UHC 2023 Medicare Basics Test/ 58
Question with solved Answers/
Verified.
a consumer currently has original Medicare and is enrolled in a stand alone prescription
drug plan what will happen if the consumer enrolls in an MA plan that has integrated
prescription drug coverage - -the consumer will be automatically disenrolled from the
standalone PDP upon in Roman in the MA plan that has integrated prescription drug
coverage
-aside from a standalone Medicare prescription drug plan how else could a Medicare
eligible consumer get Part D prescription drug coverage - -they can enroll in a Medicare
Advantage plan or other Medicare health plan that includes prescription drug coverage
-which of the following statements is not true about the coverage gap - -all members
reach the coverage gap
-which of these statements is true about the drug utilization management UN rules - -
prior authorization quantity limit and step therapy are some examples of the coverage
rules
-how does a consumer who qualifies for low income subsidy receive financial assistance
through their part of Medicare Part D costs - -through subsidies such as lower or no
monthly plan premiums an lower or no copayments
-which of the following list drug tiers from least expensive cost share to most expensive
cost share - -preferred generics generics preferred brand nonpreferred drug specialty
, -which of the following is true about Medicare supplement insurance plans - -plan
benefit amounts automatically update when Medicare changes cost sharing amounts
such as deductibles coinsurance and copayments
-which definition best describes Medicare Part A - -the part of Medicare that helps with
the cost of inpatient hospital stays it also helps with Hospice care and some skilled care
for homebound
-which statement is true about members of a Medicare Advantage plan who wants to
enroll in a Medicare supplement insurance plan - -the consumer must be in a valid MA
election or disenrollment.
-Who is eligible for Medicare - -consumers age 65 or older consumers under 65 years of
age with certain disabilities and consumers of all ages with ESRD or a LS
-which of the following defines a Medicare Advantage plan select two - -MA plans
provide Medicare hospital and medical insurance and often include Medicare
prescription drug coverage
MA plans must provide benefits equivalent to original Medicare and most plans also
offer additional benefits
-to be eligible for this plan type consumers must meet the following requirements
entitled to Medicare Part A and enrolled in Part B reside in the planned service area
which plan is described - -Medicare Advantage
-Which type of MA plan is an HMO plan that also covers some benefits out of network
generally at a higher cost - -point of service POS plan
-when is Marys Medicare supplement open enrollment period if she turns 65 on
September 23rd 2019 and her Medicare Part B effective date is September 1st 2019 - -
September 2019 through February 2020
Question with solved Answers/
Verified.
a consumer currently has original Medicare and is enrolled in a stand alone prescription
drug plan what will happen if the consumer enrolls in an MA plan that has integrated
prescription drug coverage - -the consumer will be automatically disenrolled from the
standalone PDP upon in Roman in the MA plan that has integrated prescription drug
coverage
-aside from a standalone Medicare prescription drug plan how else could a Medicare
eligible consumer get Part D prescription drug coverage - -they can enroll in a Medicare
Advantage plan or other Medicare health plan that includes prescription drug coverage
-which of the following statements is not true about the coverage gap - -all members
reach the coverage gap
-which of these statements is true about the drug utilization management UN rules - -
prior authorization quantity limit and step therapy are some examples of the coverage
rules
-how does a consumer who qualifies for low income subsidy receive financial assistance
through their part of Medicare Part D costs - -through subsidies such as lower or no
monthly plan premiums an lower or no copayments
-which of the following list drug tiers from least expensive cost share to most expensive
cost share - -preferred generics generics preferred brand nonpreferred drug specialty
, -which of the following is true about Medicare supplement insurance plans - -plan
benefit amounts automatically update when Medicare changes cost sharing amounts
such as deductibles coinsurance and copayments
-which definition best describes Medicare Part A - -the part of Medicare that helps with
the cost of inpatient hospital stays it also helps with Hospice care and some skilled care
for homebound
-which statement is true about members of a Medicare Advantage plan who wants to
enroll in a Medicare supplement insurance plan - -the consumer must be in a valid MA
election or disenrollment.
-Who is eligible for Medicare - -consumers age 65 or older consumers under 65 years of
age with certain disabilities and consumers of all ages with ESRD or a LS
-which of the following defines a Medicare Advantage plan select two - -MA plans
provide Medicare hospital and medical insurance and often include Medicare
prescription drug coverage
MA plans must provide benefits equivalent to original Medicare and most plans also
offer additional benefits
-to be eligible for this plan type consumers must meet the following requirements
entitled to Medicare Part A and enrolled in Part B reside in the planned service area
which plan is described - -Medicare Advantage
-Which type of MA plan is an HMO plan that also covers some benefits out of network
generally at a higher cost - -point of service POS plan
-when is Marys Medicare supplement open enrollment period if she turns 65 on
September 23rd 2019 and her Medicare Part B effective date is September 1st 2019 - -
September 2019 through February 2020
