UHC 2024 Fast Track Assessment exam
questions with correct answers
Which of the following is a correct statement about in-network provider services? - CORRECT ANSWER-
HMO Plans cover only in-network services. In most cases, members pay the full cost of any out-of-
network services received, with a few important exceptions.
Which of the following are eligibility requirements for enrollment in a Medicare Advantage (MA) Plan?
(Select 3) - CORRECT ANSWER-Resides in the plan's service area
Is enrolled in Medicare Part B
Is entitled to Medicare Part A
Which statement is true about the Medicare Advantage (MA) Out-of-Pocket Maximum? - CORRECT
ANSWER-All MA plans have an Out-of-Pocket Maximum to help limit the member's out-of-pocket costs
for Medicare-covered medical services.
Which of the following best describes eligibility to enroll in a stand-alone Prescription Drug Plan? -
CORRECT ANSWER-Entitled to Part A and/or enrolled in Part B and reside in the plan service area.
Which of the following statements is NOT true about the Coverage Gap? - CORRECT ANSWER-All
members reach the Coverage Gap
Which of the following is a characteristics of a drug tier? - CORRECT ANSWER-All of the drugs in the tier
have the same copayment or coinsurance.
Which of these statements is true about the drug utilization management (UM) rules? - CORRECT
ANSWER-Prior authorization, quantity limit, and step therapy are some examples of the UM rules.
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 when they were first eligible
UHC 2024 Fast Track Assessment exam questions with correct answers
, for Medicare Parts A and/or B or went without creditable prescription drug coverage for
______________. - CORRECT ANSWER-63 or more continuous days
How does a consumer who qualifies for Low Income Subsidy receive financial assistance for their part of
Medicare Part D costs? - CORRECT ANSWER-Through subsidies such as lower or no monthly plan
premiums and lower or no copayments
When does Medicare Supplement Open Enrollment take place? - CORRECT ANSWER-During the first six
months a consumer is 65 or older and enrolled in Medicare Part B.
When is a Medicare Supplement Insurance consumer subject to underwriting and screened for
eligibility? - CORRECT ANSWER-When the consumer is not in their Medicare Supplement Open
Enrollment or does not meet Guaranteed Issue criteria.
Which of the following statements is true about election periods? - CORRECT ANSWER-MA Open
Enrollment Period can only be used by a consumer already enrolled in an MA Plan.
Which statement regarding Star Ratings is true? - CORRECT ANSWER-Medicare uses a 5-star rating
system to illustrate a plan's performance and quality.
Which of the following describes Permission to Contact (PTC) guidelines? - CORRECT ANSWER-Contact
can only be made by the method(s) requested by the consumer and the agent can only market the
product(s) indicated by the consumer.
Which of the following are examples of what an agent must review with a consumer prior to completing
an enrollment application? - CORRECT ANSWER-The plan's network characteristics and how using out-
of-network providers may impact coverage and costs, covered benefits and limitations, and plan related
costs such as monthly premium and copayments/coinsurance for services received.
What is the purpose of the Statement of Understanding? - CORRECT ANSWER-It ensures that when
consumers complete the Medicare Advantage and/or Part D Enrollment Application, they are
acknowledging their understanding that they are actually enrolling, in which plan they are enrolling, and
standard disclosures.
UHC 2024 Fast Track Assessment exam questions with correct answers
questions with correct answers
Which of the following is a correct statement about in-network provider services? - CORRECT ANSWER-
HMO Plans cover only in-network services. In most cases, members pay the full cost of any out-of-
network services received, with a few important exceptions.
Which of the following are eligibility requirements for enrollment in a Medicare Advantage (MA) Plan?
(Select 3) - CORRECT ANSWER-Resides in the plan's service area
Is enrolled in Medicare Part B
Is entitled to Medicare Part A
Which statement is true about the Medicare Advantage (MA) Out-of-Pocket Maximum? - CORRECT
ANSWER-All MA plans have an Out-of-Pocket Maximum to help limit the member's out-of-pocket costs
for Medicare-covered medical services.
Which of the following best describes eligibility to enroll in a stand-alone Prescription Drug Plan? -
CORRECT ANSWER-Entitled to Part A and/or enrolled in Part B and reside in the plan service area.
Which of the following statements is NOT true about the Coverage Gap? - CORRECT ANSWER-All
members reach the Coverage Gap
Which of the following is a characteristics of a drug tier? - CORRECT ANSWER-All of the drugs in the tier
have the same copayment or coinsurance.
Which of these statements is true about the drug utilization management (UM) rules? - CORRECT
ANSWER-Prior authorization, quantity limit, and step therapy are some examples of the UM rules.
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 when they were first eligible
UHC 2024 Fast Track Assessment exam questions with correct answers
, for Medicare Parts A and/or B or went without creditable prescription drug coverage for
______________. - CORRECT ANSWER-63 or more continuous days
How does a consumer who qualifies for Low Income Subsidy receive financial assistance for their part of
Medicare Part D costs? - CORRECT ANSWER-Through subsidies such as lower or no monthly plan
premiums and lower or no copayments
When does Medicare Supplement Open Enrollment take place? - CORRECT ANSWER-During the first six
months a consumer is 65 or older and enrolled in Medicare Part B.
When is a Medicare Supplement Insurance consumer subject to underwriting and screened for
eligibility? - CORRECT ANSWER-When the consumer is not in their Medicare Supplement Open
Enrollment or does not meet Guaranteed Issue criteria.
Which of the following statements is true about election periods? - CORRECT ANSWER-MA Open
Enrollment Period can only be used by a consumer already enrolled in an MA Plan.
Which statement regarding Star Ratings is true? - CORRECT ANSWER-Medicare uses a 5-star rating
system to illustrate a plan's performance and quality.
Which of the following describes Permission to Contact (PTC) guidelines? - CORRECT ANSWER-Contact
can only be made by the method(s) requested by the consumer and the agent can only market the
product(s) indicated by the consumer.
Which of the following are examples of what an agent must review with a consumer prior to completing
an enrollment application? - CORRECT ANSWER-The plan's network characteristics and how using out-
of-network providers may impact coverage and costs, covered benefits and limitations, and plan related
costs such as monthly premium and copayments/coinsurance for services received.
What is the purpose of the Statement of Understanding? - CORRECT ANSWER-It ensures that when
consumers complete the Medicare Advantage and/or Part D Enrollment Application, they are
acknowledging their understanding that they are actually enrolling, in which plan they are enrolling, and
standard disclosures.
UHC 2024 Fast Track Assessment exam questions with correct answers
