UHC Certification 2 Latest Versions: 200 Actual Exam Q&A with Rationales

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UHC CERTIFICATION 2 LATEST VERSIONS ACTUAL

EXAM 200 QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES (VERIFIED ANSWERS)

|ALREADY GRADED A+

Medicare .....ANSWER.....Federal health insurance program

Medicare is administered by whom? .....ANSWER.....CMS (

Centers for medicare and medicaid services)

Parts A & B of medicare are .....ANSWER.....federal health

insurance program referred to as original medicare

Part A? .....ANSWER.....Hospital insurance

Part B? .....ANSWER.....Medical insurance

What doesnt medicare cover? .....ANSWER.....routine dental, eye

care hearing exam,deductibles, coinsurance and copayments

Part C? .....ANSWER.....Medicare Advantage Plans

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MA covers? .....ANSWER.....Part A &B coverage, and some part D

coverage

MA plans are not? .....ANSWER.....Medicare supplement insurance

plans

What offers lower monthly premiums MADP or supplement?

.....ANSWER.....MADP

do MAP's have a annual maximum OOP maximum that limits the

amount of money a member must spend every year for covered

services? .....ANSWER.....YES

MA plans integrate what type of additonal coverage?

.....ANSWER.....part D prescription drug coverage

If a customer wants to keep their stand alone prescription drug

plan, what may the customer want to enroll in?

.....ANSWER.....MA-only PFFS plan

What is a stand alone drug plan called? .....ANSWER.....PDP

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WHat is PFFS? .....ANSWER.....Private Fee for Service (PFFS) -

Plans that allow you to go to any doctor or hospital that accepts

their terms

If a customer lives in a rural area, what type of plan may they

want because it gives them freedom to access doctors that may

not be in their network? .....ANSWER.....PFFS plan

Do HMO's require referals? .....ANSWER.....Yes

Do PPO's require a referal? .....ANSWER.....No

When a member enrolls in a MA plan, they receive their

coverage from medicare or the MA plan? .....ANSWER.....MA

plan

When a customer is enrolled in a MA plan, they must continue

paying their premiums for what other plan? .....ANSWER.....Part B

MA plans have a maxium annual limit on OOP costs called a?

.....ANSWER.....MOOP amount ( Maxium out of pocket)

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When a member is enrolled in a MA plan, they are automatically

disenrolled from any other MA plan or PDP( prescription drug

plan) in which they are enrolled as of the new plans_____?

.....ANSWER.....effective date

An exception exisits for MA-only PFFS plans as a member can

also be enrolled in a what? .....ANSWER.....Stand alone PDP

If a member enrolls in a MA plan, what must the member do?

.....ANSWER.....Cancel in writing their medicare supplement

insurance policy with the carrier after their request to enroll in

MA plan has been approved.

Medicare supplement insurance policies cannot be used in

conjunction with what type of plan? .....ANSWER.....MA plan

A medicare supplement insurance plan helps to cover some of the

OOP costs associated with? .....ANSWER.....original medicare.

A medicare supplement insurance plan does NOT pay the cost-

sharing of what type of plan? .....ANSWER.....MA plan