UHC CERTIFICATION 2026 QUESTIONS
WITH COMPLETE SOLUTIONS STUDY
GUIDE GRADED A+
⩥ 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
WITH COMPLETE SOLUTIONS STUDY
GUIDE GRADED A+
⩥ 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
