UHC Certification 2024 Questions and Answers

UHC Certification 2024 Questions and Answers Which statement is true about the Medicare Advantage (MA) Out- of pocket Maximum? - Answer- All MA plans have an Out- of Pocket maximum to help limit the member's out of pocket cost for Medicare-covered services. A consumer currently has Original Medicare and is enrolled in a stand alone PDP. What will happens if the consumer enrolls in a n MA Plan that has integrated PDP coverage? - Answer- The consumer will be automatically disenrolled from their stand-alone PDP upon enrollment in the MA Plan has integrated prescription drug coverage. What is Medicare Part D? - Answer- A voluntary program, offered by private insurance companies that are contracted with the federal government, that provide prescription drug coverage for an additional monthly plan premium. Which of the following statement is true about eligibility requirement for stand alone Medicare prescription drug plans? - Answer- A consumer must be entitled to Medicare Part A/ 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 PDP ? - Answer- They could enroll in a stand-alone Medicare Prescription Drug Plan (PDP) In what order do they four prescription drug coverage stages occur? - Answer- Deductible, Initial coverage, coverage gap, catastrophic coverage Step Therapy, prior authorization, quantity limit 7-day limit, dispensing limit and limited access are all examples of what? - Answer- Which of the following best describes the Late Enrollment Penalty (LEP)? - Answer- The amount added to the member's monthly plan premium if they did not enroll in a