UHC Certification Exam Practice Questions and Answers (100% Pass)
5 views 0 purchase
Course
UHC ethics and compliance
Institution
UHC Ethics And Compliance
UHC Certification Exam Practice
Questions and Answers (100% Pass)
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? -
Answer️️ -Part A
- Answer️️ -The consumer must be in a valid MA elec...
UHC Certification Exam Practice
Questions and Answers (100% Pass)
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? -
Answer✔️✔️-Part A
- Answer✔️✔️-The consumer must be in a valid MA election or
disenrollment period.
Which of the following consumers would be eligible for Medicare? -
Answer✔️✔️-Consumers age 65 or older, consumers under 65 years of age
with certain disabilities for more than 24 months and consumers of all ages
with ESRD or ALS
Which of the following defines a Medicare Advantage (MA) Plan? -
Answer✔️✔️-MA Plans are health plan options approved by Medicare and
offered by private insurance companies.
Janice wants to enroll in a 2021 Medicare Advantage plan. What eligibility
requirements must she meet? (Select the two answers that apply.) -
Answer✔️✔️-Not have End Stage Renal Disease (permanent kidney
failure)Reside in the plan's service area
What must be explained to consumers enrolling in an HMO (Health
Maintenance Organization) MA Plan? (Select 3) - Answer✔️✔️-
Which of the following are MA Plans that focus on using network
providers to maximize the benefits and reduce out-of-network expenses? -
Answer✔️✔️-HMO, POS, PPO
Which is true about Medicare Supplement Open Enrollment? - Answer✔️✔️-
By federal law, Medicare Supplement Open Enrollment is the first 6
months a consumer is 65 or older and enrolled in Medicare Part B.
How does the Medicare Advantage Out-of-Pocket (OOP) maximum work?
- Answer✔️✔️-The OOP maximum is a feature that limits the amount of
money a consumer will have to spend on Medicare-covered health care
services each year.
A consumer currently has Original Medicare and is enrolled in a stand-
alone Prescription Drug Plan (PDP). What will happen if the consumer
enrolls in an MA Plan that has integrated prescription drug coverage? -
Answer✔️✔️-The consumer will be automatically disenrolled from their
stand-alone PDP upon enrollment in the MA Plan that has integrated
prescription drug coverage
A government program, offered only through a private insurance company
or other private company approved by Medicare, that provides
prescription drug coverage describes which of the following: - Answer✔️✔️-
Medicare Parts A and B
Which of the following statements is true about eligibility requirements for
Medicare Prescription Drug Plans? - Answer✔️✔️-A consumer must be
entitled to Medicare Part A and/or enrolled in Medicare Part B
Page 2 of 13
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 SophiaBennett. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.