UHC 2025 Fast Track Assessment exam
questions with correct answers
Which |of |the |following |is |a |correct |statement |about |in-network |provider |services? |- |VERIFIED |
ANSWER✔✔-HMO |Plans |cover |only |in-network |services. |In |most |cases, |members |pay |the |full |cost
|of |any |out-of-network |services |received, |with |a |few |important |exceptions.
Which |of |the |following |are |eligibility |requirements |for |enrollment |in |a |Medicare |Advantage |(MA) |
Plan? |(Select |3) |- |VERIFIED |ANSWER✔✔-Resides |in |the |plan's |service |area
Is |enrolled |in |Medicare |Part |B
Is |entitled |to |Medicare |Part |A
Which |statement |is |true |about |the |Medicare |Advantage |(MA) |Out-of-Pocket |Maximum? |- |
VERIFIED |ANSWER✔✔-All |MA |plans |have |an |Out-of-Pocket |Maximum |to |help |limit |the |
member's |out-of-pocket |costs |for |Medicare-covered |medical |services.
Which |of |the |following |best |describes |eligibility |to |enroll |in |a |stand-alone |Prescription |Drug |Plan?
|- |VERIFIED |ANSWER✔✔-Entitled |to |Part |A |and/or |enrolled |in |Part |B |and |reside |in |the |plan |
service |area.
Which |of |the |following |statements |is |NOT |true |about |the |Coverage |Gap? |- |VERIFIED |
ANSWER✔✔-All |members |reach |the |Coverage |Gap
Which |of |the |following |is |a |characteristics |of |a |drug |tier? |- |VERIFIED |ANSWER✔✔-All |of |the |
drugs |in |the |tier |have |the |same |copayment |or |coinsurance.
Which |of |these |statements |is |true |about |the |drug |utilization |management |(UM) |rules? |- |VERIFIED
|ANSWER✔✔-Prior |authorization, |quantity |limit, |and |step |therapy |are |some |examples |of |the |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 |
______________. |- |VERIFIED |ANSWER✔✔-63 |or |more |continuous |days
How |does |a |consumer |who |qualifies |for |Low |Income |Subsidy |receive |financial |assistance |for |their |
part |of |Medicare |Part |D |costs? |- |VERIFIED |ANSWER✔✔-Through |subsidies |such |as |lower |or |no |
monthly |plan |premiums |and |lower |or |no |copayments
When |does |Medicare |Supplement |Open |Enrollment |take |place? |- |VERIFIED |ANSWER✔✔-During |
the |first |six |months |a |consumer |is |65 |or |older |and |enrolled |in |Medicare |Part |B.
When |is |a |Medicare |Supplement |Insurance |consumer |subject |to |underwriting |and |screened |for |
eligibility? |- |VERIFIED |ANSWER✔✔-When |the |consumer |is |not |in |their |Medicare |Supplement |
questions with correct answers
Which |of |the |following |is |a |correct |statement |about |in-network |provider |services? |- |VERIFIED |
ANSWER✔✔-HMO |Plans |cover |only |in-network |services. |In |most |cases, |members |pay |the |full |cost
|of |any |out-of-network |services |received, |with |a |few |important |exceptions.
Which |of |the |following |are |eligibility |requirements |for |enrollment |in |a |Medicare |Advantage |(MA) |
Plan? |(Select |3) |- |VERIFIED |ANSWER✔✔-Resides |in |the |plan's |service |area
Is |enrolled |in |Medicare |Part |B
Is |entitled |to |Medicare |Part |A
Which |statement |is |true |about |the |Medicare |Advantage |(MA) |Out-of-Pocket |Maximum? |- |
VERIFIED |ANSWER✔✔-All |MA |plans |have |an |Out-of-Pocket |Maximum |to |help |limit |the |
member's |out-of-pocket |costs |for |Medicare-covered |medical |services.
Which |of |the |following |best |describes |eligibility |to |enroll |in |a |stand-alone |Prescription |Drug |Plan?
|- |VERIFIED |ANSWER✔✔-Entitled |to |Part |A |and/or |enrolled |in |Part |B |and |reside |in |the |plan |
service |area.
Which |of |the |following |statements |is |NOT |true |about |the |Coverage |Gap? |- |VERIFIED |
ANSWER✔✔-All |members |reach |the |Coverage |Gap
Which |of |the |following |is |a |characteristics |of |a |drug |tier? |- |VERIFIED |ANSWER✔✔-All |of |the |
drugs |in |the |tier |have |the |same |copayment |or |coinsurance.
Which |of |these |statements |is |true |about |the |drug |utilization |management |(UM) |rules? |- |VERIFIED
|ANSWER✔✔-Prior |authorization, |quantity |limit, |and |step |therapy |are |some |examples |of |the |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 |
______________. |- |VERIFIED |ANSWER✔✔-63 |or |more |continuous |days
How |does |a |consumer |who |qualifies |for |Low |Income |Subsidy |receive |financial |assistance |for |their |
part |of |Medicare |Part |D |costs? |- |VERIFIED |ANSWER✔✔-Through |subsidies |such |as |lower |or |no |
monthly |plan |premiums |and |lower |or |no |copayments
When |does |Medicare |Supplement |Open |Enrollment |take |place? |- |VERIFIED |ANSWER✔✔-During |
the |first |six |months |a |consumer |is |65 |or |older |and |enrolled |in |Medicare |Part |B.
When |is |a |Medicare |Supplement |Insurance |consumer |subject |to |underwriting |and |screened |for |
eligibility? |- |VERIFIED |ANSWER✔✔-When |the |consumer |is |not |in |their |Medicare |Supplement |
