UHC certification Flashcards AND PRACTICE Exam
2025-2026 With Complete Questions and Correct
Answers | Graded A+ | Verified Answers And
Brand New
Medicare - answer--Federal health insurance program
Medicare is administered by whom? - answer--CMS ( Centers for
medicare and medicaid services)
Parts A & B of medicare are - answer--federal health insurance program
referred to as original medicare
Part A? - answer--Hospital insurance
Part B? - answer--Medical insurance
What doesnt medicare cover? - answer--routine dental, eye care
hearing exam,deductibles, coinsurance and copayments
Part C? - answer--Medicare Advantage Plans
MA covers? - answer--Part A &B coverage, and some part D coverage
,MA plans are not? - answer--Medicare supplement insurance plans
What offers lower monthly premiums MADP or supplement? - answer--
MADP
do MAP's have a annual maximum OOP maximum that limits the
amount of money a member must spend every year for covered
services? - answer--YES
MA plans integrate what type of additonal coverage? - answer--part D
prescription drug coverage
If a customer wants to keep their stand alone prescription drug plan,
what may the customer want to enroll in? - answer--MA-only PFFS plan
What is a stand alone drug plan called? - answer--PDP
WHat is PFFS? - answer--Private Fee for Service (PFFS) - Plans that allow
you to go to any doctor or hospital that accepts their terms
, If a customer lives in a rural area, what type of plan may they want
because it gives them freedom to access doctors that may not be in
their network? - answer--PFFS plan
Do HMO's require referals? - answer--Yes
Do PPO's require a referal? - answer--No
When a member enrolls in a MA plan, they receive their coverage from
medicare or the MA plan? - answer--MA plan
When a customer is enrolled in a MA plan, they must continue paying
their premiums for what other plan? - answer--Part B
MA plans have a maxium annual limit on OOP costs called a? - answer--
MOOP amount ( Maxium out of pocket)
When a member is enrolled in a MA plan, they are automatically
disenrolled from any other MA plan or PDP( prescription drug plan) in
which they are enrolled as of the new plans_____? - answer--effective
date
2025-2026 With Complete Questions and Correct
Answers | Graded A+ | Verified Answers And
Brand New
Medicare - answer--Federal health insurance program
Medicare is administered by whom? - answer--CMS ( Centers for
medicare and medicaid services)
Parts A & B of medicare are - answer--federal health insurance program
referred to as original medicare
Part A? - answer--Hospital insurance
Part B? - answer--Medical insurance
What doesnt medicare cover? - answer--routine dental, eye care
hearing exam,deductibles, coinsurance and copayments
Part C? - answer--Medicare Advantage Plans
MA covers? - answer--Part A &B coverage, and some part D coverage
,MA plans are not? - answer--Medicare supplement insurance plans
What offers lower monthly premiums MADP or supplement? - answer--
MADP
do MAP's have a annual maximum OOP maximum that limits the
amount of money a member must spend every year for covered
services? - answer--YES
MA plans integrate what type of additonal coverage? - answer--part D
prescription drug coverage
If a customer wants to keep their stand alone prescription drug plan,
what may the customer want to enroll in? - answer--MA-only PFFS plan
What is a stand alone drug plan called? - answer--PDP
WHat is PFFS? - answer--Private Fee for Service (PFFS) - Plans that allow
you to go to any doctor or hospital that accepts their terms
, If a customer lives in a rural area, what type of plan may they want
because it gives them freedom to access doctors that may not be in
their network? - answer--PFFS plan
Do HMO's require referals? - answer--Yes
Do PPO's require a referal? - answer--No
When a member enrolls in a MA plan, they receive their coverage from
medicare or the MA plan? - answer--MA plan
When a customer is enrolled in a MA plan, they must continue paying
their premiums for what other plan? - answer--Part B
MA plans have a maxium annual limit on OOP costs called a? - answer--
MOOP amount ( Maxium out of pocket)
When a member is enrolled in a MA plan, they are automatically
disenrolled from any other MA plan or PDP( prescription drug plan) in
which they are enrolled as of the new plans_____? - answer--effective
date
