UHC certification Exam (2025) Exam Questions &
Answers | Latest Already Graded A+ UPDATE
2025|2026!!
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Terms in this set (157)
Medicare Federal health insurance program
Medicare is administered CMS ( Centers for medicare and medicaid services)
by whom?
Parts A & B of medicare federal health insurance program referred to as
are original medicare
Part A? Hospital insurance
Part B? Medical insurance
What doesnt medicare routine dental, eye care hearing exam,deductibles,
cover? coinsurance and copayments
Part C? Medicare Advantage Plans
MA covers? Part A &B coverage, and some part D coverage
MA plans are not? Medicare supplement insurance plans
What offers lower monthly MADP
premiums MADP or
supplement?
, do MAP's have a annual YES
maximum OOP maximum
that limits the amount of
money a member must
spend every year for
covered services?
MA plans integrate what part D prescription drug coverage
type of additonal
coverage?
If a customer wants to MA-only PFFS plan
keep their stand alone
prescription drug plan,
what may the customer
want to enroll in?
What is a stand alone drug PDP
plan called?
Private Fee for Service (PFFS) - Plans that allow you to
WHat is PFFS?
go to any doctor or hospital that accepts their terms
If a customer lives in a PFFS plan
rural area, what type of
plan may they want
because it gives them
freedom to access
doctors that may not be in
their network?
Do HMO's require Yes
referals?
Do PPO's require a No
referal?
When a member enrolls in MA plan
a MA plan, they receive
their coverage from
medicare or the MA plan?
Answers | Latest Already Graded A+ UPDATE
2025|2026!!
Save
Terms in this set (157)
Medicare Federal health insurance program
Medicare is administered CMS ( Centers for medicare and medicaid services)
by whom?
Parts A & B of medicare federal health insurance program referred to as
are original medicare
Part A? Hospital insurance
Part B? Medical insurance
What doesnt medicare routine dental, eye care hearing exam,deductibles,
cover? coinsurance and copayments
Part C? Medicare Advantage Plans
MA covers? Part A &B coverage, and some part D coverage
MA plans are not? Medicare supplement insurance plans
What offers lower monthly MADP
premiums MADP or
supplement?
, do MAP's have a annual YES
maximum OOP maximum
that limits the amount of
money a member must
spend every year for
covered services?
MA plans integrate what part D prescription drug coverage
type of additonal
coverage?
If a customer wants to MA-only PFFS plan
keep their stand alone
prescription drug plan,
what may the customer
want to enroll in?
What is a stand alone drug PDP
plan called?
Private Fee for Service (PFFS) - Plans that allow you to
WHat is PFFS?
go to any doctor or hospital that accepts their terms
If a customer lives in a PFFS plan
rural area, what type of
plan may they want
because it gives them
freedom to access
doctors that may not be in
their network?
Do HMO's require Yes
referals?
Do PPO's require a No
referal?
When a member enrolls in MA plan
a MA plan, they receive
their coverage from
medicare or the MA plan?
