UHC MEDICARE BASICS TEST | QUESTIONS AND CORRECT
ANSWERS | GRADED A+ | VERIFIED ANSWERS | JUST RELEASED
a consumer currently has original Medicare and is enrolled in a stand alone prescription drug plan what
will happen if the consumer enrolls in an MA plan that has integrated prescription drug coverage -
(CORRECT ANSWER)the consumer will be automatically disenrolled from the standalone PDP upon in
Roman in the MA plan that has integrated prescription drug coverage
aside from a standalone Medicare prescription drug plan how else could a Medicare eligible consumer
get Part D prescription drug coverage - (CORRECT ANSWER)they can enroll in a Medicare Advantage
plan or other Medicare health plan that includes prescription drug coverage
which of the following statements is not true about the coverage gap - (CORRECT ANSWER)all members
reach the coverage gap
which of these statements is true about the drug utilization management UN rules - (CORRECT
ANSWER)prior authorization quantity limit and step therapy are some examples of the coverage rules
how does a consumer who qualifies for low income subsidy receive financial assistance through their
part of Medicare Part D costs - (CORRECT ANSWER)through subsidies such as lower or no monthly plan
premiums an lower or no copayments
which of the following list drug tiers from least expensive cost share to most expensive cost share -
(CORRECT ANSWER)preferred generics generics preferred brand nonpreferred drug specialty
which of the following is true about Medicare supplement insurance plans - (CORRECT ANSWER)plan
benefit amounts automatically update when Medicare changes cost sharing amounts such as
deductibles coinsurance and copayments
which definition best describes Medicare Part A - (CORRECT ANSWER)the part of Medicare that helps
with the cost of inpatient hospital stays it also helps with Hospice care and some skilled care for
homebound
1
, which statement is true about members of a Medicare Advantage plan who wants to enroll in a
Medicare supplement insurance plan - (CORRECT ANSWER)the consumer must be in a valid MA election
or disenrollment.
Who is eligible for Medicare - (CORRECT ANSWER)consumers age 65 or older consumers under 65 years
of age with certain disabilities and consumers of all ages with ESRD or a LS
which of the following defines a Medicare Advantage plan select two - (CORRECT ANSWER)MA plans
provide Medicare hospital and medical insurance and often include Medicare prescription drug
coverage
MA plans must provide benefits equivalent to original Medicare and most plans also offer additional
benefits
to be eligible for this plan type consumers must meet the following requirements entitled to Medicare
Part A and enrolled in Part B reside in the planned service area which plan is described - (CORRECT
ANSWER)Medicare Advantage
Which type of MA plan is an HMO plan that also covers some benefits out of network generally at a
higher cost - (CORRECT ANSWER)point of service POS plan
when is Marys Medicare supplement open enrollment period if she turns 65 on September 23rd 2019
and her Medicare Part B effective date is September 1st 2019 - (CORRECT ANSWER)September 2019
through February 2020
a consumer with original Medicare might be interested in an MA plan because - (CORRECT ANSWER)MA
plans typically provide additional coverage beyond original Medicare and often have established
copayments for some benefits
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
member should submit to their Medicare supplement insurance carrier a written request to cancel
his/her policy
2
ANSWERS | GRADED A+ | VERIFIED ANSWERS | JUST RELEASED
a consumer currently has original Medicare and is enrolled in a stand alone prescription drug plan what
will happen if the consumer enrolls in an MA plan that has integrated prescription drug coverage -
(CORRECT ANSWER)the consumer will be automatically disenrolled from the standalone PDP upon in
Roman in the MA plan that has integrated prescription drug coverage
aside from a standalone Medicare prescription drug plan how else could a Medicare eligible consumer
get Part D prescription drug coverage - (CORRECT ANSWER)they can enroll in a Medicare Advantage
plan or other Medicare health plan that includes prescription drug coverage
which of the following statements is not true about the coverage gap - (CORRECT ANSWER)all members
reach the coverage gap
which of these statements is true about the drug utilization management UN rules - (CORRECT
ANSWER)prior authorization quantity limit and step therapy are some examples of the coverage rules
how does a consumer who qualifies for low income subsidy receive financial assistance through their
part of Medicare Part D costs - (CORRECT ANSWER)through subsidies such as lower or no monthly plan
premiums an lower or no copayments
which of the following list drug tiers from least expensive cost share to most expensive cost share -
(CORRECT ANSWER)preferred generics generics preferred brand nonpreferred drug specialty
which of the following is true about Medicare supplement insurance plans - (CORRECT ANSWER)plan
benefit amounts automatically update when Medicare changes cost sharing amounts such as
deductibles coinsurance and copayments
which definition best describes Medicare Part A - (CORRECT ANSWER)the part of Medicare that helps
with the cost of inpatient hospital stays it also helps with Hospice care and some skilled care for
homebound
1
, which statement is true about members of a Medicare Advantage plan who wants to enroll in a
Medicare supplement insurance plan - (CORRECT ANSWER)the consumer must be in a valid MA election
or disenrollment.
Who is eligible for Medicare - (CORRECT ANSWER)consumers age 65 or older consumers under 65 years
of age with certain disabilities and consumers of all ages with ESRD or a LS
which of the following defines a Medicare Advantage plan select two - (CORRECT ANSWER)MA plans
provide Medicare hospital and medical insurance and often include Medicare prescription drug
coverage
MA plans must provide benefits equivalent to original Medicare and most plans also offer additional
benefits
to be eligible for this plan type consumers must meet the following requirements entitled to Medicare
Part A and enrolled in Part B reside in the planned service area which plan is described - (CORRECT
ANSWER)Medicare Advantage
Which type of MA plan is an HMO plan that also covers some benefits out of network generally at a
higher cost - (CORRECT ANSWER)point of service POS plan
when is Marys Medicare supplement open enrollment period if she turns 65 on September 23rd 2019
and her Medicare Part B effective date is September 1st 2019 - (CORRECT ANSWER)September 2019
through February 2020
a consumer with original Medicare might be interested in an MA plan because - (CORRECT ANSWER)MA
plans typically provide additional coverage beyond original Medicare and often have established
copayments for some benefits
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
member should submit to their Medicare supplement insurance carrier a written request to cancel
his/her policy
2