UHC Certification Exam (Latest 2023/2024) | Actual Questions and Verified Answers| A+ Grade

UHC Certification Exam (Latest 2023/2024) | Actual Questions and Verified Answers| A+ Grade QUESTION 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? Medicaid Original Medicare Low Income Subsidy Answer: Original Medicare QUESTION To be eligible for this plan type, consumers must meet the following requirements:- Entitled to Medicare Part A and enrolled in Part B- Reside in the plan's service areaWhich plan is being described? Medicare Advantage Prescription Drug Medicaid Original Medicare Answer: Medicare Advantage QUESTION What must be explained to consumers enrolling in an HMO (Health Maintenance Organization) MA Plan? (Select 3) They must see contracted network providers in order to receive coverage under the plan. In most cases, they will pay the entire cost of the service if they see an out-of-network provider. Most benefits are covered out-of-network but at a higher cost. The exception to the provider network requirement is emergency visits, urgent care and renal dialysis services, which can be obtained from out-of-network providers. Answer: QUESTION What must be explained to consumers enrolling in an HMO (Health Maintenance Organization) MA Plan? (Select 3) They must see contracted network providers in order to receive coverage under the plan. In most cases, they will pay the entire cost of the service if they see an out-of-network provider. Most benefits are covered out-of-network but at a higher cost. The exception to the provider network requirement is emergency visits, urgent care and renal dialysis services, which can be obtained from out-of-network providers. Answer: In most cases, they will pay the entire cost of the service if they see an out-of-network provider. Most benefits are covered out-of-network but at a higher cost. The exception to the provider network requirement is emergency visits, urgent care and renal dialysis services, which can be obtained from out-of-network providers. QUESTION When does Medicare Supplement Open Enrollment take place? During the three months prior to the consumer's 65th birthday, the month of their birthday, and the three months following the month of their 65th birthday and enrolled in Medicare Part B. During the first six months a consumer is 65 or older and enrolled in Medicare Part B. Annually from October 15 to December 7. During the first three months a consumer is 65 or older and enrolled in Medicare Part B. Answer: During the first six months a consumer is 65 or older and enrolled in Medicare Part B. QUESTION How does the Medicare Advantage Out-of-Pocket (OOP) maximum work? The OOP maximum is a feature that limits the amount of money a consumer will have to spend on Medicare-covered health care services each year. The OOP maximum is a feature that limits the amount of money a consumer will have to spend on all health care services each year.