UHC CERTIFICATION ACTUAL EXAM QUESTIONS AND VERIFIED DETAILED RATIONALES ANSWERS (NEWEST) ALREADY GRADED A+
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Course
UHC Certification
Institution
UHC Certification
UHC CERTIFICATION ACTUAL EXAM QUESTIONS AND VERIFIED DETAILED RATIONALES ANSWERS (NEWEST) ALREADY GRADED A+
Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? - ACCURATE>>> Her enrollment in Medicare...
2024-2025 UHC CERTIFICATION ACTUAL EXAM QUESTIONS
AND VERIFIED DETAILED RATIONALES ANSWERS 2024-
2025(NEWEST) ALREADY GRADED A+
Lisa turned 65 and is now eligible for Medicare. She already receives Social
Security benefits. How does she enroll in Original Medicare? -
ACCURATE>>> 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? -
ACCURATE>>> When a consumer enrolls in a Medicare Supplement
Insurance Plan, they are not automatically disenrolled from their MA Plan.
Being 65 or older, being under 65 years of age with certain disabilities for
more than 24 months, and being any age with ESRD or ALS are each
eligibility requirements for which program? - ACCURATE>>> Original
Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 2) -
ACCURATE>>> 1. MA Plans must provide benefits equivalent to Original
Medicare, and most plans also offer additional benefits.
,2. MA Plans provide Medicare hospital and medical insurance and often
include Medicare prescription drug coverage.
Which of the following is NOT an eligibility requirement for enrollment in a
Medicare Advantage Plan? - ACCURATE>>> Does not have any pre- existing
conditions such as diabetes or End Stage Renal Disease (ESRD)
Which of the following statements is correct about HMO MA Plans? -
ACCURATE>>> Members must receive covered services from contracted
network providers with limited exceptions.
Which of the following is NOT a correct statement about in-network provider
services? - ACCURATE>>> (INCORRECT) Network-based MA plans have a
provider network the member can use, and some plans also cover certain
services outside the network.
What is true about Medicare supplement open enrollment? - correct answer
✅(INCORRECT) A consumer who waits to enroll in Medicare Part B until age
66 or older cannot qualify for Medicare Supplement Open Enrollment.
, (INCORRECT) It is the only time a consumer is eligible to purchase a
Medicare Supplement Insurance Plan.
Jennifer is enrolling into a Medicare Advantage (MA) plan and wants to know
what counts toward the Out-of-Pocket Maximum. Which of the following is
accurate? - ACCURATE>>> The Out-of-Pocket Maximum will include her
costs toward any Medicare-covered Part A or B services.
Which of the following statements is true about a Medicare Supplement
Insurance Plan member who wants to enroll in an MA Plan? - correct answer
✅Medicare Supplement Insurance cannot be used in conjunction with an
MA Plan; therefore, after receiving confirmation of enrollment into the MA
Plan, the member must cancel their Medicare Supplement Insurance policy
according to their carrier's rules.
Which of the following best defines Medicare Part D? - ACCURATE>>> It is a
government program, offered only through a private insurance company or
other private company approved by Medicare, which provides prescription
drug coverage.
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