United 2023 Medicare Basics Assessment Questions with Complete Solutions

United 2023 Medicare Basics Assessment Questions with Complete Solutions Margaret currently has an MAPD Plan. What would happen if you enrolled her into a stand-alone PDP? -Answer She would be disenrolled automatically from her MAPD Plan. What is Medicare Part D? -Answer A voluntary program, offered by private insurance companies that are contracted with the federal government, that provides prescription drug coverage for an additional monthly plan premium Which of the following statements is true about eligibility requirements for stand-alone Medicare Prescription Drug Plans? -Answer 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? -Answer They could enroll in a stand-alone Medicare Prescription Drug Plan (PDP). In what order do the four prescription drug coverage stages occur? -Answer Deductible, Initial Coverage, Coverage Gap, Catastrophic Coverage Which of these statements is true about the drug utilization management (UM) rules? -Answer Prior authorization, quantity limit, and step therapy are some examples of 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 ______________. -Answer 63 or more continuous days