now