UHC 2021 Medicare Basics Test
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 - ANSWER-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 - ANSWER-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 - ANSWER-all
members reach the coverage gap
which of these statements is true about the drug utilization management UN rules -
ANSWER-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 - ANSWER-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 - ANSWER-preferred generics generics preferred brand nonpreferred drug
specialty
which of the following is true about Medicare supplement insurance plans - ANSWER-
plan benefit amounts automatically update when Medicare changes cost sharing
amounts such as deductibles coinsurance and copayments
which definition best describes Medicare Part A - ANSWER-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 - ANSWER-the consumer must be in a
valid MA election or disenrollment.
Who is eligible for Medicare - ANSWER-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 - ANSWER-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 - ANSWER-Medicare Advantage
Which type of MA plan is an HMO plan that also covers some benefits out of network
generally at a higher cost - ANSWER-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 -
ANSWER-September 2019 through February 2020
a consumer with original Medicare might be interested in an MA plan because -
ANSWER-MA plans typically provide additional coverage beyond original Medicare and
often have established copayments for some benefits
which of the following statements is true about a Medicare supplement insurance plan
member who wants to enroll in an MA plan - ANSWER-Medicare supplement insurance
cannot be used in conjunction with an MA plan therefore after receiving confirmation of
enrollment into the MA plan the member should submit to their Medicare supplement
insurance carrier a written request to cancel his/her policy
which of the following statements does not correctly define prescription drug stages -
ANSWER-a deductible and the amount the member must pay for every prescription
medication regardless of what stage they are in
a consumer may have to pay a late enrollment penalty if they did not enroll in a
Medicare Advantage plan with the Part D benefits or stand alone prescription drug plan
when they were first eligible for Medicare parts A and or Part B or win without credible
prescription drug coverage for - ANSWER-63 continuous days or more
being 65 or older being under 65 years of age with certain disabilities for more than 20
four months and being any age with E SRD or LS or each eligibility requirements for
which program - ANSWER-original Medicare
which of the following defines a medical advantage MA plan select two - ANSWER-MA
plans or health plan options approved by Medicare and offered by the Centers for
Medicare and Medicaid Services CMS
MA plans provide Medicare hospital and medical insurance and often include Medicare
prescription drug coverage
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 - ANSWER-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 - ANSWER-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 - ANSWER-all
members reach the coverage gap
which of these statements is true about the drug utilization management UN rules -
ANSWER-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 - ANSWER-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 - ANSWER-preferred generics generics preferred brand nonpreferred drug
specialty
which of the following is true about Medicare supplement insurance plans - ANSWER-
plan benefit amounts automatically update when Medicare changes cost sharing
amounts such as deductibles coinsurance and copayments
which definition best describes Medicare Part A - ANSWER-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 - ANSWER-the consumer must be in a
valid MA election or disenrollment.
Who is eligible for Medicare - ANSWER-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 - ANSWER-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 - ANSWER-Medicare Advantage
Which type of MA plan is an HMO plan that also covers some benefits out of network
generally at a higher cost - ANSWER-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 -
ANSWER-September 2019 through February 2020
a consumer with original Medicare might be interested in an MA plan because -
ANSWER-MA plans typically provide additional coverage beyond original Medicare and
often have established copayments for some benefits
which of the following statements is true about a Medicare supplement insurance plan
member who wants to enroll in an MA plan - ANSWER-Medicare supplement insurance
cannot be used in conjunction with an MA plan therefore after receiving confirmation of
enrollment into the MA plan the member should submit to their Medicare supplement
insurance carrier a written request to cancel his/her policy
which of the following statements does not correctly define prescription drug stages -
ANSWER-a deductible and the amount the member must pay for every prescription
medication regardless of what stage they are in
a consumer may have to pay a late enrollment penalty if they did not enroll in a
Medicare Advantage plan with the Part D benefits or stand alone prescription drug plan
when they were first eligible for Medicare parts A and or Part B or win without credible
prescription drug coverage for - ANSWER-63 continuous days or more
being 65 or older being under 65 years of age with certain disabilities for more than 20
four months and being any age with E SRD or LS or each eligibility requirements for
which program - ANSWER-original Medicare
which of the following defines a medical advantage MA plan select two - ANSWER-MA
plans or health plan options approved by Medicare and offered by the Centers for
Medicare and Medicaid Services CMS
MA plans provide Medicare hospital and medical insurance and often include Medicare
prescription drug coverage
