UHC CERTIFICATION QUESTIONS &
ANSWERS WITH COMPLETE SOLUTIONS
GRADED A+
QUESTIONS AND ANSWERS
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? ANSWER - Part A
ANSWER - The consumer must be in a valid MA election or disenrollment period.
Which of the following consumers would be eligible for Medicare? 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? 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.) 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) ANSWER -
, Which of the following are MA Plans that focus on using network providers to
maximize the benefits and reduce out-of-network expenses? ANSWER - HMO, POS,
PPO
Which is true about Medicare Supplement Open Enrollment? 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?
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? 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: ANSWER - Medicare Parts A and B
Which of the following statements is true about eligibility requirements for Medicare
Prescription Drug Plans? ANSWER - A consumer must be entitled to Medicare Part
A and/or enrolled in Medicare Part B
What are two options for Medicare consumers to get Part D prescription drug
coverage (assuming they meet all eligibility requirements)? (Select 2) ANSWER -
ANSWERS WITH COMPLETE SOLUTIONS
GRADED A+
QUESTIONS AND ANSWERS
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? ANSWER - Part A
ANSWER - The consumer must be in a valid MA election or disenrollment period.
Which of the following consumers would be eligible for Medicare? 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? 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.) 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) ANSWER -
, Which of the following are MA Plans that focus on using network providers to
maximize the benefits and reduce out-of-network expenses? ANSWER - HMO, POS,
PPO
Which is true about Medicare Supplement Open Enrollment? 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?
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? 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: ANSWER - Medicare Parts A and B
Which of the following statements is true about eligibility requirements for Medicare
Prescription Drug Plans? ANSWER - A consumer must be entitled to Medicare Part
A and/or enrolled in Medicare Part B
What are two options for Medicare consumers to get Part D prescription drug
coverage (assuming they meet all eligibility requirements)? (Select 2) ANSWER -
