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UHC CERTIFICATION 2 LATEST VERSIONS ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES $9.99   Add to cart

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UHC CERTIFICATION 2 LATEST VERSIONS ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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  • 2024/2025
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  • 2024/2025

UHC CERTIFICATION 2 LATEST VERSIONS ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? - Answer️️ -Her enrollment in Medicare Parts...

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  • September 18, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 2024/2025
  • 2024/2025
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EmillyCharlotte
TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

UHC CERTIFICATION 2 LATEST VERSIONS 2024-2025
ACTUAL EXAM 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES


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

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? - Answer✔️✔️-Original Medicare

Which of the following defines a Medicare Advantage (MA) Plan? (Select 2) -

Answer✔️✔️-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.

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Which of the following is NOT an eligibility requirement for enrollment in a Medicare

Advantage Plan? - Answer✔️✔️-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? - Answer✔️✔️-

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? -

Answer✔️✔️-(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? - 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? -

Answer✔️✔️-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? - Answer✔️✔️-Medicare Supplement

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
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? - Answer✔️✔️-It is a government

program, offered only through a private insurance company or other private company

approved by Medicare, which provides prescription drug coverage.

Which of the following is a fact about Medicare Prescription Drug Plans? - Answer✔️✔️-

To enroll, member must be in plans service area

What are two options for Medicare consumers to get Part D prescription drug coverage

(assuming they meet all eligibility requirements)? (Select 2) - Answer✔️✔️-Enroll in a

stand-alone Medicare Prescription Drug Plan (PDP)



Enroll in a Medicare Advantage Plan or other Medicare health plan that includes

prescription drug coverage

Which of the following statements does NOT correctly define prescription drug stages? -

Answer✔️✔️-A deductible is the amount the member must pay for every prescription

medication, regardless of what stage they are in.

Which of these statements is NOT true about the drug utilization management (UM)

rules? - Answer✔️✔️-(INCORRECT) Prior authorization, quantity limit, and step therapy

are some examples of UM rules

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