UHC MEDICARE TESTS CERTIFICATION PAPER
2026 COMPLETE SOLUTIONS GRADED A PLUS
◉ 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
2026 COMPLETE SOLUTIONS GRADED A PLUS
◉ 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
