UHC 2024 AHIP - Medicare Basics Assessment (Medicare Advantage [non-SNP], Prescription Drug and Medicare Supplement Plans) Certified Exams Q&A | 2025 | 2026

UHC 2024 AHIP - Medicare Basics Assessment (Medicare Advantage [non-SNP], Prescription Drug and Medicare Supplement Plans) Certified Exams Q&A | 2025 | 2026 Quiz_________________? A consumer currently has Original Medicare and is enrolled in a stand-alone Prescription Drug Plan (PDP). What will happen if the consumer enrolls in an MA Plan that has integrated prescription drug coverage? - Answer The consumer will be automatically disenrolled from their stand-alone PDP upon enrollment in the MA Plan that has integrated prescription drug coverage Quiz_________________? A consumer with only Part A residing in the plan's service area can enroll in which plan type to get Part D coverage? - Answer A stand-alone Part D Plan. Quiz_________________? Aside from a stand-alone Medicare Prescription Drug Plan, how else could a Medicare-eligible consumer get Part D prescription drug coverage? - Answer They could enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription drug coverage. Quiz_________________? Aside from a stand-alone Medicare Prescription Drug Plan, how else could a Medicare-eligible consumer get Part D prescription drug coverage? - Answer They could enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription drug coverage. Quiz_________________? Being 65 or older, being under 65 years of age with a qualifying disability or being any age with ESRD or ALS are each eligibility requirements for which program? - Answer Original Medicare Quiz_________________? Formulary is defined as: - Answer A list of medications covered within the benefit plan, based on CMS guidelines and developed in collaboration with physicians and pharmacists. Quiz_________________? How does a consumer who qualifies for Low Income Subsidy receive financial assistance for their part of Medicare Part D costs? - Answer Through subsidies such as lower or no monthly plan premiums and lower or no copayments. Quiz_________________? In states where Medicare Supplement Insurance underwriting criteria can apply, all of the following underwriting criteria apply EXCEPT: - Answer Most consumers who are switching from another Medicare supplement plan are entitled to Guaranteed Issue and, therefore, are not subject to underwriting. Quiz_________________? In which two parts of Medicare is enrollment generally automatic for eligible consumers who are receiving Social Security benefits, UNLESS they choose to delay their coverage? - Answer Parts A and B Quiz_________________? Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? - Answer Her enrollment in Medicare Parts A and B is generally automatic if she meets all eligibility requirements.