UHC MEDICARE BASICS TEST EXAM
COMPLETE ACCURATE EXAM
COMPLETE QUESTIONS WITH 100%
DETAILED VERIFIED AND CORRECT
ANSWERS ACTUAL BRAND-NEW
EXAM ALREADY GRADED A+
Which of the following are MA Plans that focus on
using network providers to maximize the benefits and
reduce out-of-network expenses? -
....ANSWER...HMO, POS, PPO
When does Medicare Supplement Open Enrollment take
place? - ....ANSWER...During the first six months a
consumer is 65 or older and enrolled in Medicare Part B.
What costs count toward the out-of-pocket maximum
for Medicare Advantage (MA) Plans? -
....ANSWER...The Out-of-Pocket Maximum includes
costs the member pays for any Medicare-covered Part A
or B services but does not include the cost of any plan
premiums.
A consumer currently has Original Medicare and is
enrolled in a stand-alone Prescription Drug Plan (PDP).
What will happen if the consumer enrolls in an MA
1
,Plan that has integrated prescription drug coverage? -
....ANSWER...The consumer will be
automatically disenrolled from their stand-alone PDP
upon enrollment in the MA Plan that has integrated
prescription drug coverage
What is Medicare Part D? - ....ANSWER...A voluntary
program, offered by private insurance companies that
are contracted with the federal government, that
provides prescription drug coverage for an additional
monthly plan premium.
Which consumer is eligible for a stand-alone Medicare
Prescription Drug Plan? -
....ANSWER...Joseph, who is enrolled in Medicare Part
A and Medicare Part B and resides in the plan's service
area.
A consumer with only Part A residing in the plan's
service area can enroll in which plan type to get Part D
coverage? - ....ANSWER...A stand-alone Part D Plan.
Which of the following statements accurately describes a
prescription drug stage? -
....ANSWER...Starting in 2024, the catastrophic
2
,coverage stage is when the member will pay nothing for
covered drugs for the remainder of the plan year.
Step Therapy, Prior Authorization, Quantity Limit, 7-
day limit, Dispensing Limit and Limited Access are all
examples of what? - ....ANSWER...Utilization
Management 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
______________. - ....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? - ....ANSWER...Through
subsidies such as lower or no monthly plan premiums
and lower or no copayments.
3
, Which of the following is a characteristic of a drug tier?
- ....ANSWER...All of the drugs in the tier have the
same copayment or coinsurance.
Which of the following is true about Medicare
Supplement Insurance underwriting criteria in states
where underwriting applies? -
....ANSWER...Underwriting is required if the consumer
is not in their Medicare Supplement Open Enrollment
period or does not meet Guaranteed Issue criteria.
Which of the following are true about the Medicare
Access and CHIP Reauthorization Act of 2015
(MACRA) Plans and the impact to Plans C and F?
(Select 2) - ....ANSWER...-Consumers eligible for
Medicare Part A before January 1, 2020, can enroll in
Plan C or F even after 2020 and can keep their plans as
long as they choose.
-Consumers eligible for Medicare Part A on or after
January 1, 2020, will not be able to purchase Medicare
Supplement Insurance Plans C or F.
Which statement is true of Medicare Supplement
Insurance Plans? - ....ANSWER...Insured members
4
COMPLETE ACCURATE EXAM
COMPLETE QUESTIONS WITH 100%
DETAILED VERIFIED AND CORRECT
ANSWERS ACTUAL BRAND-NEW
EXAM ALREADY GRADED A+
Which of the following are MA Plans that focus on
using network providers to maximize the benefits and
reduce out-of-network expenses? -
....ANSWER...HMO, POS, PPO
When does Medicare Supplement Open Enrollment take
place? - ....ANSWER...During the first six months a
consumer is 65 or older and enrolled in Medicare Part B.
What costs count toward the out-of-pocket maximum
for Medicare Advantage (MA) Plans? -
....ANSWER...The Out-of-Pocket Maximum includes
costs the member pays for any Medicare-covered Part A
or B services but does not include the cost of any plan
premiums.
A consumer currently has Original Medicare and is
enrolled in a stand-alone Prescription Drug Plan (PDP).
What will happen if the consumer enrolls in an MA
1
,Plan that has integrated prescription drug coverage? -
....ANSWER...The consumer will be
automatically disenrolled from their stand-alone PDP
upon enrollment in the MA Plan that has integrated
prescription drug coverage
What is Medicare Part D? - ....ANSWER...A voluntary
program, offered by private insurance companies that
are contracted with the federal government, that
provides prescription drug coverage for an additional
monthly plan premium.
Which consumer is eligible for a stand-alone Medicare
Prescription Drug Plan? -
....ANSWER...Joseph, who is enrolled in Medicare Part
A and Medicare Part B and resides in the plan's service
area.
A consumer with only Part A residing in the plan's
service area can enroll in which plan type to get Part D
coverage? - ....ANSWER...A stand-alone Part D Plan.
Which of the following statements accurately describes a
prescription drug stage? -
....ANSWER...Starting in 2024, the catastrophic
2
,coverage stage is when the member will pay nothing for
covered drugs for the remainder of the plan year.
Step Therapy, Prior Authorization, Quantity Limit, 7-
day limit, Dispensing Limit and Limited Access are all
examples of what? - ....ANSWER...Utilization
Management 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
______________. - ....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? - ....ANSWER...Through
subsidies such as lower or no monthly plan premiums
and lower or no copayments.
3
, Which of the following is a characteristic of a drug tier?
- ....ANSWER...All of the drugs in the tier have the
same copayment or coinsurance.
Which of the following is true about Medicare
Supplement Insurance underwriting criteria in states
where underwriting applies? -
....ANSWER...Underwriting is required if the consumer
is not in their Medicare Supplement Open Enrollment
period or does not meet Guaranteed Issue criteria.
Which of the following are true about the Medicare
Access and CHIP Reauthorization Act of 2015
(MACRA) Plans and the impact to Plans C and F?
(Select 2) - ....ANSWER...-Consumers eligible for
Medicare Part A before January 1, 2020, can enroll in
Plan C or F even after 2020 and can keep their plans as
long as they choose.
-Consumers eligible for Medicare Part A on or after
January 1, 2020, will not be able to purchase Medicare
Supplement Insurance Plans C or F.
Which statement is true of Medicare Supplement
Insurance Plans? - ....ANSWER...Insured members
4
