UHC Certification Questions and Answers
100% Solved
What must be explained to consumers enrolling in an HMO (Health Maintenance Organization)
MA Plan? (Select 3)
They must see contracted network providers in order to receive coverage under the plan.
In most cases, they will pay the entire cost of the service if they see an out-of-network provider.
Most benefits are covered out-of-network but at a higher cost.
The exception to the provider network requirement is emergency visits, urgent care and renal
dialysis services, which can be obtained from out-of-network providers. Correct Answ_
What must be explained to consumers enrolling in an HMO (Health Maintenance Organization)
MA Plan? (Select 3)
They must see contracted network providers in order to receive coverage under the plan.
In most cases, they will pay the entire cost of the service if they see an out-of-network provider.
Most benefits are covered out-of-network but at a higher cost.
The exception to the provider network requirement is emergency visits, urgent care and renal
dialysis services, which can be obtained from out-of-network providers. Correct Answ_In
most cases, they will pay the entire cost of the service if they see an out-of-network provider.
, Most benefits are covered out-of-network but at a higher cost.
The exception to the provider network requirement is emergency visits, urgent care and renal
dialysis services, which can be obtained from out-of-network providers.
When does Medicare Supplement Open Enrollment take place?
During the three months prior to the consumer's 65th birthday, the month of their birthday, and
the three months following the month of their 65th birthday and enrolled in Medicare Part B.
During the first six months a consumer is 65 or older and enrolled in Medicare Part B.
Annually from October 15 to December 7.
During the first three months a consumer is 65 or older and enrolled in Medicare Part B.
Correct Answ_During the first six months a consumer is 65 or older and enrolled in
Medicare Part B.
How does the Medicare Advantage Out-of-Pocket (OOP) maximum work?
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.
The OOP maximum is a feature that limits the amount of money a consumer will have to spend
on all health care services each year.
The OOP maximum is a feature that limits the amount of money a consumer will have to spend
on prescription drugs and plan premiums each year. Correct Answ_
100% Solved
What must be explained to consumers enrolling in an HMO (Health Maintenance Organization)
MA Plan? (Select 3)
They must see contracted network providers in order to receive coverage under the plan.
In most cases, they will pay the entire cost of the service if they see an out-of-network provider.
Most benefits are covered out-of-network but at a higher cost.
The exception to the provider network requirement is emergency visits, urgent care and renal
dialysis services, which can be obtained from out-of-network providers. Correct Answ_
What must be explained to consumers enrolling in an HMO (Health Maintenance Organization)
MA Plan? (Select 3)
They must see contracted network providers in order to receive coverage under the plan.
In most cases, they will pay the entire cost of the service if they see an out-of-network provider.
Most benefits are covered out-of-network but at a higher cost.
The exception to the provider network requirement is emergency visits, urgent care and renal
dialysis services, which can be obtained from out-of-network providers. Correct Answ_In
most cases, they will pay the entire cost of the service if they see an out-of-network provider.
, Most benefits are covered out-of-network but at a higher cost.
The exception to the provider network requirement is emergency visits, urgent care and renal
dialysis services, which can be obtained from out-of-network providers.
When does Medicare Supplement Open Enrollment take place?
During the three months prior to the consumer's 65th birthday, the month of their birthday, and
the three months following the month of their 65th birthday and enrolled in Medicare Part B.
During the first six months a consumer is 65 or older and enrolled in Medicare Part B.
Annually from October 15 to December 7.
During the first three months a consumer is 65 or older and enrolled in Medicare Part B.
Correct Answ_During the first six months a consumer is 65 or older and enrolled in
Medicare Part B.
How does the Medicare Advantage Out-of-Pocket (OOP) maximum work?
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.
The OOP maximum is a feature that limits the amount of money a consumer will have to spend
on all health care services each year.
The OOP maximum is a feature that limits the amount of money a consumer will have to spend
on prescription drugs and plan premiums each year. Correct Answ_
