2024 UHC CERTIFICATIONS COMPLETE
QUESTIONS AND ANSWERS PASS
GUARANTEED 100% ✅
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.
@2025 Exam Material 1
, 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.
@2025 Exam Material 2
QUESTIONS AND ANSWERS PASS
GUARANTEED 100% ✅
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.
@2025 Exam Material 1
, 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.
@2025 Exam Material 2
