UHC Certification 2023/2024 Exam| Actual Questions and Verified Answers| A Grade
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Course
UHC ethics and compliance
Institution
UHC Ethics And Compliance
UHC Certification 2023/2024 Exam| Actual Questions and Verified Answers| A Grade
Q: A government program, offered only through a private insurance company or other private company approved by Medicare, that provides prescription drug coverage describes which of the following:
Answer:
Medi...
UHC Certification 2023/2024 Exam| Actual Questions and Verified Answers| A Grade Q: A government program, offered only through a private insurance company or other private company approved by Medicare, that provides prescription drug coverage describes which of the following: Answer: Medicare Parts A and B Q: Which of the following statements is true about eligibility requirements for Medicare Prescription Drug Plans? Answer: A consumer must be entitled to Medicare Part A and/or enrolled in Medicare Part B Q: What are two options for Medicare consumers to get Part D prescription drug coverage (assuming they meet all eligibility requirements)? (Select 2) Answer: Q: Which of the following statements is not true about the Coverage Gap? Answer: All members reach the Coverage Gap Q: Which of the following options are drug utilization management (UM) rules? (Select 3) Answer: Q: Which of the following best describes the Late Enrollment Penalty (LEP)? Answer: The amount added to the member's monthly plan premium 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 pres cription drug coverage for 63 continuous days or more. Q: Through which means is financial assistance offered to a consumer who qualifies for Low Income Subsidy for their part of Medicare Part D costs? Answer: Through subsidies such as lower or no monthly plan premiums and lower or no copayments Q: Medications that are covered in a Plan's formulary have various levels of associated member cost-sharing (copayments or coinsurance). What are these drug levels called? Answer: Drug tiers Q: In states where Medicare Supplement Insurance underwriting criteria can apply, all of the following underwriting criteria apply EXCEPT: Answer: Consumers may be underwritten to determine their acceptance and, if applicable, their rate.
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