UHC CERTIFICATION 2 LATEST VERSIONS 2024-2025 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
Terms in this set (94)
Her enrollment in Medicare Parts Lisa turned 65 and is now eligible for Medicare. She already
A and B is generally automatic if receives Social Security benefits. How does she enroll in
she meets all Original Medicare?
eligibility requirements.
When a consumer enrolls in a Which statement is true about a member of a Medicare Advantage
Medicare Supplement (MA) Plan who wants to enroll in a Medicare Supplement
Insurance Plan, they are not Insurance Plan?
automatically disenrolled
from their MA Plan.
Being 65 or older, being under 65 years of age with certain
Original Medicare 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 Which of the following defines a Medicare Advantage (MA) Plan? (Select 2)
benefits
equivalent to Original Medicare, 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 requirement for
conditions such as diabetes or enrollment in a Medicare Advantage Plan?
End Stage Renal Disease (ESRD)
Members must receive Which of the following statements is correct about HMO MA Plans?
covered services from
contracted network providers
with limited exceptions.
, (INCORRECT) Network-based Which of the following is NOT a correct statement about in-
MA plans have a provider network provider services?
network the member can use,
and some plans also cover
certain
services outside the network.
(INCORRECT) A consumer who What is true about Medicare supplement open enrollment?
waits to enroll in Medicare
Part B 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 Jennifer is enrolling into a Medicare Advantage (MA) plan and
will include her costs toward wants to know what counts toward the Out-of-Pocket
any Medicare-covered Part A or Maximum. Which of the following is accurate?
B services.
Medicare Supplement Insurance Which of the following statements is true about a Medicare
cannot be used in conjunction Supplement Insurance Plan member who wants to enroll in an
with an MA Plan; MA Plan?
therefore, after 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, Which of the following best defines Medicare Part D?
offered only through a private
insurance company or other
private company approved by
Medicare, which provides
prescription drug coverage.
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
Terms in this set (94)
Her enrollment in Medicare Parts Lisa turned 65 and is now eligible for Medicare. She already
A and B is generally automatic if receives Social Security benefits. How does she enroll in
she meets all Original Medicare?
eligibility requirements.
When a consumer enrolls in a Which statement is true about a member of a Medicare Advantage
Medicare Supplement (MA) Plan who wants to enroll in a Medicare Supplement
Insurance Plan, they are not Insurance Plan?
automatically disenrolled
from their MA Plan.
Being 65 or older, being under 65 years of age with certain
Original Medicare 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 Which of the following defines a Medicare Advantage (MA) Plan? (Select 2)
benefits
equivalent to Original Medicare, 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 requirement for
conditions such as diabetes or enrollment in a Medicare Advantage Plan?
End Stage Renal Disease (ESRD)
Members must receive Which of the following statements is correct about HMO MA Plans?
covered services from
contracted network providers
with limited exceptions.
, (INCORRECT) Network-based Which of the following is NOT a correct statement about in-
MA plans have a provider network provider services?
network the member can use,
and some plans also cover
certain
services outside the network.
(INCORRECT) A consumer who What is true about Medicare supplement open enrollment?
waits to enroll in Medicare
Part B 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 Jennifer is enrolling into a Medicare Advantage (MA) plan and
will include her costs toward wants to know what counts toward the Out-of-Pocket
any Medicare-covered Part A or Maximum. Which of the following is accurate?
B services.
Medicare Supplement Insurance Which of the following statements is true about a Medicare
cannot be used in conjunction Supplement Insurance Plan member who wants to enroll in an
with an MA Plan; MA Plan?
therefore, after 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, Which of the following best defines Medicare Part D?
offered only through a private
insurance company or other
private company approved by
Medicare, which provides
prescription drug coverage.
