1 Exam (elaborations) Certification Reference Guide United Health Care Exam And Correct Answers 2024. 2 Exam (elaborations) UHC Ethic and Compliance Final Exam And Verified Answers 2024. 3 Exam (elaborations) UHC Event Basics Pre Test Questions And Answers Rated A+ 2024. 4 Exam (elaborations) UH...
[Show more]
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 M...
Preview 2 out of 9 pages
Add to cartWhich 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 M...
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 ...
Preview 2 out of 5 pages
Add to cartIn 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 ...
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 separa...
Preview 1 out of 2 pages
Add to cartSam 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 separa...
What type of event must an agent conduct when they want to be able to collect consumer information, schedule future appointment, and accept enrollment applications - Answer Marketing/ sales event An educational event provides consumers the opportunity to________ - Answer Learn about original ...
Preview 1 out of 3 pages
Add to cartWhat type of event must an agent conduct when they want to be able to collect consumer information, schedule future appointment, and accept enrollment applications - Answer Marketing/ sales event An educational event provides consumers the opportunity to________ - Answer Learn about original ...
What is a servicing agent? - Answer an inactive, nonemployee who has signed a servicing agreement in order to receive renewal commisions on medicare advantage and prescription drug plan enrollments on or after 1-1-2014. the agent must maintain an active resident license and appointment and pass me...
Preview 3 out of 18 pages
Add to cartWhat is a servicing agent? - Answer an inactive, nonemployee who has signed a servicing agreement in order to receive renewal commisions on medicare advantage and prescription drug plan enrollments on or after 1-1-2014. the agent must maintain an active resident license and appointment and pass me...
Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her Initial Election Period (IEP), when can she submit an application for a Medicare Advantage or Prescription Drug plan? March 1 through July 31 April 1 through October 31 July 1 through December 3...
Preview 2 out of 9 pages
Add to cartCynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her Initial Election Period (IEP), when can she submit an application for a Medicare Advantage or Prescription Drug plan? March 1 through July 31 April 1 through October 31 July 1 through December 3...
Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her Initial Election Period (IEP), when can she submit an application for a Medicare Advantage or Prescription Drug plan? March 1 through July 31 April 1 through October 31 July 1 through December 3...
Preview 2 out of 9 pages
Add to cartCynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her Initial Election Period (IEP), when can she submit an application for a Medicare Advantage or Prescription Drug plan? March 1 through July 31 April 1 through October 31 July 1 through December 3...
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 eli...
Preview 2 out of 8 pages
Add to cartJoseph 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 eli...
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 ...
Preview 2 out of 15 pages
Add to cartMedicare - 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 ...
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...
Preview 2 out of 5 pages
Add to cartLisa 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...
Which of the following is TRUE about UnitedHealthcare Medicare plans carrying the AARP name? -AARP does not endorse any UnitedHealthcare MA and PDP plans but does endorse the AARP Medicare Supplement Insurance Plans. -UnitedHealthcare is one of many insurance companies to have the AARP name on...
Preview 2 out of 5 pages
Add to cartWhich of the following is TRUE about UnitedHealthcare Medicare plans carrying the AARP name? -AARP does not endorse any UnitedHealthcare MA and PDP plans but does endorse the AARP Medicare Supplement Insurance Plans. -UnitedHealthcare is one of many insurance companies to have the AARP name on...
Lisa turned 65 and is now eligible for Medicare. She already received 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 the eligibility requirements Which statement is true about members ...
Preview 1 out of 3 pages
Add to cartLisa turned 65 and is now eligible for Medicare. She already received 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 the eligibility requirements Which statement is true about members ...
On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective November 1. Which statement is true for Aries? -He can use the Annual Election Period that runs from October 15 to December 7 and select November 1 as his plan effective date....
Preview 2 out of 6 pages
Add to cartOn October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective November 1. Which statement is true for Aries? -He can use the Annual Election Period that runs from October 15 to December 7 and select November 1 as his plan effective date....
What are Dual Special Needs Plans (D-SNP)? - Answer Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. When does the Special Election Period for Dual/LIS Change in Status begin for D-SNP members that lose Medicaid eligibility? - Answer After the g...
Preview 1 out of 2 pages
Add to cartWhat are Dual Special Needs Plans (D-SNP)? - Answer Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid. When does the Special Election Period for Dual/LIS Change in Status begin for D-SNP members that lose Medicaid eligibility? - Answer After the g...
What type of event must an agent conduct when they want to be able to collect consumer information, schedule future appointments, and accept enrollment applications? -Marketing/sales event -Member event -Educational event - Answer Marketing/sales event What type of event is an agent co...
Preview 2 out of 5 pages
Add to cartWhat type of event must an agent conduct when they want to be able to collect consumer information, schedule future appointments, and accept enrollment applications? -Marketing/sales event -Member event -Educational event - Answer Marketing/sales event What type of event is an agent co...
In which situation may the Medicare Advantage (MA) organization decide to disenroll a member from an MA plan? - Answer The member calls CMS at 1-800-MEDICARE (Wrong) On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective Novembe...
Preview 1 out of 4 pages
Add to cartIn which situation may the Medicare Advantage (MA) organization decide to disenroll a member from an MA plan? - Answer The member calls CMS at 1-800-MEDICARE (Wrong) On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective Novembe...
