UNITED HEALTHCARE (UHC)– ETHICS AND
COMPLIANCE LATEST EXAM 2023-2024 REAL
EXAM 230 QUESTIONS AND CORRECT
ANSWERS|AGRADE
Lisa turned 65 and is now eligible for Medicare. She already receives Social
Security benefits. How does she enroll in Original Medicare? - ANSWER>>Her
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? -
ANSWER>>When a consumer enrolls in a Medicare Supplement Insurance Plan,
they are not automatically disenrolled from their MA Plan.
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? - ANSWER>>Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 2) -
ANSWER>>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.
Which of the following is NOT an eligibility requirement for enrollment in a
Medicare Advantage Plan? - ANSWER>>Does not have any pre-existing conditions
such as diabetes or End Stage Renal Disease (ESRD)
, Which of the following statements is correct about HMO MA Plans? -
ANSWER>>Members must receive covered services from contracted network
providers with limited exceptions.
Which of the following is NOT a correct statement about in-network provider
services? - ANSWER>>(INCORRECT) Network-based MA plans have a provider
network the member can use, and some plans also cover certain services outside
the network.
What is true about Medicare supplement open enrollment? -
ANSWER>>(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.
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? - ANSWER>>The Out-of-Pocket Maximum will include her costs toward
any Medicare-covered Part A or B services.
Which of the following statements is true about a Medicare Supplement
Insurance Plan member who wants to enroll in an MA Plan? -
ANSWER>>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.
Which of the following best defines Medicare Part D? - ANSWER>>It is a
government program, offered only through a private insurance company or other
private company approved by Medicare, which provides prescription drug
coverage.
COMPLIANCE LATEST EXAM 2023-2024 REAL
EXAM 230 QUESTIONS AND CORRECT
ANSWERS|AGRADE
Lisa turned 65 and is now eligible for Medicare. She already receives Social
Security benefits. How does she enroll in Original Medicare? - ANSWER>>Her
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? -
ANSWER>>When a consumer enrolls in a Medicare Supplement Insurance Plan,
they are not automatically disenrolled from their MA Plan.
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? - ANSWER>>Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 2) -
ANSWER>>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.
Which of the following is NOT an eligibility requirement for enrollment in a
Medicare Advantage Plan? - ANSWER>>Does not have any pre-existing conditions
such as diabetes or End Stage Renal Disease (ESRD)
, Which of the following statements is correct about HMO MA Plans? -
ANSWER>>Members must receive covered services from contracted network
providers with limited exceptions.
Which of the following is NOT a correct statement about in-network provider
services? - ANSWER>>(INCORRECT) Network-based MA plans have a provider
network the member can use, and some plans also cover certain services outside
the network.
What is true about Medicare supplement open enrollment? -
ANSWER>>(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.
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? - ANSWER>>The Out-of-Pocket Maximum will include her costs toward
any Medicare-covered Part A or B services.
Which of the following statements is true about a Medicare Supplement
Insurance Plan member who wants to enroll in an MA Plan? -
ANSWER>>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.
Which of the following best defines Medicare Part D? - ANSWER>>It is a
government program, offered only through a private insurance company or other
private company approved by Medicare, which provides prescription drug
coverage.
