UHC CERTIFICATIONS EXAM 2025 QUESTIONS AND
ANSWERS. 100% VERIFIED QUESTIONS AND
ANSWERS RATED A+.
Lisa turned 65 and is now eligible for Medicare. She already receives Social
Security benefits. How does she enroll in Original Medicare? ->> CORRECT -->>Her
enrollment in Medicare Parts A and B is generally automatic if she meets all
eligibility requirements.
Which statement is true about a member of a Medicare Advantage (MA) Plan
who wants to enroll in a Medicare Supplement Insurance Plan? ->> CORRECT --
>>When a consumer enrolls in a Medicare Supplement Insurance Plan, they are
not automatically disenrolled from their MA Plan.
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? ->> CORRECT -->>Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 2) ->>
CORRECT -->>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.
Which of the following is NOT an eligibility requirement for enrollment in a
Medicare Advantage Plan? ->> CORRECT -->>Does not have any pre- existing
conditions such as diabetes or End Stage Renal Disease (ESRD)
Which of the following statements is correct about HMO MA Plans? ->> CORRECT
-->>Members must receive covered services from contracted network providers
with limited exceptions.
, Which of the following is NOT a correct statement about in-network provider
service? ->> CORRECT -->> Network-based MA plans have a provider network the
member can use, and some plans also cover certain services outside the network.
What is true about Medicare supplement open enrollment? ->> CORRECT -->>
A consumer who waits to enroll in Medicare Part B until age 66 or older cannot
qualify for Medicare Supplement Open Enrollment.
It is the only time a consumer is eligible to purchase a Medicare Supplement
Insurance Plan.
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? ->> CORRECT -->>The Out-of-Pocket Maximum will include her costs
toward any Medicare-covered Part A or B services.
Which of the following statements is true about a Medicare Supplement
Insurance Plan member who wants to enroll in an MA Plan? ->> CORRECT -->>
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.
Which of the following best defines Medicare Part D? ->> CORRECT -->>It is a
government program, offered only through a private insurance company or other
private company approved by Medicare, which provides prescription drug
coverage.
Which of the following is a fact about Medicare Prescription Drug Plans? ->>
CORRECT -->>To enroll, member must be in plans service area
What are two options for Medicare consumers to get Part D prescription drug
coverage (assuming they meet all eligibility requirements)? (Select 2) ->>
ANSWERS. 100% VERIFIED QUESTIONS AND
ANSWERS RATED A+.
Lisa turned 65 and is now eligible for Medicare. She already receives Social
Security benefits. How does she enroll in Original Medicare? ->> CORRECT -->>Her
enrollment in Medicare Parts A and B is generally automatic if she meets all
eligibility requirements.
Which statement is true about a member of a Medicare Advantage (MA) Plan
who wants to enroll in a Medicare Supplement Insurance Plan? ->> CORRECT --
>>When a consumer enrolls in a Medicare Supplement Insurance Plan, they are
not automatically disenrolled from their MA Plan.
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? ->> CORRECT -->>Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 2) ->>
CORRECT -->>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.
Which of the following is NOT an eligibility requirement for enrollment in a
Medicare Advantage Plan? ->> CORRECT -->>Does not have any pre- existing
conditions such as diabetes or End Stage Renal Disease (ESRD)
Which of the following statements is correct about HMO MA Plans? ->> CORRECT
-->>Members must receive covered services from contracted network providers
with limited exceptions.
, Which of the following is NOT a correct statement about in-network provider
service? ->> CORRECT -->> Network-based MA plans have a provider network the
member can use, and some plans also cover certain services outside the network.
What is true about Medicare supplement open enrollment? ->> CORRECT -->>
A consumer who waits to enroll in Medicare Part B until age 66 or older cannot
qualify for Medicare Supplement Open Enrollment.
It is the only time a consumer is eligible to purchase a Medicare Supplement
Insurance Plan.
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? ->> CORRECT -->>The Out-of-Pocket Maximum will include her costs
toward any Medicare-covered Part A or B services.
Which of the following statements is true about a Medicare Supplement
Insurance Plan member who wants to enroll in an MA Plan? ->> CORRECT -->>
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.
Which of the following best defines Medicare Part D? ->> CORRECT -->>It is a
government program, offered only through a private insurance company or other
private company approved by Medicare, which provides prescription drug
coverage.
Which of the following is a fact about Medicare Prescription Drug Plans? ->>
CORRECT -->>To enroll, member must be in plans service area
What are two options for Medicare consumers to get Part D prescription drug
coverage (assuming they meet all eligibility requirements)? (Select 2) ->>
