UHC ACTUAL EXAM QUESTIONS AND
COMPLETE STUDY GUIDE 2026
▶ Which of the following is a fact about Medicare Prescription Drug Plans?
Answer: -To enroll, the consumer must reside in the plan's service area
-All drugs are covered
-Medicare Part D is part of Medicare Supplement Insurance Plans
-Benefits never vary by plan(wrong)
▶ Aside from a stand-alone Medicare Prescription Drug Plan, how else
could a Medicare-eligible consumer get Part D prescription drug coverage?
Answer: -They could sign up for a pharmacy savings card through their
local pharmacy.
-There is no other way a Medicare consumer could get Part D prescription
drug coverage.
-They could enroll in a Medicare Advantage Plan or other Medicare health
plan that includes prescription drug coverage.(right)
-They could enroll in a Medicare Supplement Insurance Plan.
▶ Which of the following statements is not true about the Coverage Gap?
Answer: -For 2021, the coverage gap begins when the member has
incurred $4,130 in medication spending for the year
-The use of lower cost generic medications may prevent the member from
reaching the coverage gap
-All members reach the Coverage Gap(right)
-Some plans offer additional coverage through the coverage gap, usually at
a higher monthly plan premium
-If a member reaches the coverage gap, they will have access to the Plan's
negotiated pharmacy discount rate for Medicare Part D medications
▶ Which of the following options are drug utilization management (UM)
rules? (Select 3) Answer: -Step Therapy(right)
-Quantity Limit(right)
-TrOOP (True Out-of-Pocket) costs
COMPLETE STUDY GUIDE 2026
▶ Which of the following is a fact about Medicare Prescription Drug Plans?
Answer: -To enroll, the consumer must reside in the plan's service area
-All drugs are covered
-Medicare Part D is part of Medicare Supplement Insurance Plans
-Benefits never vary by plan(wrong)
▶ Aside from a stand-alone Medicare Prescription Drug Plan, how else
could a Medicare-eligible consumer get Part D prescription drug coverage?
Answer: -They could sign up for a pharmacy savings card through their
local pharmacy.
-There is no other way a Medicare consumer could get Part D prescription
drug coverage.
-They could enroll in a Medicare Advantage Plan or other Medicare health
plan that includes prescription drug coverage.(right)
-They could enroll in a Medicare Supplement Insurance Plan.
▶ Which of the following statements is not true about the Coverage Gap?
Answer: -For 2021, the coverage gap begins when the member has
incurred $4,130 in medication spending for the year
-The use of lower cost generic medications may prevent the member from
reaching the coverage gap
-All members reach the Coverage Gap(right)
-Some plans offer additional coverage through the coverage gap, usually at
a higher monthly plan premium
-If a member reaches the coverage gap, they will have access to the Plan's
negotiated pharmacy discount rate for Medicare Part D medications
▶ Which of the following options are drug utilization management (UM)
rules? (Select 3) Answer: -Step Therapy(right)
-Quantity Limit(right)
-TrOOP (True Out-of-Pocket) costs
