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UHC CERTIFICATIONS EXAM 2025 Qs & As/ LATEST
UPDATE 2025 SPRING/ALREADY RATED A+
Joseph has Original Medicare and was a patient in the hospital last week. What
part of Medicare helps cover the costs of his inpatient hospital stay? -
(answers)Part A
- (answers)The consumer must be in a valid MA election or disenrollment period.
Which of the following consumers would be eligible for Medicare? -
(answers)Consumers age 65 or older, consumers under 65 years of age with
certain disabilities for more than 24 months and consumers of all ages with ESRD
or ALS
Which of the following defines a Medicare Advantage (MA) Plan? - (answers)MA
Plans are health plan options approved by Medicare and offered by private
insurance companies.
Janice wants to enroll in a 2021 Medicare Advantage plan. What eligibility
requirements must she meet? (Select the two answers that apply.) - (answers)Not
have End Stage Renal Disease (permanent kidney failure)Reside in the plan's
service area
What must be explained to consumers enrolling in an HMO (Health Maintenance
Organization) MA Plan? (Select 3) - (answers)
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Which of the following are MA Plans that focus on using network providers to
maximize the benefits and reduce out-of-network expenses? - (answers)HMO,
POS, PPO
Which is true about Medicare Supplement Open Enrollment? - (answers)By
federal law, Medicare Supplement Open Enrollment is the first 6 months a
consumer is 65 or older and enrolled in Medicare Part B.
How does the Medicare Advantage Out-of-Pocket (OOP) maximum work? -
(answers)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.
A consumer currently has Original Medicare and is enrolled in a stand-alone
Prescription Drug Plan (PDP). What will happen if the consumer enrolls in an MA
Plan that has integrated prescription drug coverage? - (answers)The consumer
will be automatically disenrolled from their stand-alone PDP upon enrollment in
the MA Plan that has integrated prescription drug coverage
A government program, offered only through a private insurance company or
other private company approved by Medicare, that provides prescription drug
coverage describes which of the following: - (answers)Medicare Parts A and B
Which of the following statements is true about eligibility requirements for
Medicare Prescription Drug Plans? - (answers)A consumer must be entitled to
Medicare Part A and/or enrolled in Medicare Part B
UHC CERTIFICATIONS EXAM 2025 Qs & As/ LATEST
UPDATE 2025 SPRING/ALREADY RATED A+
Joseph has Original Medicare and was a patient in the hospital last week. What
part of Medicare helps cover the costs of his inpatient hospital stay? -
(answers)Part A
- (answers)The consumer must be in a valid MA election or disenrollment period.
Which of the following consumers would be eligible for Medicare? -
(answers)Consumers age 65 or older, consumers under 65 years of age with
certain disabilities for more than 24 months and consumers of all ages with ESRD
or ALS
Which of the following defines a Medicare Advantage (MA) Plan? - (answers)MA
Plans are health plan options approved by Medicare and offered by private
insurance companies.
Janice wants to enroll in a 2021 Medicare Advantage plan. What eligibility
requirements must she meet? (Select the two answers that apply.) - (answers)Not
have End Stage Renal Disease (permanent kidney failure)Reside in the plan's
service area
What must be explained to consumers enrolling in an HMO (Health Maintenance
Organization) MA Plan? (Select 3) - (answers)
, 2|Page
Which of the following are MA Plans that focus on using network providers to
maximize the benefits and reduce out-of-network expenses? - (answers)HMO,
POS, PPO
Which is true about Medicare Supplement Open Enrollment? - (answers)By
federal law, Medicare Supplement Open Enrollment is the first 6 months a
consumer is 65 or older and enrolled in Medicare Part B.
How does the Medicare Advantage Out-of-Pocket (OOP) maximum work? -
(answers)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.
A consumer currently has Original Medicare and is enrolled in a stand-alone
Prescription Drug Plan (PDP). What will happen if the consumer enrolls in an MA
Plan that has integrated prescription drug coverage? - (answers)The consumer
will be automatically disenrolled from their stand-alone PDP upon enrollment in
the MA Plan that has integrated prescription drug coverage
A government program, offered only through a private insurance company or
other private company approved by Medicare, that provides prescription drug
coverage describes which of the following: - (answers)Medicare Parts A and B
Which of the following statements is true about eligibility requirements for
Medicare Prescription Drug Plans? - (answers)A consumer must be entitled to
Medicare Part A and/or enrolled in Medicare Part B
