UHC Certification 2023/2024 Questions With
Complete Solutions
Which type of MA Plan is an HMO plan that also covers certain benefits out-of-network,
generally at a higher cost?
-Medicare Supplement Insurance Plan
-Point-of-Service (POS) Plan
-Preferred Provider Organization (PPO)
-Private Fee-for-Service (PFFS) - ANSWER-Point-of-Service (POS) Plan
Milton is retiring on his 65th birthday. He is eligible for Medicare and already receives Social
Security benefits. How does he enroll in Original Medicare?
His enrollment in Medicare Parts A and B is generally automatic if he meets all eligibility
requirements
He must enroll in Medicare Parts A and B through his current or former employer.
He can only sign up for Medicare Parts A and/or B at his local Social Security office.
He can sign up for Medicare Parts A and/or B with any licensed insurance agent. - ANSWER-His
enrollment in Medicare Parts A and B is generally automatic if he 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?
-A member does not need a valid election period to disenroll from an MA plan.
, -When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically
disenrolled from their MA Plan.
-A consumer can use a Medicare Supplement Insurance Plan and an MA Plan at the same time.
-When a consumer enrolls in a Medicare Supplement Insurance Plan, they are automatically
disenrolled from their MA Plan. - ANSWER-When a consumer enrolls in a Medicare Supplement
Insurance Plan, they are not automatically disenrolled from their MA Plan.
Which of the following consumers are eligible for Medicare if other eligibility requirements are
met?
-Only consumers age 65 or older with a qualifying disability and consumers of all ages with ESRD
or ALS who are receiving Social Security Disability Insurance (SSDI) for ALS.
-Consumers age 65 or older and consumers under 65 years of age with a qualifying disability
except for ESRD or ALS who are receiving Social Security Disability Insurance (SSDI) for ALS.
-Consumers age 65 or older, consumers under 65 years of age with a qualifying disability and
consumers of all ages with ESRD or ALS who are receiving Social Security Disability Insurance
(SSDI) for ALS.
-Consumers age 62 or older, consumers under 62 years of age with a qualifying disability and
consumers of all ages with ESRD or ALS who are receiving Social Security Disability Insurance
(SSDI) for ALS. - ANSWER-Consumers age 65 or older, consumers under 65 years of age with a
qualifying disability and consumers of all ages with ESRD or ALS who are receiving Social
Security Disability Insurance (SSDI) for ALS.
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3)
An MA Plan is part of Medicare and is also called Part C.
Complete Solutions
Which type of MA Plan is an HMO plan that also covers certain benefits out-of-network,
generally at a higher cost?
-Medicare Supplement Insurance Plan
-Point-of-Service (POS) Plan
-Preferred Provider Organization (PPO)
-Private Fee-for-Service (PFFS) - ANSWER-Point-of-Service (POS) Plan
Milton is retiring on his 65th birthday. He is eligible for Medicare and already receives Social
Security benefits. How does he enroll in Original Medicare?
His enrollment in Medicare Parts A and B is generally automatic if he meets all eligibility
requirements
He must enroll in Medicare Parts A and B through his current or former employer.
He can only sign up for Medicare Parts A and/or B at his local Social Security office.
He can sign up for Medicare Parts A and/or B with any licensed insurance agent. - ANSWER-His
enrollment in Medicare Parts A and B is generally automatic if he 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?
-A member does not need a valid election period to disenroll from an MA plan.
, -When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically
disenrolled from their MA Plan.
-A consumer can use a Medicare Supplement Insurance Plan and an MA Plan at the same time.
-When a consumer enrolls in a Medicare Supplement Insurance Plan, they are automatically
disenrolled from their MA Plan. - ANSWER-When a consumer enrolls in a Medicare Supplement
Insurance Plan, they are not automatically disenrolled from their MA Plan.
Which of the following consumers are eligible for Medicare if other eligibility requirements are
met?
-Only consumers age 65 or older with a qualifying disability and consumers of all ages with ESRD
or ALS who are receiving Social Security Disability Insurance (SSDI) for ALS.
-Consumers age 65 or older and consumers under 65 years of age with a qualifying disability
except for ESRD or ALS who are receiving Social Security Disability Insurance (SSDI) for ALS.
-Consumers age 65 or older, consumers under 65 years of age with a qualifying disability and
consumers of all ages with ESRD or ALS who are receiving Social Security Disability Insurance
(SSDI) for ALS.
-Consumers age 62 or older, consumers under 62 years of age with a qualifying disability and
consumers of all ages with ESRD or ALS who are receiving Social Security Disability Insurance
(SSDI) for ALS. - ANSWER-Consumers age 65 or older, consumers under 65 years of age with a
qualifying disability and consumers of all ages with ESRD or ALS who are receiving Social
Security Disability Insurance (SSDI) for ALS.
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3)
An MA Plan is part of Medicare and is also called Part C.
