UHC MEDICARE CERTIFICATION EXAM GRADED A+ Q&A ALL VERIFIED AND APPROVED

UHC CERTIFICATION EXAM GRADED A+
Q&A ALL VERIFIED AND APPROVED
Medicare a- aCORRECT aANSWER-Federal ahealth ainsurance aprogram



Medicare ais aadministered aby awhom? a- aCORRECT aANSWER-CMS a( aCenters afor amedicare aand
amedicaid aservices)



Parts aA a& aB aof amedicare aare a- aCORRECT aANSWER-federal ahealth ainsurance aprogram
areferred ato aas aoriginal amedicare



Part aA? a- aCORRECT aANSWER-Hospital ainsurance



Part aB? a- aCORRECT aANSWER-Medical ainsurance



What adoesnt amedicare acover? a- aCORRECT aANSWER-routine adental, aeye acare ahearing
aexam,deductibles, acoinsurance aand acopayments



Part aC? a- aCORRECT aANSWER-Medicare aAdvantage aPlans



MA acovers? a- aCORRECT aANSWER-Part aA a&B acoverage, aand asome apart aD acoverage



MA aplans aare anot? a- aCORRECT aANSWER-Medicare asupplement ainsurance aplans



What aoffers alower amonthly apremiums aMADP aor asupplement? a- aCORRECT aANSWER-MADP



do aMAP's ahave aa aannual amaximum aOOP amaximum athat alimits athe aamount aof amoney aa
amember amust aspend aevery ayear afor acovered aservices? a- aCORRECT aANSWER-YES

,MA aplans aintegrate awhat atype aof aadditonal acoverage? a- aCORRECT aANSWER-part aD
aprescription adrug acoverage



If aa acustomer awants ato akeep atheir astand aalone aprescription adrug aplan, awhat amay athe
acustomer awant ato aenroll ain? a- aCORRECT aANSWER-MA-only aPFFS aplan



What ais aa astand aalone adrug aplan acalled? a- aCORRECT aANSWER-PDP



WHat ais aPFFS? a- aCORRECT aANSWER-Private aFee afor aService a(PFFS) a- aPlans athat aallow ayou
ato ago ato aany adoctor aor ahospital athat aaccepts atheir aterms



If aa acustomer alives ain aa arural aarea, awhat atype aof aplan amay athey awant abecause ait agives
athem afreedom ato aaccess adoctors athat amay anot abe ain atheir anetwork? a- aCORRECT
aANSWER-PFFS aplan



Do aHMO's arequire areferals? a- aCORRECT aANSWER-Yes



Do aPPO's arequire aa areferal? a- aCORRECT aANSWER-No



When aa amember aenrolls ain aa aMA aplan, athey areceive atheir acoverage afrom amedicare aor
athe aMA aplan? a- aCORRECT aANSWER-MA aplan



When aa acustomer ais aenrolled ain aa aMA aplan, athey amust acontinue apaying atheir apremiums
afor awhat aother aplan? a- aCORRECT aANSWER-Part aB



MA aplans ahave aa amaxium aannual alimit aon aOOP acosts acalled aa? a- aCORRECT aANSWER-
MOOP aamount a( aMaxium aout aof apocket)



When aa amember ais aenrolled ain aa aMA aplan, athey aare aautomatically adisenrolled afrom aany
aother aMA aplan aor aPDP( aprescription adrug aplan) ain awhich athey aare aenrolled aas aof athe
anew aplans_____? a- aCORRECT aANSWER-effective adate

, An aexception aexisits afor aMA-only aPFFS aplans aas aa amember acan aalso abe aenrolled ain aa
awhat? a- aCORRECT aANSWER-Stand aalone aPDP



If aa amember aenrolls ain aa aMA aplan, awhat amust athe amember ado? a- aCORRECT aANSWER-
Cancel ain awriting atheir amedicare asupplement ainsurance apolicy awith athe acarrier aafter atheir
arequest ato aenroll ain aMA aplan ahas abeen aapproved.



Medicare asupplement ainsurance apolicies acannot abe aused ain aconjunction awith awhat atype aof
aplan? a- aCORRECT aANSWER-MA aplan



A amedicare asupplement ainsurance aplan ahelps ato acover asome aof athe aOOP acosts aassociated
awith? a- aCORRECT aANSWER-original amedicare.



A amedicare asupplement ainsurance aplan adoes aNOT apay athe acost-sharing aof awhat atype aof
aplan? a- aCORRECT aANSWER-MA aplan



when aa aclient aenrolls ain aa aMA aplan, awill ait aautomatically aterminate atheir aMA aplan? a-
aCORRECT aANSWER-NO



Can aa acustomer acall ato aterminate atheir aMed aSup aplan? a- aCORRECT aANSWER-no ait amust
abe adone ain awriting



What aare athe adifferent atypes aof aMA aplans? a- aCORRECT aANSWER-HMO, aPOS, aPPO, aRPPO,
aPFFS, aSNP, aand aMSA



For aan aHMO, athey acustomer amust aus aIN anetwork aproviders, awhat aare athe aexceptions ato
atheir arule? a- aCORRECT aANSWER-Emergencies, aUrgent acare, aand arenal adialysis aservices.



In aa aHMO aplan, adoes aa amember ahave ato achoose aa aPCP? aand ado athey arequire areferrals
ato asee aa aspecialist? a- aCORRECT aANSWER-Yes



In aa aPOS aplan, adoes aa amember aneed aa areferral afrom atheir aPCP ato asee aa aspecialist? a-
aCORRECT aANSWER-yes