UHC Certification Latest Updated 2022

UHC Certification Latest Updated 2022 Medicare Federal health insurance program Medicare is administered by whom? CMS ( Centers for medicare and medicaid services) Parts A & B of medicare are federal health insurance program referred to as original medicare Part A? Hospital insurance Part B? Medical insurance What doesnt medicare cover? routine dental, eye care hearing exam,deductibles, coinsurance and copayments Part C? Medicare Advantage Plans MA covers? Part A &B coverage, and some part D coverage MA plans are not? Medicare supplement insurance plans What offers lower monthly premiums MADP or supplement? 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? YES MA plans integrate what type of additonal coverage? part D prescription drug coverageIf a customer wants to keep their stand alone prescription drug plan, what may the customer want to enroll in? MA-only PFFS plan What is a stand alone drug plan called? PDP WHat is PFFS? 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? PFFS plan Do HMO's require referals? Yes Do PPO's require a referal? No When a member enrolls in a MA plan, they receive their coverage from medicare or the MA plan? MA plan When a customer is enrolled in a MA plan, they must continue paying their premiums for what other plan? Part B MA plans have a maxium annual limit on OOP costs called a? 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_____?