Page | 1
UHC MEDICARE BASICS TEST BRAND
NEW OFFICIAL QUESTIONS WITH
ANSWERS.
1. Which of the following are true about the Medicare Access and
CHIP Reauthorization Act of 2015 (MACRA) Plans and the
impact to Plans C and F? (Select 2) - correct answer -
Consumers eligible for Medicare Part A on or after January 1,
2020, will not be able to purchase Medicare Supplement
Insurance Plans C or F.
Consumers eligible for Medicare Part A before January 1,
2020, can enroll in Plan C or F even after 2020 and can keep
their plans as long as they choose.
2. Which statement is true about the Medicare Advantage (MA)
Out-of-Pocket Maximum? - correct answer -All MA plans have
an Out-of-Pocket Maximum to help limit the member's out-of-
pocket costs for Medicare-covered services
3. Which of the following statements is true about a Medicare
Supplement Insurance Plan member who wants to enroll in an
MA Plan? - correct answer -Medicare Supplement Insurance
cannot be used in conjunction with an MA Plan; therefore, after
receiving confirmation of enrollment into the MA Plan, the
, Page | 2
member must cancel their Medicare Supplement Insurance
policy according to their carrier's rules.
4. Aside from a stand-alone Medicare Prescription Drug Plan,
how else could a Medicare-eligible consumer get Part D
prescription drug coverage? - correct answer -They could enroll
in a Medicare Advantage Plan or other Medicare health plan
that includes prescription drug coverage.
5. Which of these statements is true about the drug utilization
management (UM) rules? - correct answer -Prior authorization,
quantity limit, and step therapy are some examples of the UM
rules
6. Which of the following best describes the Late Enrollment
Penalty (LEP) - correct answer -The amount added to the
member's monthly plan premium 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.
UHC MEDICARE BASICS TEST BRAND
NEW OFFICIAL QUESTIONS WITH
ANSWERS.
1. Which of the following are true about the Medicare Access and
CHIP Reauthorization Act of 2015 (MACRA) Plans and the
impact to Plans C and F? (Select 2) - correct answer -
Consumers eligible for Medicare Part A on or after January 1,
2020, will not be able to purchase Medicare Supplement
Insurance Plans C or F.
Consumers eligible for Medicare Part A before January 1,
2020, can enroll in Plan C or F even after 2020 and can keep
their plans as long as they choose.
2. Which statement is true about the Medicare Advantage (MA)
Out-of-Pocket Maximum? - correct answer -All MA plans have
an Out-of-Pocket Maximum to help limit the member's out-of-
pocket costs for Medicare-covered services
3. Which of the following statements is true about a Medicare
Supplement Insurance Plan member who wants to enroll in an
MA Plan? - correct answer -Medicare Supplement Insurance
cannot be used in conjunction with an MA Plan; therefore, after
receiving confirmation of enrollment into the MA Plan, the
, Page | 2
member must cancel their Medicare Supplement Insurance
policy according to their carrier's rules.
4. Aside from a stand-alone Medicare Prescription Drug Plan,
how else could a Medicare-eligible consumer get Part D
prescription drug coverage? - correct answer -They could enroll
in a Medicare Advantage Plan or other Medicare health plan
that includes prescription drug coverage.
5. Which of these statements is true about the drug utilization
management (UM) rules? - correct answer -Prior authorization,
quantity limit, and step therapy are some examples of the UM
rules
6. Which of the following best describes the Late Enrollment
Penalty (LEP) - correct answer -The amount added to the
member's monthly plan premium 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.
