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UHC CERTIFICATION TEST WITH ALL ANSWERS.
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UHC CERTIFICATION TEST WITH ALL ANSWERS.
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UHC CERTIFICATION TEST WITHALL ANSWERS
Joseph vhas vOriginal vMedicare vand vwas va vpatient vin vthe vhospital vlast vweek.
vWhat vpart vof vMedicare vhelps vcover vthe vcosts vof vhis vinpatient vhospital vstay? v-
vcorrect vanswer-Part vA
v- vcorrect vanswer-The vconsumer vmust vbe vin va vvalid vMA velection vor
vdisenrollment vperiod.
Which vof vthe vfollowing vconsumers vwould vbe veligible vfor vMedicare? v- vcorrect
vanswer-Consumers vage v65 vor volder, vconsumers vunder v65 vyears vof vage vwith
vcertain vdisabilities vfor vmore vthan v24 vmonths vand vconsumers vof vall vages vwith
vESRD vor vALS
Which vof vthe vfollowing vdefines va vMedicare vAdvantage v(MA) vPlan? v- vcorrect
vanswer-MA vPlans vare vhealth vplan voptions vapproved vby vMedicare vand voffered
vby vprivate vinsurance vcompanies.
Janice vwants vto venroll vin va v2021 vMedicare vAdvantage vplan. vWhat veligibility
vrequirements vmust vshe vmeet? v(Select vthe vtwo vanswers vthat vapply.) v- vcorrect
vanswer-Not vhave vEnd vStage vRenal vDisease v(permanent vkidney vfailure)Reside
vin vthe vplan's vservice varea
What vmust vbe vexplained vto vconsumers venrolling vin van vHMO v(Health
vMaintenance vOrganization) vMA vPlan? v(Select v3) v- vcorrect vanswer-
, Which vof vthe vfollowing vare vMA vPlans vthat vfocus von vusing vnetwork vproviders vto
vmaximize vthe vbenefits vand vreduce vout-of-network vexpenses? v- vcorrect vanswer-
HMO, vPOS, vPPO
Which vis vtrue vabout vMedicare vSupplement vOpen vEnrollment? v- vcorrect vanswer-
By vfederal vlaw, vMedicare vSupplement vOpen vEnrollment vis vthe vfirst v6 vmonths va
vconsumer vis v65 vor volder vand venrolled vin vMedicare vPart vB.
How vdoes vthe vMedicare vAdvantage vOut-of-Pocket v(OOP) vmaximum vwork? v-
vcorrect vanswer-The vOOP vmaximum vis va vfeature vthat vlimits vthe vamount vof
vmoney va vconsumer vwill vhave vto vspend von vMedicare-covered vhealth vcare
vservices veach vyear.
A vconsumer vcurrently vhas vOriginal vMedicare vand vis venrolled vin va vstand-alone
vPrescription vDrug vPlan v(PDP). vWhat vwill vhappen vif vthe vconsumer venrolls vin van
vMA vPlan vthat vhas vintegrated vprescription vdrug vcoverage? v- vcorrect vanswer-The
vconsumer vwill vbe vautomatically vdisenrolled vfrom vtheir vstand-alone vPDP vupon
venrollment vin vthe vMA vPlan vthat vhas vintegrated vprescription vdrug vcoverage
A vgovernment vprogram, voffered vonly vthrough va vprivate vinsurance vcompany vor
vother vprivate vcompany vapproved vby vMedicare, vthat vprovides vprescription vdrug
vcoverage vdescribes vwhich vof vthe vfollowing: v- vcorrect vanswer-Medicare vParts vA
vand vB
Which vof vthe vfollowing vstatements vis vtrue vabout veligibility vrequirements vfor
vMedicare vPrescription vDrug vPlans? v- vcorrect vanswer-A vconsumer vmust vbe
ventitled vto vMedicare vPart vA vand/or venrolled vin vMedicare vPart vB
What vare vtwo voptions vfor vMedicare vconsumers vto vget vPart vD vprescription vdrug
vcoverage v(assuming vthey vmeet vall veligibility vrequirements)? v(Select v2) v- vcorrect
vanswer-
Which vof vthe vfollowing vstatements vis vnot vtrue vabout vthe vCoverage vGap? v-
vcorrect vanswer-All vmembers vreach vthe vCoverage vGap
Which vof vthe vfollowing voptions vare vdrug vutilization vmanagement v(UM) vrules?
v(Select v3) v- vcorrect vanswer-
Which vof vthe vfollowing vbest vdescribes vthe vLate vEnrollment vPenalty v(LEP)? v-
vcorrect vanswer-The vamount vadded vto vthe vmember's vmonthly vplan vpremium vif
vthey vdid vnot venroll vin va vMedicare vAdvantage vplan vwith vPart vD vbenefits vor
vstand-alone vprescription vdrug vplan vwhen vthey vwere vfirst veligible vfor vMedicare
vParts vA vand/or vB vor vwent vwithout vcreditable vprescription vdrug vcoverage vfor v63
vcontinuous vdays vor vmore.
Through vwhich vmeans vis vfinancial vassistance voffered vto va vconsumer vwho
vqualifies vfor vLow vIncome vSubsidy vfor vtheir vpart vof vMedicare vPart vD vcosts? v-
vcorrect vanswer-Through vsubsidies vsuch vas vlower vor vno vmonthly vplan vpremiums
vand vlower vor vno vcopayments
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