UHC CERTIFICATION EXAM LATEST 2024 WITH ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS/ALREADY
GRADED A+ 100% GUARANTEED TO PASS CONCEPTS(ALL
WHAT YOU NEED) LATEST EDITION 2024
Medicare - ANSWER-Federal health insurance program
Medicare is administered by whom? - ANSWER-CMS ( Centers for medicare and
medicaid services)
Parts A & B of medicare are - ANSWER-federal health insurance program
referred to as original medicare
Part A? - ANSWER-Hospital insurance
Part B? - ANSWER-Medical insurance
What doesnt medicare cover? - ANSWER-routine dental, eye care hearing
exam,deductibles, coinsurance and copayments
Part C? - ANSWER-Medicare Advantage Plans
,MA covers? - ANSWER-Part A &B coverage, and some part D coverage
MA plans are not? - ANSWER-Medicare supplement insurance plans
What offers lower monthly premiums MADP or supplement? - ANSWER-MADP
do MAP's have a annual maximum OOP maximum that limits the amount of
money a member must spend every year for covered services? - ANSWER-YES
MA plans integrate what type of additonal coverage? - ANSWER-part D
prescription drug coverage
If a customer wants to keep their stand alone prescription drug plan, what may
the customer want to enroll in? - ANSWER-MA-only PFFS plan
What is a stand alone drug plan called? - ANSWER-PDP
WHat is PFFS? - ANSWER-Private Fee for Service (PFFS) - Plans that allow you to
go to any doctor or hospital that accepts their terms
If a customer lives in a rural area, what type of plan may they want because it
gives them freedom to access doctors that may not be in their network? -
ANSWER-PFFS plan
Do HMO's require referals? - ANSWER-Yes
Do PPO's require a referal? - ANSWER-No
, When a member enrolls in a MA plan, they receive their coverage from
medicare or the MA plan? - ANSWER-MA plan
When a customer is enrolled in a MA plan, they must continue paying their
premiums for what other plan? - ANSWER-Part B
MA plans have a maxium annual limit on OOP costs called a? - ANSWER-MOOP
amount ( Maxium out of pocket)
When a member is enrolled in a MA plan, they are automatically disenrolled
from any other MA plan or PDP( prescription drug plan) in which they are
enrolled as of the new plans_____? - ANSWER-effective date
An exception exisits for MA-only PFFS plans as a member can also be enrolled
in a what? - ANSWER-Stand alone PDP
If a member enrolls in a MA plan, what must the member do? - ANSWER-
Cancel in writing their medicare supplement insurance policy with the carrier
after their request to enroll in MA plan has been approved.
Medicare supplement insurance policies cannot be used in conjunction with
what type of plan? - ANSWER-MA plan
A medicare supplement insurance plan helps to cover some of the OOP costs
associated with? - ANSWER-original medicare.
A medicare supplement insurance plan does NOT pay the cost-sharing of what
type of plan? - ANSWER-MA plan
QUESTIONS AND CORRECT VERIFIED ANSWERS/ALREADY
GRADED A+ 100% GUARANTEED TO PASS CONCEPTS(ALL
WHAT YOU NEED) LATEST EDITION 2024
Medicare - ANSWER-Federal health insurance program
Medicare is administered by whom? - ANSWER-CMS ( Centers for medicare and
medicaid services)
Parts A & B of medicare are - ANSWER-federal health insurance program
referred to as original medicare
Part A? - ANSWER-Hospital insurance
Part B? - ANSWER-Medical insurance
What doesnt medicare cover? - ANSWER-routine dental, eye care hearing
exam,deductibles, coinsurance and copayments
Part C? - ANSWER-Medicare Advantage Plans
,MA covers? - ANSWER-Part A &B coverage, and some part D coverage
MA plans are not? - ANSWER-Medicare supplement insurance plans
What offers lower monthly premiums MADP or supplement? - ANSWER-MADP
do MAP's have a annual maximum OOP maximum that limits the amount of
money a member must spend every year for covered services? - ANSWER-YES
MA plans integrate what type of additonal coverage? - ANSWER-part D
prescription drug coverage
If a customer wants to keep their stand alone prescription drug plan, what may
the customer want to enroll in? - ANSWER-MA-only PFFS plan
What is a stand alone drug plan called? - ANSWER-PDP
WHat is PFFS? - ANSWER-Private Fee for Service (PFFS) - Plans that allow you to
go to any doctor or hospital that accepts their terms
If a customer lives in a rural area, what type of plan may they want because it
gives them freedom to access doctors that may not be in their network? -
ANSWER-PFFS plan
Do HMO's require referals? - ANSWER-Yes
Do PPO's require a referal? - ANSWER-No
, When a member enrolls in a MA plan, they receive their coverage from
medicare or the MA plan? - ANSWER-MA plan
When a customer is enrolled in a MA plan, they must continue paying their
premiums for what other plan? - ANSWER-Part B
MA plans have a maxium annual limit on OOP costs called a? - ANSWER-MOOP
amount ( Maxium out of pocket)
When a member is enrolled in a MA plan, they are automatically disenrolled
from any other MA plan or PDP( prescription drug plan) in which they are
enrolled as of the new plans_____? - ANSWER-effective date
An exception exisits for MA-only PFFS plans as a member can also be enrolled
in a what? - ANSWER-Stand alone PDP
If a member enrolls in a MA plan, what must the member do? - ANSWER-
Cancel in writing their medicare supplement insurance policy with the carrier
after their request to enroll in MA plan has been approved.
Medicare supplement insurance policies cannot be used in conjunction with
what type of plan? - ANSWER-MA plan
A medicare supplement insurance plan helps to cover some of the OOP costs
associated with? - ANSWER-original medicare.
A medicare supplement insurance plan does NOT pay the cost-sharing of what
type of plan? - ANSWER-MA plan
