UHC Certification 2023/2024 Questions With Complete Solutions

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 cost for Medicare-covered services. A consumer currently has Original Medicare and is enrolled in a stand alone PDP. What will happens if the consumer enrolls in a n MA Plan that has integrated PDP coverage? correct answer: The consumer will be automatically disenrolled from their stand-alone PDP upon enrollment in the MA Plan has integrated prescription drug coverage. What is Medicare Part D? correct answer: A voluntary program, offered by private insurance companies that are contracted with the federal government, that provide prescription drug coverage for an additional monthly plan premium. Which of the following statement is true about eligibility requirement for stand alone Medicare prescription drug plans? correct answer: A consumer must be entitled to Medicare Part A/ or enrolled in Medicare Part B Aside from a Medicare Advantage Plan or other health plan that includes prescription drug coverage, how else could a Medicare-eligible consumer get Part D PDP ? correct answer: They could enroll in a stand-alone Medicare Prescription Drug Plan (PDP) In what order do they four prescription drug coverage stages occur? correct answer: Deductible, Initial coverage, coverage gap, catastrophic coverage