UHC Study guides, Class notes & Summaries

Sam Has an educational event scheduled at the public library on Tuesday, October 17 from 10-11am. The library is open daily from 9am-8pm. When is the earliest he can conduct a marketing/sales event at that library? - Answer Wednesday October 18 at 9am, as there must be a minimum of 12 hours separating the events Select the option that reflects what an agent must do when conducting a formal marketing/sales event. - Answer When asking consumers to fill out a lead cards or a sign-in sheet, s...

In which two parts of Medicare is enrollment generally automatic for eligible consumers who are receiving Social Security benefits, UNLESS they choose to delay their coverage? - Answer Parts A and B Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? - Answer The consumer must be in a valid MA election or disenrollment period. Provided other eligibility requirements are met, who is eligible for Medicare? - ...

Which type of MA Plan is an HMO plan that also covers certain benefits out-of-network, generally at a higher cost? -Medicare Supplement Insurance Plan -Point-of-Service (POS) Plan -Preferred Provider Organization (PPO) -Private Fee-for-Service (PFFS) - Answer Point-of-Service (POS) Plan Milton is retiring on his 65th birthday. He is eligible for Medicare and already receives Social Security benefits. How does he enroll in Original Medicare? His enrollment in Medicare Parts A and B ...

UHC Certification Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare helps cover the costs of his inpatient hospital stay? ANSWER: Part A ANSWER: The consumer must be in a valid MA election or disenrollment period. Which of the following consumers would be eligible for Medicare? ANSWER: Consumers age 65 or older, consumers under 65 years of age with certain disabilities for more than 24 months and consumers of all ages with ESRD or ALS ...

Which statement is true about the Medicare Advantage (MA) Out- of pocket Maximum? - Answer All MA plans have an Out- of Pocket maximum to help limit the member's out of pocket cost for Medicare-covered services. A consumer currently has Original Medicare and is enrolled in a stand alone PDP. What will happens if the consumer enrolls in a n MA Plan that has integrated PDP coverage? -Answer The consumer will be automatically disenrolled from their stand-alone PDP upon enrollment in the MA P...

Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare helps cover the costs of his inpatient hospital stay? -AnswerPart A the consumer must be in a valid MA election or disenrollment period. Which of the following consumers would be eligible for Medicare? -AnswerConsumers age 65 or older, consumers under 65 years of age with certain disabilities for more than 24 months and consumers of all ages with ESRD or ALS Which of the following defines a Medi...

UHC Certification Questions with Complete Solutions Which statement is true about the Medicare Advantage (MA) Out- of pocket Maximum? - Answer All MA plans have an Out- of Pocket maximum to help limit the member's out of pocket cost for Medicare-covered services. A consumer currently has Original Medicare and is enrolled in a stand alone PDP. What will happens if the consumer enrolls in a n MA Plan that has integrated PDP coverage? -Answer The consumer will be automatically disenrolled fr...

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 Par...

Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? -Answer 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? -Answer When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically disenrol...