UHC certification questions with verified solution 2023 passed

UHC certificationMedicare - correct answer Federal health insurance program Medicare is administered by whom? - correct answer CMS ( Centers for Medicare and Medicaid services) Parts A & B of Medicare are - correct answer federal health insurance program referred to as original medicare Part A? - correct answer Hospital insurance Part B? - correct answer Medical insurance What doesnt medicare cover? - correct answer routine dental, eye care hearing exam,deductibles, coinsurance and copayments Part C? - correct answer Medicare Advantage Plans MA covers? - correct answer Part A &B coverage, and some part D coverage MA plans are not? - correct answer Medicare supplement insurance plans What offers lower monthly premiums MADP or supplement? - correct 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? - correct answer YES MA plans integrate what type of additonal coverage? - correct 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? - correct answer MA-only PFFS plan What is a stand alone drug plan called? - correct answer PDP WHat is PFFS? - correct 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? - correct answer PFFS plan Do HMO's require referals? - correct answer Yes Do PPO's require a referal? - correct answer No When a member enrolls in a MA plan, they receive their coverage from medicare or the MA plan? - correct answer MA plan When a customer is enrolled in a MA plan, they must continue paying their premiums for what other plan? - correct answer Part B MA plans have a maxium annual limit on OOP costs called a? - correct 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_____? - correct answer effective date An exception exisits for MA-only PFFS plans as a member can also be enrolled in a what? - correct answer Stand alone PDP If a member enrolls in a MA plan, what must the member do? - correct answer