Uhc Certification 2 Latest Versions Actual Exam 200 Questions and Correct Detailed Answers with Rationales (Verified Answers)
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Course
Uhc Certification
Institution
Uhc Certification
Her enrollment in Medicare Parts A and B is generally automatic if she meets all eligibility requirements. -Correct Answer Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare?
When a consumer enrolls in a Medica...
Uhc Certification 2 Latest Versions 2024-2025
Actual Exam 200 Questions and Correct Detailed
Answers with Rationales (Verified Answers)
Her enrollment in Medicare Parts A and B is generally automatic if she meets all
eligibility requirements. -Correct Answer ✔Lisa turned 65 and is now eligible for
Medicare. She already receives Social Security benefits. How does she enroll in
Original Medicare?
When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not
automatically disenrolled from their MA Plan. -Correct Answer ✔Which statement is true
about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare
Supplement Insurance Plan?
Original Medicare -Correct Answer ✔Being 65 or older, being under 65 years of age
with certain disabilities for more than 24 months, and being any age with ESRD or ALS
are each eligibility requirements for which program?
1. MA Plans must provide benefits equivalent to Original Medicare, and most plans also
offer additional benefits.
2. MA Plans provide Medicare hospital and medical insurance and often include
Medicare prescription drug coverage. -Correct Answer ✔Which of the following defines
a Medicare Advantage (MA) Plan? (Select 2)
Does not have any pre-existing conditions such as diabetes or End Stage Renal
Disease (ESRD) -Correct Answer ✔Which of the following is NOT an eligibility
requirement for enrollment in a Medicare Advantage Plan?
Members must receive covered services from contracted network providers with limited
exceptions. -Correct Answer ✔Which of the following statements is correct about HMO
MA Plans?
(INCORRECT) Network-based MA plans have a provider network the member can use,
and some plans also cover certain services outside the network. -Correct Answer
✔Which of the following is NOT a correct statement about in-network provider services?
(INCORRECT) A consumer who waits to enroll in Medicare Part B until age 66 or older
cannot qualify for Medicare Supplement Open Enrollment.
(INCORRECT) It is the only time a consumer is eligible to purchase a Medicare
Supplement Insurance Plan. -Correct Answer ✔What is true about Medicare
supplement open enrollment?
DOT CERTIFICATION EXAM 2024-2025 ACTUAL EXAM
, DOT CERTIFICATION EXAM 2024-2025 ACTUAL
The Out-of-Pocket Maximum will include her costs toward any Medicare-covered Part A
or B services. -Correct Answer ✔Jennifer is enrolling into a Medicare Advantage (MA)
plan and wants to know what counts toward the Out-of-Pocket Maximum. Which of the
following is accurate?
Medicare Supplement Insurance cannot be used in conjunction with an MA Plan;
therefore, after receiving confirmation of enrollment into the MA Plan, the member must
cancel their Medicare Supplement Insurance policy according to their carrier's rules. -
Correct Answer ✔Which of the following statements is true about a Medicare
Supplement Insurance Plan member who wants to enroll in an MA Plan?
It is a government program, offered only through a private insurance company or other
private company approved by Medicare, which provides prescription drug coverage. -
Correct Answer ✔Which of the following best defines Medicare Part D?
To enroll, member must be in plans service area -Correct Answer ✔Which of the
following is a fact about Medicare Prescription Drug Plans?
Enroll in a stand-alone Medicare Prescription Drug Plan (PDP)
Enroll in a Medicare Advantage Plan or other Medicare health plan that includes
prescription drug coverage -Correct Answer ✔What are two options for Medicare
consumers to get Part D prescription drug coverage (assuming they meet all eligibility
requirements)? (Select 2)
A deductible is the amount the member must pay for every prescription medication,
regardless of what stage they are in. -Correct Answer ✔Which of the following
statements does NOT correctly define prescription drug stages?
(INCORRECT) Prior authorization, quantity limit, and step therapy are some examples
of UM rules -Correct Answer ✔Which of these statements is NOT true about the drug
utilization management (UM) rules?
Late Enrollment Penalty (LEP) -Correct Answer ✔What is the amount added to the
member's monthly plan premium if they did NOT enroll in a Medicare Advantage plan
with Part D benefits or stand-alone prescription drug plan when they were first eligible
for Medicare Parts A and/or B or went without creditable prescription drug coverage for
63 or more continuous days?
Yes, through subsidies such as lower or no monthly plan premiums and lower or no
copayments -Correct Answer ✔Can a consumer who qualifies for Low Income Subsidy
receive financial assistance for their part of Medicare Part D costs?
DOT CERTIFICATION EXAM 2024-2025 ACTUAL EXAM
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