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Exam (elaborations)

UNITED HEALTHCARE certification exam Questions and Answers with Complete Solutions UPDATED!!!!.

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UNITED HEALTHCARE certification exam Questions and Answers with Complete Solutions UPDATED!!!!.

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UNITED HEALTHCARE certification exam _ Questions and Answers with Complete Solutions UPDATED!!
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1 of 399

Term



Which consumer may be a good candidate for a DSNP?



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Anne, who does not pay a
Josh shoud tell her that she can only
percentage of charges when
do this during AEP
she receives medical care




His enrollment in Medicare Parts A
Only the consumer's (or leave it
and B is generally automatic if he
blank)
meets all eligibility requirements


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, 2 of 399

Term



aside from a standalone Medicare prescription drug plan how else
could a Medicare eligible consumer get Part D prescription drug
coverage



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they can enroll in a private health
they can enroll in a Medicaid plan
insurance plan that is not Medicare-
that covers prescription drugs
related




they can enroll in a Medicare
they can enroll in a Medicare Advantage plan or other
Supplement (Medigap) plan that Medicare health plan that
includes Part D includes prescription drug
coverage


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3 of 399

Term



what are two options for Medicare consumers to get Part D
prescription drug coverage assuming maybe all eligibility requirements
select two

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it needs to be reported to united healthcare prior to advertising and not less than 7
calendar days prior to the date of the event




the availability of interpreter services an where to find information in the enrollment
guide for accessing the no cost service




1. enroll in a standalone Medicare prescription drug plan PDP
2. enroll in a Medicare Advantage plan or other Medicare health plan that
includes prescription drug coverage




It ensures that when consumers sign the Medicare Advantage and/or Part D
Enrollment Application they are acknowledging their understanding that they are
actually enrolling, in which plan they are enrolling and standard disclosures.


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4 of 399

Definition



through subsidies such as lower or no monthly plan premiums an lower
or no copayments



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A consumer can't understand you and
tells you to email for her cousin. you

, email the the next day. Have you how does a consumer who
been compliant? qualifies for low income subsidy
receive financial assistance for
their part of Medicare Part D
costs
Which statement is an example of
one that must appear on when does Medicare supplement
advertisements for educational open enrollment take place
events


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5 of 399

Term



Which of these statements is true about the drug utilization
management (UM) rules?



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members must receive covered
non health related brochures services from contracted network
providers




the agent explained that each
Prior authorization, quantity
consumer's needs are different
limit, and step therapy are some
therefore they should each enroll in a
examples of the UM rules.
plan that best meets their needs


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