UHC EVENTS BASICS
CERTIFICATION EXAM QUESTIONS
WITH COMPLETE ANSWERS
GRADED A PLUS
◉ aside from a standalone Medicare prescription drug plan how else
could a Medicare eligible consumer get Part D prescription drug
coverage. Answer: they can enroll in a Medicare Advantage plan or
other Medicare health plan that includes prescription drug coverage
◉ which of the following statements is not true about the coverage
gap. Answer: all members reach the coverage gap
◉ which of these statements is true about the drug utilization
management UN rules. Answer: prior authorization quantity limit
and step therapy are some examples of the coverage rules
◉ how does a consumer who qualifies for low income subsidy
receive financial assistance through their part of Medicare Part D
costs. Answer: through subsidies such as lower or no monthly plan
premiums an lower or no copayments
◉ which of the following list drug tiers from least expensive cost
share to most expensive cost share. Answer: preferred generics
generics preferred brand nonpreferred drug specialty
, ◉ which of the following is true about Medicare supplement
insurance plans. Answer: plan benefit amounts automatically update
when Medicare changes cost sharing amounts such as deductibles
coinsurance and copayments
◉ which definition best describes Medicare Part A. Answer: the part
of Medicare that helps with the cost of inpatient hospital stays it also
helps with Hospice care and some skilled care for homebound
◉ which statement is true about members of a Medicare Advantage
plan who wants to enroll in a Medicare supplement insurance plan.
Answer: the consumer must be in a valid MA election or
disenrollment.
◉ Who is eligible for Medicare. Answer: consumers age 65 or older
consumers under 65 years of age with certain disabilities and
consumers of all ages with ESRD or a LS
◉ which of the following defines a Medicare Advantage plan select
two. Answer: MA plans provide Medicare hospital and medical
insurance and often include Medicare prescription drug coverage
MA plans must provide benefits equivalent to original Medicare and
most plans also offer additional benefits
CERTIFICATION EXAM QUESTIONS
WITH COMPLETE ANSWERS
GRADED A PLUS
◉ aside from a standalone Medicare prescription drug plan how else
could a Medicare eligible consumer get Part D prescription drug
coverage. Answer: they can enroll in a Medicare Advantage plan or
other Medicare health plan that includes prescription drug coverage
◉ which of the following statements is not true about the coverage
gap. Answer: all members reach the coverage gap
◉ which of these statements is true about the drug utilization
management UN rules. Answer: prior authorization quantity limit
and step therapy are some examples of the coverage rules
◉ how does a consumer who qualifies for low income subsidy
receive financial assistance through their part of Medicare Part D
costs. Answer: through subsidies such as lower or no monthly plan
premiums an lower or no copayments
◉ which of the following list drug tiers from least expensive cost
share to most expensive cost share. Answer: preferred generics
generics preferred brand nonpreferred drug specialty
, ◉ which of the following is true about Medicare supplement
insurance plans. Answer: plan benefit amounts automatically update
when Medicare changes cost sharing amounts such as deductibles
coinsurance and copayments
◉ which definition best describes Medicare Part A. Answer: the part
of Medicare that helps with the cost of inpatient hospital stays it also
helps with Hospice care and some skilled care for homebound
◉ which statement is true about members of a Medicare Advantage
plan who wants to enroll in a Medicare supplement insurance plan.
Answer: the consumer must be in a valid MA election or
disenrollment.
◉ Who is eligible for Medicare. Answer: consumers age 65 or older
consumers under 65 years of age with certain disabilities and
consumers of all ages with ESRD or a LS
◉ which of the following defines a Medicare Advantage plan select
two. Answer: MA plans provide Medicare hospital and medical
insurance and often include Medicare prescription drug coverage
MA plans must provide benefits equivalent to original Medicare and
most plans also offer additional benefits
