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UHC MEDICARE BASICS STUDYS CORRECT QUESTIONS AND ANSWERS RATED A.pdf

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UHC MEDICARE BASICS STUDYS CORRECT QUESTIONS AND ANSWERS RATED A.pdf

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UHC MEDICARE BASICS STUDYS CORRECT
QUESTIONS AND ANSWERS RATED A+
✔✔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? - ✔✔The consumer will be
automatically disenrolled from their stand-alone PDP upon enrollment in the MA Plan
that has integrated prescription drug coverage

✔✔Which of the following best defines Medicare Part D? - ✔✔It is a government
program, offered only through a private insurance company or other private company
approved by Medicare, which provides prescription drug coverage.

✔✔Which of the following statements is true about eligibility requirements for Medicare
Prescription Drug Plans? - ✔✔A consumer must be entitled to Medicare Part A and/or
enrolled in Medicare Part B

✔✔Aside from a stand-alone Medicare Prescription Drug Plan, how else could a
Medicare-eligible consumer get Part D prescription drug coverage? - ✔✔They could
enroll in a Medicare Advantage Plan or other Medicare health plan that includes
prescription drug coverage.

✔✔In what order do the four prescription drug coverage stages occur? - ✔✔Deductible,
Initial Coverage, Coverage Gap, Catastrophic Coverage

✔✔Which of the following options are drug utilization management (UM) rules? (Select
3) - ✔✔Quantity Limit
Prior Authorization
Step Therapy

✔✔A consumer may have to pay a Late Enrollment Penalty (LEP) if they did not enroll
in a Medicare Advantage plan with Part D benefits or stand-alone prescription drug plan

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