UHC Certification Review Practice Test.
1. Medicare Federal health insurance program
2. Medicare is CMS ( Centers for medicare and medicaid services)
administered by
whom?
3. Parts A & B of medicare are federal health insurance program referred to as origina
medicare
4. Part A? Hospital insurance
5. Part B? Medical insurance
6. What doesnt medicare routine dental, eye care hearing exam,deductibles,
cov- er? coinsurance and copayments
7. Part C? Medicare Advantage Plans
8. MA covers? Part A &B coverage, and some part D coverage
9. MA plans are not? Medicare supplement insurance plans
10. What offers lower what type of additonal coverage?
monthly premiums
MADP or supple- ment?
11. do MAP's have a
annual maximum OOP
maximum that limits
the amount of money
a member must
spend every year for
cov- ered services?
12. MA plans integrate
, UHC Certification Review Practice Test.
MADP
YES
part D prescription drug coverage
13. MA-only PFFS plan
, UHC Certification Review Practice Test.
If a customer wants to keep
their stand alone
prescrip- tion drug
plan, what may the
customer want to
enroll in?
PDP
14. What is a stand alone
drug plan called?
15. WHat is PFFS? Private Fee for Service (PFFS) - Plans that allow you to go to
any
doctor or hospital that accepts their terms
16. If a customer lives in a PFFS plan
rur- al area, what type
of plan may they want
because it gives them
freedom to ac- cess
doctors that may not
be in their network?
17. Do HMO's require referals? Yes
18. Do PPO's require a referal? No
19. When a member enrolls in a
MA plan MA plan, they
receive their coverage from
medicare or
the MA plan?
20. When a customer is plan, they must continue paying
en- rolled in a MA their premiums for what other
, UHC Certification Review Practice Test.
plan? Part B
1. Medicare Federal health insurance program
2. Medicare is CMS ( Centers for medicare and medicaid services)
administered by
whom?
3. Parts A & B of medicare are federal health insurance program referred to as origina
medicare
4. Part A? Hospital insurance
5. Part B? Medical insurance
6. What doesnt medicare routine dental, eye care hearing exam,deductibles,
cov- er? coinsurance and copayments
7. Part C? Medicare Advantage Plans
8. MA covers? Part A &B coverage, and some part D coverage
9. MA plans are not? Medicare supplement insurance plans
10. What offers lower what type of additonal coverage?
monthly premiums
MADP or supple- ment?
11. do MAP's have a
annual maximum OOP
maximum that limits
the amount of money
a member must
spend every year for
cov- ered services?
12. MA plans integrate
, UHC Certification Review Practice Test.
MADP
YES
part D prescription drug coverage
13. MA-only PFFS plan
, UHC Certification Review Practice Test.
If a customer wants to keep
their stand alone
prescrip- tion drug
plan, what may the
customer want to
enroll in?
PDP
14. What is a stand alone
drug plan called?
15. WHat is PFFS? Private Fee for Service (PFFS) - Plans that allow you to go to
any
doctor or hospital that accepts their terms
16. If a customer lives in a PFFS plan
rur- al area, what type
of plan may they want
because it gives them
freedom to ac- cess
doctors that may not
be in their network?
17. Do HMO's require referals? Yes
18. Do PPO's require a referal? No
19. When a member enrolls in a
MA plan MA plan, they
receive their coverage from
medicare or
the MA plan?
20. When a customer is plan, they must continue paying
en- rolled in a MA their premiums for what other
, UHC Certification Review Practice Test.
plan? Part B
