UHC Certification exam Q&A with
complete solution.
Joseph has Original Medicare and was a patient in the hospital last week.
What part of Medicare helps cover the costs of his inpatient hospital stay?
~CORRECT ANSWER~✓✓Part A
~CORRECT ANSWER~✓✓The consumer must be in a valid MA election
or disenrollment period.
Which of the following consumers would be eligible for Medicare?
~CORRECT ANSWER~✓✓Consumers age 65 or older, consumers under
65 years of age with certain disabilities for more than 24 months and
consumers of all ages with ESRD or ALS
Which of the following defines a Medicare Advantage (MA) Plan?
~CORRECT ANSWER~✓✓MA Plans are health plan options approved by
Medicare and offered by private insurance companies.
Janice wants to enroll in a 2021 Medicare Advantage plan. What eligibility
requirements must she meet? (Select the two answers that apply.)
~CORRECT ANSWER~✓✓Not have End Stage Renal Disease (permanent
kidney failure)Reside in the plan's service area
What must be explained to consumers enrolling in an HMO (Health
Maintenance Organization) MA Plan? (Select 3) ~CORRECT ANSWER~✓
✓
, Which of the following are MA Plans that focus on using network
providers to maximize the benefits and reduce out-of-network expenses?
~CORRECT ANSWER~✓✓HMO, POS, PPO
Which is true about Medicare Supplement Open Enrollment? ~CORRECT
ANSWER~✓✓By federal law, Medicare Supplement Open Enrollment is
the first 6 months a consumer is 65 or older and enrolled in Medicare Part
B.
How does the Medicare Advantage Out-of-Pocket (OOP) maximum work?
~CORRECT ANSWER~✓✓The OOP maximum is a feature that limits the
amount of money a consumer will have to spend on Medicare-covered
health care services each year.
A consumer currently has Original Medicare and is enrolled in a stand-
alone Prescription Drug Plan (PDP). What will happen if the consumer
enrolls in an MA Plan that has integrated prescription drug coverage?
~CORRECT ANSWER~✓✓The consumer will be automatically
disenrolled from their stand-alone PDP upon enrollment in the MA Plan
that has integrated prescription drug coverage
A government program, offered only through a private insurance company
or other private company approved by Medicare, that provides
prescription drug coverage describes which of the following: ~CORRECT
ANSWER~✓✓Medicare Parts A and B
complete solution.
Joseph has Original Medicare and was a patient in the hospital last week.
What part of Medicare helps cover the costs of his inpatient hospital stay?
~CORRECT ANSWER~✓✓Part A
~CORRECT ANSWER~✓✓The consumer must be in a valid MA election
or disenrollment period.
Which of the following consumers would be eligible for Medicare?
~CORRECT ANSWER~✓✓Consumers age 65 or older, consumers under
65 years of age with certain disabilities for more than 24 months and
consumers of all ages with ESRD or ALS
Which of the following defines a Medicare Advantage (MA) Plan?
~CORRECT ANSWER~✓✓MA Plans are health plan options approved by
Medicare and offered by private insurance companies.
Janice wants to enroll in a 2021 Medicare Advantage plan. What eligibility
requirements must she meet? (Select the two answers that apply.)
~CORRECT ANSWER~✓✓Not have End Stage Renal Disease (permanent
kidney failure)Reside in the plan's service area
What must be explained to consumers enrolling in an HMO (Health
Maintenance Organization) MA Plan? (Select 3) ~CORRECT ANSWER~✓
✓
, Which of the following are MA Plans that focus on using network
providers to maximize the benefits and reduce out-of-network expenses?
~CORRECT ANSWER~✓✓HMO, POS, PPO
Which is true about Medicare Supplement Open Enrollment? ~CORRECT
ANSWER~✓✓By federal law, Medicare Supplement Open Enrollment is
the first 6 months a consumer is 65 or older and enrolled in Medicare Part
B.
How does the Medicare Advantage Out-of-Pocket (OOP) maximum work?
~CORRECT ANSWER~✓✓The OOP maximum is a feature that limits the
amount of money a consumer will have to spend on Medicare-covered
health care services each year.
A consumer currently has Original Medicare and is enrolled in a stand-
alone Prescription Drug Plan (PDP). What will happen if the consumer
enrolls in an MA Plan that has integrated prescription drug coverage?
~CORRECT ANSWER~✓✓The consumer will be automatically
disenrolled from their stand-alone PDP upon enrollment in the MA Plan
that has integrated prescription drug coverage
A government program, offered only through a private insurance company
or other private company approved by Medicare, that provides
prescription drug coverage describes which of the following: ~CORRECT
ANSWER~✓✓Medicare Parts A and B
