UNITED HEALTHCARE
COMPREHENSIVE EXAM
QUESTIONS WITH SOLUTIONS
GRADED A PLUS
◉ PART A. Answer: medicare part that helps pay for inpatient hospital
or skilled nursing facility or home health agency or hospice care, limited
home health benefits.
Automatically enrolled if qualified
Beneficiary pays a part A deductible before Medicare begins paying a
share of the cost. after meeting the deductible most cost sharing is in the
form of copayments.
◉ Part B: Medical Insurance. Answer: Helps with the cost of medically
necessary dr. visits and other medical services including:
Outpaitent care at hospitals and clinincs
Laboratory tests
Some diagnostic screenings
some skilled nursing care
◉ Part B. Answer: most beneficiaries pay a Part B premium based on
their yearly income. A deductible must be met before Medicare starts
paying a share of the Part B costs. After meeting the deductible for the
, year the Medicare beneficiary typically pays 20% of the Medicare
approved amount.. Deducted from SS or Railroad retirement board .
Individuals who do not qualify for Part A and purchase it must also
enroll in Medicare Part B and pay monthly premiums for both.
Individuals who are not receiving
◉ Part C. Answer: Medicare Advantage offered by private insurance
companies like United Healthcare, contracted by the Federal
Government. MA PLANS provide Medicare Part A (hospital) and Part B
(Medical) coverage and most plans include Medicare Part D
(prescription drug) coverage.
MA plans: MUST PROVIDE THE SAME COVERAGE AS ORIGINAL
MEDICARE (MOST PLANS OFFER ADDITIONAL BENEFITS
WHICH VARIES)
ARE PART OF THE MEDICARE PROGRAM, WHERE MEDICARE
PAYS A FIXED AMOUNT FOR CARE EVERY MONTH TO THE
COMPANIES OFFERING MA PLANS
◉ PART C MEDICARE ADVANTAGE. Answer: ARE NOT
MEDICARE SUPPLEMENTAL INSURANCE PLANS AND MA
PLAN COST SHARING CAN NOT BE COVERED BY A MEDICARE
SUPPLEMENTAL INSURANCE PLAN
MAY HAVE A MONTHLY PREMIUM PAYABLE TO THE PLAN IN
ADDITION TO THE PART B PREMIUM THE MEMBER MUST
CONTINUE TO PAY.
DO NOT ADMINISTER HOSPICE CARE, WHICH IS STILL
ADMINISTERED UNDER MEDICARE PART A
COMPREHENSIVE EXAM
QUESTIONS WITH SOLUTIONS
GRADED A PLUS
◉ PART A. Answer: medicare part that helps pay for inpatient hospital
or skilled nursing facility or home health agency or hospice care, limited
home health benefits.
Automatically enrolled if qualified
Beneficiary pays a part A deductible before Medicare begins paying a
share of the cost. after meeting the deductible most cost sharing is in the
form of copayments.
◉ Part B: Medical Insurance. Answer: Helps with the cost of medically
necessary dr. visits and other medical services including:
Outpaitent care at hospitals and clinincs
Laboratory tests
Some diagnostic screenings
some skilled nursing care
◉ Part B. Answer: most beneficiaries pay a Part B premium based on
their yearly income. A deductible must be met before Medicare starts
paying a share of the Part B costs. After meeting the deductible for the
, year the Medicare beneficiary typically pays 20% of the Medicare
approved amount.. Deducted from SS or Railroad retirement board .
Individuals who do not qualify for Part A and purchase it must also
enroll in Medicare Part B and pay monthly premiums for both.
Individuals who are not receiving
◉ Part C. Answer: Medicare Advantage offered by private insurance
companies like United Healthcare, contracted by the Federal
Government. MA PLANS provide Medicare Part A (hospital) and Part B
(Medical) coverage and most plans include Medicare Part D
(prescription drug) coverage.
MA plans: MUST PROVIDE THE SAME COVERAGE AS ORIGINAL
MEDICARE (MOST PLANS OFFER ADDITIONAL BENEFITS
WHICH VARIES)
ARE PART OF THE MEDICARE PROGRAM, WHERE MEDICARE
PAYS A FIXED AMOUNT FOR CARE EVERY MONTH TO THE
COMPANIES OFFERING MA PLANS
◉ PART C MEDICARE ADVANTAGE. Answer: ARE NOT
MEDICARE SUPPLEMENTAL INSURANCE PLANS AND MA
PLAN COST SHARING CAN NOT BE COVERED BY A MEDICARE
SUPPLEMENTAL INSURANCE PLAN
MAY HAVE A MONTHLY PREMIUM PAYABLE TO THE PLAN IN
ADDITION TO THE PART B PREMIUM THE MEMBER MUST
CONTINUE TO PAY.
DO NOT ADMINISTER HOSPICE CARE, WHICH IS STILL
ADMINISTERED UNDER MEDICARE PART A
