2023 UHC certifications
Lisa turned 65 and is now eligible for Medicare. She already receives Social Security
benefits. How does she enroll in Original Medicare? - Her enrollment in Medicare Parts A
and B is generally automatic if she meets all eligibility requirements.
Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to
enroll in a Medicare Supplement Insurance Plan? - When a consumer enrolls in a Medicare
Supplement Insurance Plan, they are not automatically disenrolled from their MA Plan.
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? - Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 2) - 1. MA Plans
must provide 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.
Which of the following is NOT an eligibility requirement for enrollment in a Medicare
Advantage Plan? - Does not have any pre-existing conditions such as diabetes or End Stage
Renal Disease (ESRD)
Which of the following statements is correct about HMO MA Plans? - Members must receive
covered services from contracted network providers with limited exceptions.
Which of the following is NOT a correct statement about in-network provider services? -
(INCORRECT) Network-based MA plans have a provider network the member can use, and
some plans also cover certain services outside the network.
What is true about Medicare supplement open enrollment? - (INCORRECT) A consumer
who 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.
Jennifer is enrolling into a Medicare Advantage (MA) plan and wants to know what counts
toward the Out-of-Pocket Maximum. Which of the following is accurate? - The Out-of-
Pocket Maximum will include her costs toward any Medicare-covered Part A or B services.
