UHC CERTIFICATION EXAM ANSWERED
CORRECTLY PRACTICE SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
⫸ 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
⫸ 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
CORRECTLY PRACTICE SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
⫸ 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
⫸ 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
