Universal Carrier Certification Exam with
Complete Solutions
Members can spend a certain amount of dollars or credits per quarter on Over-the-
Counter Supplies - ANS-True
Members can get a Post-Discharge Meals for a certain situations like: - ANS-Post
Hospital stay
Which of the following is NOT $0 on most Medicare Advantage (HMO) plans? - ANS-
Specialist Copay
Telehealth is available through most through most carriers 24/7 in all 50 states and is a
simple way to attend to non-emergency conditions. - ANS-True
Which of the following customer profiles would be a good fit for a PPO plan? - ANS-
Scott
What is it called when the amount of medication dispensed to a beneficiary is limited -
ANS-Quantity Limits
What are the three main tenants you should follow when performing a Scope of
Appointment (SoA)? - ANS-B) Listen
C) Decide
D) Explain
What is it called when providers are required to contact the plan and prove that a
medication is medically necessary before prescribing a drug to a beneficiary? - ANS-
Prior Authorization
All Prescription Drug Plans (PDP's) must offer at least (3) drugs in each therapeutic
category on their formulary. - ANS-False
The Inflation Reduction Act (IRA) caps the cost of insulin so the beneficiary pays no
more than a $35 copay for a 30 day supply. - ANS-True
How can you meet the beneficiary's needs during a consultation? - ANS-All the above
Medical Savings Account (MSAs) are a type of Medicare Advantage-Only plans. Which
of the following describes some of the benefits of MSAs: - ANS-
Complete Solutions
Members can spend a certain amount of dollars or credits per quarter on Over-the-
Counter Supplies - ANS-True
Members can get a Post-Discharge Meals for a certain situations like: - ANS-Post
Hospital stay
Which of the following is NOT $0 on most Medicare Advantage (HMO) plans? - ANS-
Specialist Copay
Telehealth is available through most through most carriers 24/7 in all 50 states and is a
simple way to attend to non-emergency conditions. - ANS-True
Which of the following customer profiles would be a good fit for a PPO plan? - ANS-
Scott
What is it called when the amount of medication dispensed to a beneficiary is limited -
ANS-Quantity Limits
What are the three main tenants you should follow when performing a Scope of
Appointment (SoA)? - ANS-B) Listen
C) Decide
D) Explain
What is it called when providers are required to contact the plan and prove that a
medication is medically necessary before prescribing a drug to a beneficiary? - ANS-
Prior Authorization
All Prescription Drug Plans (PDP's) must offer at least (3) drugs in each therapeutic
category on their formulary. - ANS-False
The Inflation Reduction Act (IRA) caps the cost of insulin so the beneficiary pays no
more than a $35 copay for a 30 day supply. - ANS-True
How can you meet the beneficiary's needs during a consultation? - ANS-All the above
Medical Savings Account (MSAs) are a type of Medicare Advantage-Only plans. Which
of the following describes some of the benefits of MSAs: - ANS-
