2024-2025 EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
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
Ans: the consumer will be automatically disenrolled from the standalone PDP upon in
Roman in the MA plan that has integrated prescription drug coverage
QUESTION>>>> aside from a standalone Medicare prescription drug plan how
else could a Medicare eligible consumer get Part D prescription drug coverage
Ans: they can enroll in a Medicare Advantage plan or other Medicare health plan that
includes prescription drug coverage
QUESTION>>>> which of the following statements is not true about the
coverage gap
Ans: all members reach the coverage gap
QUESTION>>>> which of these statements is true about the drug utilization
management UN rules
Ans: prior authorization quantity limit and step therapy are some examples of the
coverage rules
QUESTION>>>> how does a consumer who qualifies for low income subsidy
receive financial assistance through their part of Medicare Part D costs
, 2
Ans: through subsidies such as lower or no monthly plan premiums an lower or no
copayments
QUESTION>>>> which of the following list drug tiers from least expensive cost
share to most expensive cost share
Ans: preferred generics generics preferred brand nonpreferred drug specialty
QUESTION>>>> which of the following is true about Medicare supplement
insurance plans
Ans: plan benefit amounts automatically update when Medicare changes cost sharing
amounts such as deductibles coinsurance and copayments
QUESTION>>>> which definition best describes Medicare Part A
Ans: 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
QUESTION>>>> which statement is true about members of a Medicare
Advantage plan who wants to enroll in a Medicare supplement insurance plan
Ans: the consumer must be in a valid MA election or disenrollment.
QUESTION>>>> Who is eligible for Medicare
Ans: consumers age 65 or older consumers under 65 years of age with certain
disabilities and consumers of all ages with ESRD or a LS
QUESTION>>>> which of the following defines a Medicare Advantage plan
select two
Master01 | Dec, 2024/2025 | Latest update