UHC CERTIFICATION 2 LATEST VERSIONS 2026
ACTUAL EXAM 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |
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Terms in this set (94)
Her enrollment in Medicare Parts A Lisa turned 65 and is now eligible for Medicare.
and B is generally automatic if she She already receives Social Security benefits.
meets all eligibility requirements. How does she enroll in Original Medicare?
When a consumer enrolls in a Which statement is true about a member of a
Medicare Supplement Insurance Medicare Advantage (MA) Plan who wants to
Plan, they are not automatically enroll in a Medicare Supplement Insurance Plan?
disenrolled from their MA Plan.
Original Medicare 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?
,1. MA Plans must provide benefits Which of the following defines a Medicare
equivalent to Original Medicare, Advantage (MA) Plan? (Select 2)
and most plans also offer additional
benefits.
2. MA Plans provide Medicare
hospital and medical insurance and
often include Medicare
prescription drug coverage.
Does not have any pre-existing Which of the following is NOT an eligibility
conditions such as diabetes or End requirement for enrollment in a Medicare
Stage Renal Disease (ESRD) Advantage Plan?
Members must receive covered Which of the following statements is correct
services from contracted network about HMO MA Plans?
providers with limited exceptions.
(INCORRECT) Network-based MA Which of the following is NOT a correct
plans have a provider network the statement about in-network provider services?
member can use, and some plans
also cover certain services outside
the network.
(INCORRECT) A consumer who What is true about Medicare supplement open
waits to enroll in Medicare Part B enrollment?
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.
, The Out-of-Pocket Maximum will Jennifer is enrolling into a Medicare Advantage
include her costs toward any (MA) plan and wants to know what counts toward
Medicare-covered Part A or B the Out-of-Pocket Maximum. Which of the
services. following is accurate?
Medicare Supplement Insurance Which of the following statements is true about a
cannot be used in conjunction with Medicare Supplement Insurance Plan member
an MA Plan; therefore, after who wants to enroll in an MA Plan?
receiving confirmation of
enrollment into the MA Plan, the
member must cancel their Medicare
Supplement Insurance policy
according to their carrier's rules.
It is a government program, offered Which of the following best defines Medicare
only through a private insurance Part D?
company or other private company
approved by Medicare, which
provides prescription drug
coverage.
To enroll, member must be in plans Which of the following is a fact about Medicare
service area Prescription Drug Plans?
Enroll in a stand-alone Medicare What are two options for Medicare consumers to
Prescription Drug Plan (PDP) get Part D prescription drug coverage (assuming
they meet all eligibility requirements)? (Select 2)
Enroll in a Medicare Advantage
Plan or other Medicare health plan
that includes prescription drug
coverage
A deductible is the amount the Which of the following statements does NOT
member must pay for every correctly define prescription drug stages?
prescription medication, regardless
of what stage they are in.
ACTUAL EXAM 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |
Save
Terms in this set (94)
Her enrollment in Medicare Parts A Lisa turned 65 and is now eligible for Medicare.
and B is generally automatic if she She already receives Social Security benefits.
meets all eligibility requirements. How does she enroll in Original Medicare?
When a consumer enrolls in a Which statement is true about a member of a
Medicare Supplement Insurance Medicare Advantage (MA) Plan who wants to
Plan, they are not automatically enroll in a Medicare Supplement Insurance Plan?
disenrolled from their MA Plan.
Original Medicare 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?
,1. MA Plans must provide benefits Which of the following defines a Medicare
equivalent to Original Medicare, Advantage (MA) Plan? (Select 2)
and most plans also offer additional
benefits.
2. MA Plans provide Medicare
hospital and medical insurance and
often include Medicare
prescription drug coverage.
Does not have any pre-existing Which of the following is NOT an eligibility
conditions such as diabetes or End requirement for enrollment in a Medicare
Stage Renal Disease (ESRD) Advantage Plan?
Members must receive covered Which of the following statements is correct
services from contracted network about HMO MA Plans?
providers with limited exceptions.
(INCORRECT) Network-based MA Which of the following is NOT a correct
plans have a provider network the statement about in-network provider services?
member can use, and some plans
also cover certain services outside
the network.
(INCORRECT) A consumer who What is true about Medicare supplement open
waits to enroll in Medicare Part B enrollment?
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.
, The Out-of-Pocket Maximum will Jennifer is enrolling into a Medicare Advantage
include her costs toward any (MA) plan and wants to know what counts toward
Medicare-covered Part A or B the Out-of-Pocket Maximum. Which of the
services. following is accurate?
Medicare Supplement Insurance Which of the following statements is true about a
cannot be used in conjunction with Medicare Supplement Insurance Plan member
an MA Plan; therefore, after who wants to enroll in an MA Plan?
receiving confirmation of
enrollment into the MA Plan, the
member must cancel their Medicare
Supplement Insurance policy
according to their carrier's rules.
It is a government program, offered Which of the following best defines Medicare
only through a private insurance Part D?
company or other private company
approved by Medicare, which
provides prescription drug
coverage.
To enroll, member must be in plans Which of the following is a fact about Medicare
service area Prescription Drug Plans?
Enroll in a stand-alone Medicare What are two options for Medicare consumers to
Prescription Drug Plan (PDP) get Part D prescription drug coverage (assuming
they meet all eligibility requirements)? (Select 2)
Enroll in a Medicare Advantage
Plan or other Medicare health plan
that includes prescription drug
coverage
A deductible is the amount the Which of the following statements does NOT
member must pay for every correctly define prescription drug stages?
prescription medication, regardless
of what stage they are in.
