UHC MEDICARE BASICS PAPER RECENT QUESTIONS
AND ANSWERS RATED A+
✔✔how does a consumer who qualifies for low income subsidy receive financial
assistance for their part of Medicare Part D costs - ✔✔through subsidies such as lower
or no monthly plan premiums an lower or no copayments
✔✔and states where Medicare supplement insurance underwriting criteria can apply all
the following underwriting criteria apply except - ✔✔most consumers who are switching
from another Medicare supplement plan are entitled to guaranteed issue and therefore
are not subject to underwriting
✔✔which of the following is not true about the Medicare access and CVP
reauthorization act of 2015 MACRA impact a plan C&F - ✔✔consumers already
enrolled in playing C or F are required to change plans
✔✔which of the following is not true of Medicare supplement insurance plans - ✔✔to
see a specialist insured members must obtain referrals from a primary care physician
OR
insured members must have their care coordinated through a primary care physician
✔✔which statement is true about a member of Medicare Advantage MA plan who wants
to enroll in a Medicare supplement insurance plan - ✔✔when a consumer enrolls in a
Medicare supplement insurance plan he/she is not automatically disenrolled from
his/her plan
✔✔being 65 or older being under 65 years of age with certain disabilities for more than
20 four months and being any age with E SRD or a LS or each eligibility requirements
for which program - ✔✔original Medicare
✔✔which of the following defines a Medicare Advantage MA plan - ✔✔MA plans are
healthy plan options approved by Medicare and offered by private insurance companies
, ✔✔when does Medicare supplement open enrollment take place - ✔✔during the first six
months a consumer is 65 or older and enrolled in Medicare Part B
✔✔when presenting an MA plan what must an agent do when discussing a consumer's
health care providers - ✔✔make sure the consumer understands any provider network
limitations look up each provider's network status and make sure the consumer
understands that using out of network providers may result in additional expenses if the
plan has network limitations
✔✔what is Medicare Part D - ✔✔a voluntary program offered by private insurance
companies that are contractid with the federal government that provides prescription
drug coverage for an additional monthly plan premium
✔✔assuming the following consumers meet all other eligibility requirements which
consumer is not eligible for standalone Medicare prescription drug plan - ✔✔Sharon
who is not enrolled in Medicare Part A or Medicare Part B
✔✔which of these statements is not true about the drug utilization management UM
rules - ✔✔if a medication has a UM rule the member will not be able to get that
medication
✔✔what is the amount added to the members monthly plan premium if they did not
enroll in a Medicare Advantage plan with Part D benefits or standalone prescription drug
plans when they were first eligible for Medicare parts A and/or B or went without
credible prescription drug coverage for 63 continuous days or more - ✔✔late enrollment
penalty LEP
✔✔through which means is financial assistance offered by consumer who qualifies for
low income subsidy for their part of Medicare Part D costs - ✔✔three subsidies such as
lower or no monthly plan premiums an lower or no copayments
✔✔Janice wants to enroll in a 2021 Medicare Advantage plan what eligibility
requirements must she meet select the two answers that apply - ✔✔entitled to Medicare
Part A and enrolled in Part B
reside in the planned service area
✔✔which of the following statements is true about eligibility requirements for Medicare
prescription drug plans - ✔✔the 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
AND ANSWERS RATED A+
✔✔how does a consumer who qualifies for low income subsidy receive financial
assistance for their part of Medicare Part D costs - ✔✔through subsidies such as lower
or no monthly plan premiums an lower or no copayments
✔✔and states where Medicare supplement insurance underwriting criteria can apply all
the following underwriting criteria apply except - ✔✔most consumers who are switching
from another Medicare supplement plan are entitled to guaranteed issue and therefore
are not subject to underwriting
✔✔which of the following is not true about the Medicare access and CVP
reauthorization act of 2015 MACRA impact a plan C&F - ✔✔consumers already
enrolled in playing C or F are required to change plans
✔✔which of the following is not true of Medicare supplement insurance plans - ✔✔to
see a specialist insured members must obtain referrals from a primary care physician
OR
insured members must have their care coordinated through a primary care physician
✔✔which statement is true about a member of Medicare Advantage MA plan who wants
to enroll in a Medicare supplement insurance plan - ✔✔when a consumer enrolls in a
Medicare supplement insurance plan he/she is not automatically disenrolled from
his/her plan
✔✔being 65 or older being under 65 years of age with certain disabilities for more than
20 four months and being any age with E SRD or a LS or each eligibility requirements
for which program - ✔✔original Medicare
✔✔which of the following defines a Medicare Advantage MA plan - ✔✔MA plans are
healthy plan options approved by Medicare and offered by private insurance companies
, ✔✔when does Medicare supplement open enrollment take place - ✔✔during the first six
months a consumer is 65 or older and enrolled in Medicare Part B
✔✔when presenting an MA plan what must an agent do when discussing a consumer's
health care providers - ✔✔make sure the consumer understands any provider network
limitations look up each provider's network status and make sure the consumer
understands that using out of network providers may result in additional expenses if the
plan has network limitations
✔✔what is Medicare Part D - ✔✔a voluntary program offered by private insurance
companies that are contractid with the federal government that provides prescription
drug coverage for an additional monthly plan premium
✔✔assuming the following consumers meet all other eligibility requirements which
consumer is not eligible for standalone Medicare prescription drug plan - ✔✔Sharon
who is not enrolled in Medicare Part A or Medicare Part B
✔✔which of these statements is not true about the drug utilization management UM
rules - ✔✔if a medication has a UM rule the member will not be able to get that
medication
✔✔what is the amount added to the members monthly plan premium if they did not
enroll in a Medicare Advantage plan with Part D benefits or standalone prescription drug
plans when they were first eligible for Medicare parts A and/or B or went without
credible prescription drug coverage for 63 continuous days or more - ✔✔late enrollment
penalty LEP
✔✔through which means is financial assistance offered by consumer who qualifies for
low income subsidy for their part of Medicare Part D costs - ✔✔three subsidies such as
lower or no monthly plan premiums an lower or no copayments
✔✔Janice wants to enroll in a 2021 Medicare Advantage plan what eligibility
requirements must she meet select the two answers that apply - ✔✔entitled to Medicare
Part A and enrolled in Part B
reside in the planned service area
✔✔which of the following statements is true about eligibility requirements for Medicare
prescription drug plans - ✔✔the 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
