Answered.
1. Joseph has Original Medicare and was a patient in
Part A
the hospital last week. What part of Medicare
helps cover the costs of his inpatient hospital
stay?
2. The consumer must be
in a
valid MA election or
disen- rollment period.
3. Which of the following consumers would be eligible for Consumers
age 65 or old-
Medicare? er, consumers under 65
years of age with
certain disabilities for
more than 24 months
and consumers of all
ages with ESRD or
ALS
4. Which of the following defines a Medicare
Advantage (MA) Plan?
MA Plans are health
plan options approved by
Medicare and ottered
by private insurance
5. Janice wants to enroll in a 2021 Medicare compa- nies.
Advantage plan. What eligibility
Not have End Stage Renal
requirements must she meet? (Select the
two answers that apply.) Disease (permanent
kid- ney failure)Reside
in the plan's service
6. What must be explained to consumers area
enrolling in
an HMO (Health Maintenance Organization) MA
Plan? (Select 3)
, UHC Certification Written Exam Questions Correctly
Answered.
7. HMO, POS, PPO
, UHC Certification Written Exam Questions Correctly
Answered.
Which of the following are MA Plans that focus
on using network providers to maximize the
benefits and reduce out-of-network expenses?
8. Which is true about Medicare Supplement Open Enroll- By federal
law, Medicare
ment? Supplement Open Enroll-
ment is the first 6
months a consumer is
65 or older and
enrolled in Medicare
Part B.
9. 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-cov-
10. A consumer currently has Original Medicare ered health care
and is services each year.
The consumer will be
enrolled in a stand-alone Prescription Drug Plan (PDP). automatically
disenrolled
What will happen if the consumer enrolls in an MA Plan from their
stand-alone
that has integrated prescription drug coverage? company ap-
proved by
Medicare,
that
provides
11. A government program, offered only through prescription
a pri- vate insurance company or other private drug