Uhc Certification Exam Questions And Correct Answers | Already Graded
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Her enrollment in Medicare Parts A and B is generally automatic if she meets all eligibility
requirements. - (CORRECT ANSWER)Lisa turned 65 and is now eligible for Medicare. She
already receives Social Security benefits. How does she enroll in Original Medicare?
When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically
disenrolled from their MA Plan. - (CORRECT ANSWER)Which statement is true about a
member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement
Insurance Plan?
Original Medicare - (CORRECT ANSWER)Being 65 or older, being under 65 years of age with
certain disabilities for more than 24 months, and being any age with ESRD or ALS are each
eligibility requirements for which program?
1. MA Plans must provide benefits equivalent to Original Medicare, and most plans also offer
additional benefits.
2. MA Plans provide Medicare hospital and medical insurance and often include Medicare
prescription drug coverage. - (CORRECT ANSWER)Which of the following defines a Medicare
Advantage (MA) Plan? (Select 2)
Does not have any pre-existing conditions such as diabetes or End Stage Renal Disease (ESRD) -
(CORRECT ANSWER)Which of the following is NOT an eligibility requirement for enrollment
in a Medicare Advantage Plan?
Members must receive covered services from contracted network providers with limited
exceptions. - (CORRECT ANSWER)Which of the following statements is correct about HMO
MA Plans?
(INCORRECT) Network-based MA plans have a provider network the member can use, and
some plans also cover certain services outside the network. - (CORRECT ANSWER)Which of
the following is NOT a correct statement about in-network provider services?
1
, (INCORRECT) A consumer who waits to enroll in Medicare Part B until age 66 or older cannot
qualify for Medicare Supplement Open Enrollment.
(INCORRECT) It is the only time a consumer is eligible to purchase a Medicare Supplement
Insurance Plan. - (CORRECT ANSWER)What is true about Medicare supplement open
enrollment?
The Out-of-Pocket Maximum will include her costs toward any Medicare-covered Part A or B
services. - (CORRECT ANSWER)Jennifer is enrolling into a Medicare Advantage (MA) plan
and wants to know what counts toward the Out-of-Pocket Maximum. Which of the following is
accurate?
Medicare Supplement Insurance cannot be used in conjunction with an MA Plan; therefore, after
receiving confirmation of enrollment into the MA Plan, the member must cancel their Medicare
Supplement Insurance policy according to their carrier's rules. - (CORRECT ANSWER)Which
of the following statements is true about a Medicare Supplement Insurance Plan member who
wants to enroll in an MA Plan?
It is a government program, offered only through a private insurance company or other private
company approved by Medicare, which provides prescription drug coverage. - (CORRECT
ANSWER)Which of the following best defines Medicare Part D?
To enroll, member must be in plans service area - (CORRECT ANSWER)Which of the
following is a fact about Medicare Prescription Drug Plans?
Enroll in a stand-alone Medicare Prescription Drug Plan (PDP)
Enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription
drug coverage - (CORRECT ANSWER)What are two options for Medicare consumers to get
Part D prescription drug coverage (assuming they meet all eligibility requirements)? (Select 2)
2
A+ | Verified | Latest Version
Her enrollment in Medicare Parts A and B is generally automatic if she meets all eligibility
requirements. - (CORRECT ANSWER)Lisa turned 65 and is now eligible for Medicare. She
already receives Social Security benefits. How does she enroll in Original Medicare?
When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically
disenrolled from their MA Plan. - (CORRECT ANSWER)Which statement is true about a
member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement
Insurance Plan?
Original Medicare - (CORRECT ANSWER)Being 65 or older, being under 65 years of age with
certain disabilities for more than 24 months, and being any age with ESRD or ALS are each
eligibility requirements for which program?
1. MA Plans must provide benefits equivalent to Original Medicare, and most plans also offer
additional benefits.
2. MA Plans provide Medicare hospital and medical insurance and often include Medicare
prescription drug coverage. - (CORRECT ANSWER)Which of the following defines a Medicare
Advantage (MA) Plan? (Select 2)
Does not have any pre-existing conditions such as diabetes or End Stage Renal Disease (ESRD) -
(CORRECT ANSWER)Which of the following is NOT an eligibility requirement for enrollment
in a Medicare Advantage Plan?
Members must receive covered services from contracted network providers with limited
exceptions. - (CORRECT ANSWER)Which of the following statements is correct about HMO
MA Plans?
(INCORRECT) Network-based MA plans have a provider network the member can use, and
some plans also cover certain services outside the network. - (CORRECT ANSWER)Which of
the following is NOT a correct statement about in-network provider services?
1
, (INCORRECT) A consumer who waits to enroll in Medicare Part B until age 66 or older cannot
qualify for Medicare Supplement Open Enrollment.
(INCORRECT) It is the only time a consumer is eligible to purchase a Medicare Supplement
Insurance Plan. - (CORRECT ANSWER)What is true about Medicare supplement open
enrollment?
The Out-of-Pocket Maximum will include her costs toward any Medicare-covered Part A or B
services. - (CORRECT ANSWER)Jennifer is enrolling into a Medicare Advantage (MA) plan
and wants to know what counts toward the Out-of-Pocket Maximum. Which of the following is
accurate?
Medicare Supplement Insurance cannot be used in conjunction with an MA Plan; therefore, after
receiving confirmation of enrollment into the MA Plan, the member must cancel their Medicare
Supplement Insurance policy according to their carrier's rules. - (CORRECT ANSWER)Which
of the following statements is true about a Medicare Supplement Insurance Plan member who
wants to enroll in an MA Plan?
It is a government program, offered only through a private insurance company or other private
company approved by Medicare, which provides prescription drug coverage. - (CORRECT
ANSWER)Which of the following best defines Medicare Part D?
To enroll, member must be in plans service area - (CORRECT ANSWER)Which of the
following is a fact about Medicare Prescription Drug Plans?
Enroll in a stand-alone Medicare Prescription Drug Plan (PDP)
Enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription
drug coverage - (CORRECT ANSWER)What are two options for Medicare consumers to get
Part D prescription drug coverage (assuming they meet all eligibility requirements)? (Select 2)
2
