2025 UHC Fast Track Mastery Test Questions & Answers.

2025 UHC Fast Track Mastery Test Questions & Answers. 1. Which of the following is a correct statement about in-network provider ser- vices? HMO Plans generally cover only in-network services. In most cases, members pay the full cost of any out-of-network services received, with a few important exceptions. 2. What costs count toward the The Out-of-Pocket Maximum includes costs the member pays for out-of-pocket maximum for Medicare Advantage (MA) Plans? 3. Which of the following best describes eligibility to enroll in a stand-alone Prescription Drug Plan? any Medicare-covered Part A or B services but does not include the cost of any plan premiums. Entitled to Part A and/or enrolled in Part B and reside in the plan service area. 4. Which of the following state- INCORRECT: initial coverage stage ments accurately describes a prescription drug stage? 5. Formulary is defined as: A list of medications covered within the benefit plan, based on CMS guidelines, and developed in collaboration with providers and pharmacists. 6. Step Therapy, Prior Au- thorization, Quantity Limit, 7-day limit, Dispensing Lim- it and Limited Access are all examples of what? 7. Which of the following best describes the Late Enroll- ment Penalty (LEP)? Utilization Management Rules 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 eli- gible for Medicare Parts A and/or B or went without creditable 8. What kind of financial assis- tance does a consumer re- ceive who qualifies for Low Income Subsidy? 9. When does Medicare Sup- plement Open Enrollment take place? 10. When is a Medicare Supple- ment Insurance consumer subject to underwriting and screened for eligibility? prescription drug coverage for 63 or more continuous days. Next question INCORRECT: A combination of subsidies and annual refund checks INCORRECT: During the three months prior to the consumer's 65th birthday, the month of their birthday, and the three months following the month of their 65th birthday and enrolled in Medicare Part B. When the consumer is not in their Medicare Supplement Open Enrollment or does not meet Guaranteed Issue criteria. 11. Which of the following state- MA Open Enrollment Period can only be used by a consumer