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UHC Fast Track Assessment solved questions and answers exam 2024
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UHC Fast Track Assessment solved questions and answers exam 2024
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UHC Fast Track Assessment solved questions and answers exam 2024Which of the following is a correct statement about in-network provider services? - >>>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) - >>>Resides in the plan's service area
Is enrolled in Medicare Part B
Is entitled to Medicare Part A
Which statement is true about the Medicare Advantage (MA) Out-of-Pocket Maximum? - >>>All MA plans have an Out-of-Pocket Maximum to help limit the member's out-of-pocket costs for Medicare-
covered medical services.
Which of the following best describes eligibility to enroll in a stand-alone Prescription Drug Plan? - >>>Entitled to Part A and/or enrolled in Part B and reside in the plan service area.
Which of the following statements is NOT true about the Coverage Gap? - >>>All members reach the Coverage Gap
Which of the following is a characteristics of a drug tier? - >>>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? - >>>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 ______________. - >>>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? - >>>Through subsidies such as lower or no monthly plan premiums and lower or
no copayments
When does Medicare Supplement Open Enrollment take place? - >>>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? - >>>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? - >>>MA Open Enrollment Period can only be used by a consumer already enrolled in an MA Plan.
Which statement regarding Star Ratings is true? - >>>Medicare uses a 5-star rating system to illustrate a plan's performance and quality.
Which of the following describes Permission to Contact (PTC) guidelines? - >>>Contact can only be made
by the method(s) requested by the consumer and the agent can only market the product(s) indicated by the consumer.
Which of the following are examples of what an agent must review with a consumer prior to completing an enrollment application? - >>>The plan's network characteristics and how using out-of-network providers may impact coverage and costs, covered benefits and limitations, and plan related costs such as monthly premium and copayments/coinsurance for services received.
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