UHC MEDICARE BASICS ACTUAL 2026 REVIEW
QUESTIONS AND ANSWERS RATED A+
✔✔which of the following statements does not correctly define prescription drug stages
- ✔✔a deductible and the amount the member must pay for every prescription
medication regardless of what stage they are in
✔✔a consumer may have to pay a late enrollment penalty if they did not enroll in a
Medicare Advantage plan with the Part D benefits or stand alone prescription drug plan
when they were first eligible for Medicare parts A and or Part B or win without credible
prescription drug coverage for - ✔✔63 continuous days or more
✔✔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 LS or each eligibility requirements for
which program - ✔✔original Medicare
✔✔which of the following defines a medical advantage MA plan select two - ✔✔MA
plans or health plan options approved by Medicare and offered by the Centers for
Medicare and Medicaid Services CMS
MA plans provide Medicare hospital and medical insurance and often include Medicare
prescription drug coverage
✔✔member Doug enrolled in a health maintenance organization HMO MA plan he saw
an out of network doctor and received a bill for the entire cost of the visit Doug called
Medicare to complain and stated that he was never told about these types of costs what
should the agent and explain better to Doug when he was enrolled in the plan select
three - ✔✔that dog must receive coverage services from contract in network providers
that in most cases Doug will pay the entire cost of the service if he sees an out of
network provider
that exceptions to the provider network requirement are emergency visits urgent care
and rental dialysis services which can be obtained from out of network providers
, ✔✔a consumer with original Medicare might be interested in an MA plan because -
✔✔MA plans typically provide additional coverage beyond original Medicare and often
have established copayments for some benefits
✔✔a government program offered only through a private insurance company or other
private company approved by Medicare that provides prescription drug coverage
describes which of the following - ✔✔Medicare Part D
✔✔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 - ✔✔they can enroll on a standalone Medicare prescription drug plan
PDP
✔✔In what order do the four prescription drug coverage stages occur - ✔✔deductible
initial coverage coverage gap catastrophic coverage
✔✔which of the following options or drug utilization management UM rules select three -
✔✔quantity limit
prior authorization
step therapy
✔✔formulary is defined as - ✔✔Alyssa medications covered within the benefit plan
based on CMS guidelines and develop in collaboration with physicians and pharmacists
✔✔the new MACRA legislation which went into effect January 1st 2020 applies to all
carriers offering Medicare supplement plans - ✔✔true
✔✔Joseph has original Medicare And was a patient in hospital last week what part of
Medicare helps cover the cost to the inpatient hospital stay - ✔✔part A
✔✔What must be explained to consumers enrolling in an HMO health maintenance
organization MA plan select three - ✔✔in most cases they will pay the entire cost of the
service if they see an out of network provider
they must see contract in network providers in order to receive coverage under the plan
the exception to the provider network requirement is emergency visits urgent care and
renal dialysis services which can be obtained from out of network providers
✔✔which of the following are MA plans that focus on using network providers to
maximize the benefits and reduce out of network expenses - ✔✔HMO POS PPO
✔✔a government program offered only through a private insurance company or other
private company approved by Medicare that provides prescription drug coverage
describes which of the following - ✔✔Medicare Part D
QUESTIONS AND ANSWERS RATED A+
✔✔which of the following statements does not correctly define prescription drug stages
- ✔✔a deductible and the amount the member must pay for every prescription
medication regardless of what stage they are in
✔✔a consumer may have to pay a late enrollment penalty if they did not enroll in a
Medicare Advantage plan with the Part D benefits or stand alone prescription drug plan
when they were first eligible for Medicare parts A and or Part B or win without credible
prescription drug coverage for - ✔✔63 continuous days or more
✔✔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 LS or each eligibility requirements for
which program - ✔✔original Medicare
✔✔which of the following defines a medical advantage MA plan select two - ✔✔MA
plans or health plan options approved by Medicare and offered by the Centers for
Medicare and Medicaid Services CMS
MA plans provide Medicare hospital and medical insurance and often include Medicare
prescription drug coverage
✔✔member Doug enrolled in a health maintenance organization HMO MA plan he saw
an out of network doctor and received a bill for the entire cost of the visit Doug called
Medicare to complain and stated that he was never told about these types of costs what
should the agent and explain better to Doug when he was enrolled in the plan select
three - ✔✔that dog must receive coverage services from contract in network providers
that in most cases Doug will pay the entire cost of the service if he sees an out of
network provider
that exceptions to the provider network requirement are emergency visits urgent care
and rental dialysis services which can be obtained from out of network providers
, ✔✔a consumer with original Medicare might be interested in an MA plan because -
✔✔MA plans typically provide additional coverage beyond original Medicare and often
have established copayments for some benefits
✔✔a government program offered only through a private insurance company or other
private company approved by Medicare that provides prescription drug coverage
describes which of the following - ✔✔Medicare Part D
✔✔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 - ✔✔they can enroll on a standalone Medicare prescription drug plan
PDP
✔✔In what order do the four prescription drug coverage stages occur - ✔✔deductible
initial coverage coverage gap catastrophic coverage
✔✔which of the following options or drug utilization management UM rules select three -
✔✔quantity limit
prior authorization
step therapy
✔✔formulary is defined as - ✔✔Alyssa medications covered within the benefit plan
based on CMS guidelines and develop in collaboration with physicians and pharmacists
✔✔the new MACRA legislation which went into effect January 1st 2020 applies to all
carriers offering Medicare supplement plans - ✔✔true
✔✔Joseph has original Medicare And was a patient in hospital last week what part of
Medicare helps cover the cost to the inpatient hospital stay - ✔✔part A
✔✔What must be explained to consumers enrolling in an HMO health maintenance
organization MA plan select three - ✔✔in most cases they will pay the entire cost of the
service if they see an out of network provider
they must see contract in network providers in order to receive coverage under the plan
the exception to the provider network requirement is emergency visits urgent care and
renal dialysis services which can be obtained from out of network providers
✔✔which of the following are MA plans that focus on using network providers to
maximize the benefits and reduce out of network expenses - ✔✔HMO POS PPO
✔✔a government program offered only through a private insurance company or other
private company approved by Medicare that provides prescription drug coverage
describes which of the following - ✔✔Medicare Part D
