UHC MEDICARE CERTIFICATION ACTUAL EXAM REAL QUESTIONS AND CORRECT DETAILED ANSWERS (CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION GUARANTEED PASS A+ (NEW!!)

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UHC certification Exam Questio
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ns with Correct Verified Solution
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s 100% Guaranteed Pass
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1. Medicare - ANS ✔Federal health insurance program
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2. Medicare is administered by whom? -
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ANS ✔CMS ( Centres for Medicare and Medicaid services)
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3. Parts A & B of Medicare are -
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ANS ✔federal health insurance program referred to as origi
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nal Medicare
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4. Part A? - ANS ✔Hospital insurance
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5. Part B? - ANS ✔Medical insurance
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6. What doesn’t Medicare cover? -
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ANS ✔routine dental, eye care hearing exam, deductibles, c
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oinsurance and co-payments p p




7. Part C? - ANS ✔Medicare Advantage Plans
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8. MA covers? -
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ANS ✔Part A &B coverage, and some part D coverage
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9. MA plans are not? -
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ANS ✔Medicare supplement insurance plans
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10. What offers lower monthly premiums MADP or sup
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plement? - ANS ✔MADP p p p




11. do MAP's have a annual maximum OOP maximum th
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at limits the amount of money a member must spend eve
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ry year for covered services? - ANS ✔YES
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12. MA plans integrate what type of additional coverage
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? - ANS ✔part D prescription drug coverage
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13. If a customer wants to keep their stand alone prescr
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iption drug plan, what may the customer want to enrol in
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? - ANS ✔MA-only PFFS plan
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14. What is a stand alone drug plan called? - ANS ✔PDP
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15. What is PFFS? - ANS ✔Private Fee for Service (PFFS) -
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Plans that allow you to go to any doctor or hospital that accep
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ts their terms
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16. If a customer lives in a rural area, what type of plan
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may they want because it gives them freedom to access d
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octors that may not be in their network? -
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p ANS ✔PFFS plan
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17. Do HMO's require referrals? - ANS ✔Yes
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18. Do PPO's require a referral? - ANS ✔No
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19. When a member enrols in a MA plan, they receive th
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eir coverage from Medicare or the MA plan? -
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ANS ✔MA plan
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20. When a customer is enrolled in a MA plan, they must
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continue paying their premiums for what other plan? -
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ANS ✔Part B
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21. MA plans have a maximum annual limit on OOP cost
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s called a? - ANS ✔MOOP amount ( Maximum out of pocket)
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22. When a member is enrolled in a MA plan, they are a
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utomatically disenrolled from any other MA plan or PDP(
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prescription drug plan) in which they are enrolled as of t
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he new plans_____? - ANS ✔effective date
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23. An exception exists for MA-
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only PFFS plans as a member can also be enrolled in a wh
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at? - ANS ✔Stand alone PDP
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