Agent John is planning to conduct a series of events. Some will be strictly educational, others will be formal presentations of specific UnitedHealthcare plans, and others will be informal marketing events where he can generate leads and schedule future in-home marketing appointments. Of the three t...
Preview 2 out of 5 pages
Add to cartAgent John is planning to conduct a series of events. Some will be strictly educational, others will be formal presentations of specific UnitedHealthcare plans, and others will be informal marketing events where he can generate leads and schedule future in-home marketing appointments. Of the three t...
Which of the following is a correct statement about in-network provider services? - Answer HMO Plans cover only in-network services. In most cases, members pay the full cost of any out-of-network services received, with a few important exceptions. Which of the following are eligibility requirem...
Preview 2 out of 5 pages
Add to cartWhich of the following is a correct statement about in-network provider services? - Answer HMO Plans cover only in-network services. In most cases, members pay the full cost of any out-of-network services received, with a few important exceptions. Which of the following are eligibility requirem...
What does Universal health coverage mean? 3 - Answer means that all people receive the health services THEY NEED W/O SUFFERING FINANCIAL HARDSHIP when paying for them What are the three fundamental concerns that UHC addresses? - Answer 1) fairness of access to services, regardless of people'...
Preview 2 out of 6 pages
Add to cartWhat does Universal health coverage mean? 3 - Answer means that all people receive the health services THEY NEED W/O SUFFERING FINANCIAL HARDSHIP when paying for them What are the three fundamental concerns that UHC addresses? - Answer 1) fairness of access to services, regardless of people'...
aims to improve health equity - Answer universal coverage reforms hallmark of a govt to improve the well-being of its citizens - Answer Universal health care WHO declared UHC as a basic human right - Answer 1948 aims to make health systems people-centered - Answer service delivery r...
Preview 2 out of 6 pages
Add to cartaims to improve health equity - Answer universal coverage reforms hallmark of a govt to improve the well-being of its citizens - Answer Universal health care WHO declared UHC as a basic human right - Answer 1948 aims to make health systems people-centered - Answer service delivery r...
1) What are the major challenges of measuring progress toward and achievement of Universal Health Coverage (UHC)? What solutions might the global health community use to overcome these? - Answer The major challenges that confront the achievement of UHC are in defining factors that constitute the i...
Preview 2 out of 5 pages
Add to cart1) What are the major challenges of measuring progress toward and achievement of Universal Health Coverage (UHC)? What solutions might the global health community use to overcome these? - Answer The major challenges that confront the achievement of UHC are in defining factors that constitute the i...
what filipinos can expect from the universal health care law? - Answer all filipinos will be granted health coverage but not everything will be free universal health care law - Answer - all Filipinos are covered - it is not completely free - PhilHealth will become the "national purchaser...
Preview 2 out of 7 pages
Add to cartwhat filipinos can expect from the universal health care law? - Answer all filipinos will be granted health coverage but not everything will be free universal health care law - Answer - all Filipinos are covered - it is not completely free - PhilHealth will become the "national purchaser...
The work we do in the year 2023 regarding STAR measures will result in payment in what year? - Answer 2026 Star ratings is the program that CMS (centers for Medicare and Medicaid services) uses to compare Medicare advantage plans? - Answer True Quality bonus payments and rebates will only ...
Preview 2 out of 8 pages
Add to cartThe work we do in the year 2023 regarding STAR measures will result in payment in what year? - Answer 2026 Star ratings is the program that CMS (centers for Medicare and Medicaid services) uses to compare Medicare advantage plans? - Answer True Quality bonus payments and rebates will only ...
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? - Answer His enrollment in Medicare Parts A and B is generally automatic if he meets all eligibility requirements Which statement is true ...
Preview 1 out of 3 pages
Add to cartMilton is retiring on his 65th birthday. He is eligible for Medicare and already receives Social Security benefits. How does he enroll in Original Medicare? - Answer His enrollment in Medicare Parts A and B is generally automatic if he meets all eligibility requirements Which statement is true ...
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 Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Pla...
Preview 1 out of 3 pages
Add to cartJoseph 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 Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Pla...
Events are catagorized by which 2 things? - Answer Type of event and whether its formal or informal Larry wants to hold an event that covers SNP He will use UHC presentation and will help consumers enroll at the end. What type of event is this? - Answer Not marketing sales event informal W...
Preview 1 out of 2 pages
Add to cartEvents are catagorized by which 2 things? - Answer Type of event and whether its formal or informal Larry wants to hold an event that covers SNP He will use UHC presentation and will help consumers enroll at the end. What type of event is this? - Answer Not marketing sales event informal W...
What is the definition of Abuse? - Answer Abuse includes any practice that results in the provision of services that are not medically necesary An agent should only enroll a consumer in a product: - Answer That is suitable for the consumer's needs, goals and financial resources. When mark...
Preview 1 out of 4 pages
Add to cartWhat is the definition of Abuse? - Answer Abuse includes any practice that results in the provision of services that are not medically necesary An agent should only enroll a consumer in a product: - Answer That is suitable for the consumer's needs, goals and financial resources. When mark...
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Stuvia is a marketplace, so you are not buying this document from us, but from seller TestSolver9. Stuvia facilitates payment to the seller.
No, you only buy these notes for $25.49. You're not tied to anything after your purchase.
4.6 stars on Google & Trustpilot (+1000 reviews)
79650 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now