UHC BASIC KB22, Questions and answers, 2022 updates, Graded A+
Which of the following best defines Medicare Part D? - ✔✔It is a government program, offered only through a private insurance company or other private c
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UHC BASIC KB22, Questions and answers, 2022 updates, Graded A+
Which of the following best defines Medicare Part D? - ✔✔It is a government program, offered only through a private insurance company or other private company approved by Medicare, which provides prescription drug coverage.
Which of the following statements is true about eligibility requirements for stand-alone Medicare Prescription Drug Plans? - ✔✔A consumer must be entitled to Medicare Part A and/or enrolled in Medicare Part B
Aside from a Medicare Advantage Plan or other health plan that includes prescription drug coverage, how else could a Medicare-eligible consumer get Part D prescription drug coverage? - ✔✔They could enroll in a stand-alone Medicare Prescription Drug Plan (PDP).
Which of the following statements is NOT true about the Coverage Gap? - ✔✔ALL MEMBERS REACH THE COVERAGE GAP
Step Therapy, Prior Authorization, Quantity Limit, 7-day limit, Dispensing Limit and Limited Access are all examples of what? - ✔✔Utilization Management Rules
Which of the following best describes the Late Enrollment Penalty (LEP)? - ✔✔The amount added to the member's monthly plan premium if they did not enroll in a Medicare Advantage plan with Part D benefits or stand-alone prescription drug plan when they were first eligible for Medicare Parts A and/or B or went without creditable prescription drug coverage for 63 or more continuous days.
Can a consumer who qualifies for Low Income Subsidy receive financial assistance for their part of Medicare Part D costs? - ✔✔Yes, through subsidies such as lower or no monthly plan premiums and lower or no copayments
Which of the following lists drug tiers from least expensive cost share to most expensive cost share? - ✔✔Preferred Generics, Generics, Preferred Brand (and some higher-cost generics), Non-Preferred Drug (and some higher-cost generics), Specialty
Which of the following is true about Medicare Supplement Insurance underwriting criteria in states where underwriting applies? - ✔✔Underwriting is required if the consumer is not in their Medicare Supplement Open Enrollment period or does not meet Guaranteed Issue criteria.
Which of the following is NOT true about the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) impact to Plans C and F? - ✔✔Consumers already enrolled in Plans C or F are required to change plans.
Which statement is true of Medicare Supplement Insurance Plans? - ✔✔Insured members have the freedom to choose any doctor who accepts Medicare patients.
Milton is retiring on his 65th birthday. He is eligible for Medicare and already receives Social Security benefits. How does he enroll in Original Medicare? - ✔✔His enrollment in Medicare Parts A and B is generally automatic if he 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? - ✔✔WRONG
Which of the following consumers are eligible for Medicare if other eligibility requirements are met? - ✔✔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
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