UHC BASIC KB22 QUESTIONS WITH 100%
ACCURATE ANSWERS
Which of the following best defines Medicare Part D? accurate answers It is a government program,
offered only through a private insurance company or other private company approved by Medicare,
which provides prescription drug coverage.
Which of the following statements is true about eligibility requirements for stand-alone Medicare
Prescription Drug Plans? accurate answers 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? accurate answers
They could enroll in a stand-alone Medicare Prescription Drug Plan (PDP).
Which of the following statements is NOT true about the Coverage Gap? accurate answers ALL
MEMBERS REACH THE COVERAGE GAP
Step Therapy, Prior Authorization, Quantity Limit, 7-day limit, Dispensing Limit and Limited Access are all
examples of what? accurate answers Utilization Management Rules
Which of the following best describes the Late Enrollment Penalty (LEP)? accurate answers 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.
Can a consumer who qualifies for Low Income Subsidy receive financial assistance for their part of
Medicare Part D costs? accurate answers Yes, through subsidies such as lower or no monthly plan
premiums and lower or no copayments
Which of the following lists drug tiers from least expensive cost share to most expensive cost share?
accurate answers Preferred Generics, Generics, Preferred Brand (and some higher-cost generics), Non-
Preferred Drug (and some higher-cost generics), Specialty
Which of the following is true about Medicare Supplement Insurance underwriting criteria in states
where underwriting applies? accurate answers Underwriting is required if the consumer is not in their
Medicare Supplement Open Enrollment period or does not meet Guaranteed Issue criteria.
Which of the following is NOT true about the Medicare Access and CHIP Reauthorization Act of 2015
(MACRA) impact to Plans C and F? accurate answers Consumers already enrolled in Plans C or F are
required to change plans.
Which statement is true of Medicare Supplement Insurance Plans? accurate answers Insured members
have the freedom to choose any doctor who accepts Medicare patients.
ACCURATE ANSWERS
Which of the following best defines Medicare Part D? accurate answers It is a government program,
offered only through a private insurance company or other private company approved by Medicare,
which provides prescription drug coverage.
Which of the following statements is true about eligibility requirements for stand-alone Medicare
Prescription Drug Plans? accurate answers 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? accurate answers
They could enroll in a stand-alone Medicare Prescription Drug Plan (PDP).
Which of the following statements is NOT true about the Coverage Gap? accurate answers ALL
MEMBERS REACH THE COVERAGE GAP
Step Therapy, Prior Authorization, Quantity Limit, 7-day limit, Dispensing Limit and Limited Access are all
examples of what? accurate answers Utilization Management Rules
Which of the following best describes the Late Enrollment Penalty (LEP)? accurate answers 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.
Can a consumer who qualifies for Low Income Subsidy receive financial assistance for their part of
Medicare Part D costs? accurate answers Yes, through subsidies such as lower or no monthly plan
premiums and lower or no copayments
Which of the following lists drug tiers from least expensive cost share to most expensive cost share?
accurate answers Preferred Generics, Generics, Preferred Brand (and some higher-cost generics), Non-
Preferred Drug (and some higher-cost generics), Specialty
Which of the following is true about Medicare Supplement Insurance underwriting criteria in states
where underwriting applies? accurate answers Underwriting is required if the consumer is not in their
Medicare Supplement Open Enrollment period or does not meet Guaranteed Issue criteria.
Which of the following is NOT true about the Medicare Access and CHIP Reauthorization Act of 2015
(MACRA) impact to Plans C and F? accurate answers Consumers already enrolled in Plans C or F are
required to change plans.
Which statement is true of Medicare Supplement Insurance Plans? accurate answers Insured members
have the freedom to choose any doctor who accepts Medicare patients.
