DRAFT - UHC MEDICARE BASICS 2026
QUESTIONS AND ANSWER KEY
(VERIFIED).
What are two options for Medicare consumers to get Part D
prescription drug coverage (assuming they meet all
eligibility requirements)? (Select 2)
Enroll in a stand-alone Medicare Prescription Drug Plan (PDP)
Enroll in a Medicare Advantage Plan or other Medicare health
plan that includes prescription drug coverage
Which of the following statements does NOT correctly
define prescription drug stages?
A deductible is the amount the member must pay for every
prescription medication, regardless of what stage they are in.
Through which means is financial assistance offered to a
consumer who qualifies for Low Income Subsidy for their
part of Medicare Part D costs?
Through subsidies such as lower or no monthly plan premiums
and lower or no copayments
Medications that are covered in a Plan's formulary have
various levels of associated member cost-sharing
(copayments or coinsurance). What are these drug levels
called?
Drug tiers
, The Medicare Access and CHIP Reauthorization Act of
2015 (MACRA), which went into effect January 1, 2020,
applies to all carriers offering Medicare supplement plans.
True
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.
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
What is 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?
QUESTIONS AND ANSWER KEY
(VERIFIED).
What are two options for Medicare consumers to get Part D
prescription drug coverage (assuming they meet all
eligibility requirements)? (Select 2)
Enroll in a stand-alone Medicare Prescription Drug Plan (PDP)
Enroll in a Medicare Advantage Plan or other Medicare health
plan that includes prescription drug coverage
Which of the following statements does NOT correctly
define prescription drug stages?
A deductible is the amount the member must pay for every
prescription medication, regardless of what stage they are in.
Through which means is financial assistance offered to a
consumer who qualifies for Low Income Subsidy for their
part of Medicare Part D costs?
Through subsidies such as lower or no monthly plan premiums
and lower or no copayments
Medications that are covered in a Plan's formulary have
various levels of associated member cost-sharing
(copayments or coinsurance). What are these drug levels
called?
Drug tiers
, The Medicare Access and CHIP Reauthorization Act of
2015 (MACRA), which went into effect January 1, 2020,
applies to all carriers offering Medicare supplement plans.
True
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.
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
What is 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?
