Uhc certification stuvia Study guides, Class notes & Summaries

The value proposition for the AARP brand is seen in what kinds of benefits for the members? (Select 3) - ANSWERSQuality of products offered. Efforts to improve the lives of members. Security and reputation of the AARP name. Which of the following must you ensure a consumer who is making a plan change understands? (Select 2) - ANSWERSI must make sure the consumer understands the benefits, costs, and limitations of the new plan I must make sure the consumer understands what they are givi...

Medicare - ANSWERSFederal health insurance program Medicare is administered by whom? - ANSWERSCMS ( Centers for medicare and medicaid services) Parts A & B of medicare are - ANSWERSfederal health insurance program referred to as original medicare Part A? - ANSWERSHospital insurance Part B? - ANSWERSMedical insurance What doesnt medicare cover? - ANSWERSroutine dental, eye care hearing exam,deductibles, coinsurance and copayments Part C? - ANSWERSMedicare Advantage Plans MA c...

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? - ANSWERSPart A - ANSWERSThe consumer must be in a valid MA election or disenrollment period. Which of the following consumers would be eligible for Medicare? - ANSWERSConsumers 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 followi...

Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? - ANSWERSHer enrollment in Medicare Parts A and B is generally automatic if she meets all eligibility requirements. Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement Insurance Plan? - ANSWERSWhen a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically disenrol...

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? - ANSWERSPart A - ANSWERSThe consumer must be in a valid MA election or disenrollment period. Which of the following consumers would be eligible for Medicare? - ANSWERSConsumers 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 followi...

Which statement is true about the Medicare Advantage (MA) Out- of pocket Maximum? - ANSWERSAll MA plans have an Out- of Pocket maximum to help limit the member's out of pocket cost for Medicare-covered services. A consumer currently has Original Medicare and is enrolled in a stand alone PDP. What will happens if the consumer enrolls in a n MA Plan that has integrated PDP coverage? - ANSWERSThe consumer will be automatically disenrolled from their stand-alone PDP upon enrollment in the MA Pla...