UHC certification questions and answers with complete top solution

UHC certification Medicare ANSWER: Federal health insurance program 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