UHC 2025/2026 AHIP - Medicare Basics
Assessment (Medicare Advantage
[non-SNP], Prescription Drug and
Medicare Supplement Plans)
1. A customer currently has Original Medicare and is enrolled in a stand-by myself
Prescription Drug Plan (PDP). What will manifest if the patron enrolls in an MA Plan that
has integrated prescription drug insurance? - ANS-The patron may be routinely
disenrolled from their stand-by myself PDP upon enrollment within the MA Plan that has
included prescription drug insurance
2. A consumer with most effective Part A living inside the plan's provider area can sign up
in which plan type to get Part D coverage? - ANS-A stand-on my own Part D Plan.
3. Aside from a stand-by myself Medicare Prescription Drug Plan, how else should a
Medicare-eligible consumer get Part D prescription drug insurance? - ANS-They could
enroll in a Medicare Advantage Plan or different Medicare fitness plan that includes
prescription drug insurance.
4. Aside from a stand-alone Medicare Prescription Drug Plan, how else may want to a
Medicare-eligible purchaser get Part D prescription drug insurance? - ANS-They could
sign up in a Medicare Advantage Plan or other Medicare fitness plan that includes
prescription drug coverage.
5. Being sixty five or older, being underneath 65 years of age with a qualifying incapacity or
being any age with ESRD or ALS are every eligibility necessities for which program? -
ANS-Original Medicare
6. Formulary is described as: - ANS-A listing of medicines protected in the gain plan, based
on CMS guidelines and developed in collaboration with physicians and pharmacists.
7. How does a customer who qualifies for Low Income Subsidy acquire financial help for
his or her a part of Medicare Part D fees? - ANS-Through subsidies together with
decrease or no month-to-month plan rates and decrease or no copayments.
8. In states wherein Medicare Supplement Insurance underwriting criteria can follow, all the
following underwriting standards observe EXCEPT: - ANS-Most purchasers who are
switching from some other Medicare complement plan are entitled to Guaranteed Issue
and, consequently, aren't issue to underwriting.
9. In which parts of Medicare is enrollment typically automatic for eligible customers who
are receiving Social Security benefits, UNLESS they pick out to delay their coverage? -
ANS-Parts A and B
Assessment (Medicare Advantage
[non-SNP], Prescription Drug and
Medicare Supplement Plans)
1. A customer currently has Original Medicare and is enrolled in a stand-by myself
Prescription Drug Plan (PDP). What will manifest if the patron enrolls in an MA Plan that
has integrated prescription drug insurance? - ANS-The patron may be routinely
disenrolled from their stand-by myself PDP upon enrollment within the MA Plan that has
included prescription drug insurance
2. A consumer with most effective Part A living inside the plan's provider area can sign up
in which plan type to get Part D coverage? - ANS-A stand-on my own Part D Plan.
3. Aside from a stand-by myself Medicare Prescription Drug Plan, how else should a
Medicare-eligible consumer get Part D prescription drug insurance? - ANS-They could
enroll in a Medicare Advantage Plan or different Medicare fitness plan that includes
prescription drug insurance.
4. Aside from a stand-alone Medicare Prescription Drug Plan, how else may want to a
Medicare-eligible purchaser get Part D prescription drug insurance? - ANS-They could
sign up in a Medicare Advantage Plan or other Medicare fitness plan that includes
prescription drug coverage.
5. Being sixty five or older, being underneath 65 years of age with a qualifying incapacity or
being any age with ESRD or ALS are every eligibility necessities for which program? -
ANS-Original Medicare
6. Formulary is described as: - ANS-A listing of medicines protected in the gain plan, based
on CMS guidelines and developed in collaboration with physicians and pharmacists.
7. How does a customer who qualifies for Low Income Subsidy acquire financial help for
his or her a part of Medicare Part D fees? - ANS-Through subsidies together with
decrease or no month-to-month plan rates and decrease or no copayments.
8. In states wherein Medicare Supplement Insurance underwriting criteria can follow, all the
following underwriting standards observe EXCEPT: - ANS-Most purchasers who are
switching from some other Medicare complement plan are entitled to Guaranteed Issue
and, consequently, aren't issue to underwriting.
9. In which parts of Medicare is enrollment typically automatic for eligible customers who
are receiving Social Security benefits, UNLESS they pick out to delay their coverage? -
ANS-Parts A and B
