UHC Certification with Complete Solutions

UHC Certification with Complete Solutions 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