UHC COMPREHENSIVE EXAM
WORKBOOK SOLUTION QUESTIONS
WITH ANSWERS
◍ 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:
WORKBOOK SOLUTION QUESTIONS
WITH ANSWERS
◍ 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:
