UHC CERTIFICATION BASICS REAL EXAM LATEST
VERSION 2024-2025 ACTUAL QUESTIONS AND ANSWERS
GRADED A+.
Chen will be 65 soon, has been a citizen for twelve years, has been
employed full time, and paid taxes during that entire period. She is
concerned that she will not qualify for coverage under Part A because
she was not born in the US. What should you tell her?
Module 1 - ANSWER-Most individuals who are citizens and over age 65
are covered under Part A by virtue of having paid Medicare taxes while
working, though some may be covered as a result of paying monthly
premiums.
Bauer is 49 years old, but eighteen months ago he was declared
disabled by the SSA and has been receiving disability payments. He is
wondering whether he can obtain coverage under Medicare. What
should you tell him?
Module 1 - ANSWER-After receiving such disability payments for 24
months, he will be automatically enrolled in Medicare, regardless of
age.
Davis is 49 years old and has been receiving disability benefits from the
SSA for 12 months. Can you sell him a MA or Part D PDP?
Module 1 - ANSWER-No, he cannot purchase a MA or Part D policy
because he has not received SS or RR disability benefits for 24 months.
,Henderson believes that she will qualify for Medicare coverage when
she turns 65, w/o paying any premiums, because she has been working
for 40 years and paying Medicare taxes. What should you tell her?
Module 1 - ANSWER-In order to obtain Part B coverage, she must pay a
standard monthly premium, though it is higher for individuals with
higher incomes.
Diaz continued working with his company and was insured under his
employer's group plan until he reached 68 years old. He ahs heard that
there is a premium penalty for those who did not sign up for Part B
when first eligible and wants to know how much he will have to pay.
Module 1 - ANSWER-The penalty will be permanent 10% increase in his
Part B premium for every 12 month period that passed during which he
could have enrolled and did not.
Mrs. Pena is 66 years old, has coverage under an employer plan and will
retire next year. She heard she must enroll in Part B at the beginning of
the year to ensure no gap in coverage.
Module 1 - ANSWER-She may not enroll in Part B while covered under
an employer group health plan and must wait until the standard general
enrollment period after she retires.
Mrs. Kelly is entitles to Part A, but is not yet enrolled in Part B. She is
considering enrollment in a Medicare health plan. What should you
advise her to do before she will be able to enroll into a Medicare health
plan?
, Module 1 - ANSWER-In order to join a Medicare plan, she also must
enroll in Part B.
Toma has a low, fixed income. What could you tell her that might be of
assistance?
Module 1 - ANSWER-She should contact her state Medicaid agency to
see if she qualifies for one of several programs that can help with
Medicare costs for which she is responsible.
Yu has limited income and resources so you have encouraged him to
see if he qualifies for some type of financial assistance. Mr. Yu is not
sure it is worth the trouble to apply and wants to know what the
assistance could do for him if he qualifies.
Module 1 - ANSWER-He might qualify for help with Part D costs and
help paying Part and/or Part B premiums, deductibles, and/or cost
sharing
Patel is in good health and is preparing a budget in anticipation of his
retirement when he turns 66. He wants to understand the health care
costs he might be exposed to under Medicare if he were to require
hospitalization as a result of an illness. In general terms, what could you
tell him about his costs for inpatient hospital services under Original
Medicare?
Module 1 - ANSWER-Under original Medicare, there is a single
deductible amt. due for the first 60 days of any inpatient hospital stay,
after which it converts into a per day amt. through day 90. after day 90,
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