UHC MEDICARE TESTS LICENSURE
ASSESSMENT SCRIPT 2026 VERIFIED
ANSWERS FINAL REVIEW
◉ 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
◉ An exception exisits for MA-only PFFS plans as a member can also
be enrolled in a what?
Answer: Stand alone PDP
◉ If a member enrolls in a MA plan, what must the member do?
Answer: Cancel in writing their medicare supplement insurance
policy with the carrier after their request to enroll in MA plan has
been approved.
◉ Medicare supplement insurance policies cannot be used in
conjunction with what type of plan?
Answer: MA plan
◉ A medicare supplement insurance plan helps to cover some of the
OOP costs associated with?
Answer: original medicare.
◉ A medicare supplement insurance plan does NOT pay the cost-
sharing of what type of plan?
ASSESSMENT SCRIPT 2026 VERIFIED
ANSWERS FINAL REVIEW
◉ 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
◉ An exception exisits for MA-only PFFS plans as a member can also
be enrolled in a what?
Answer: Stand alone PDP
◉ If a member enrolls in a MA plan, what must the member do?
Answer: Cancel in writing their medicare supplement insurance
policy with the carrier after their request to enroll in MA plan has
been approved.
◉ Medicare supplement insurance policies cannot be used in
conjunction with what type of plan?
Answer: MA plan
◉ A medicare supplement insurance plan helps to cover some of the
OOP costs associated with?
Answer: original medicare.
◉ A medicare supplement insurance plan does NOT pay the cost-
sharing of what type of plan?
