United 2023 Medicare Basics Assessment | 100% verified

United 2023 Medicare Basics Assessment | 100% verified Margaret currently has an MAPD Plan. What would happen if you enrolled her into a stand-alone PDP? - She would be disenrolled automatically from her MAPD Plan. What is Medicare Part D? - A voluntary program, offered by private insurance companies that are contracted with the federal government, that provides prescription drug coverage for an additional monthly plan premium 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). In what order do the four prescription drug coverage stages occur? - Deductible, Initial Coverage, Coverage Gap, Catastrophic Coverage Which of these statements is true about the drug utilization management (UM) rules? - Prior authorization, quantity limit, and step therapy are some examples of UM rules. A consumer may have to pay a Late Enrollment Penalty (LEP) 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 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