2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
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 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 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