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UHC MEDICARE BASICS TEST (ACTUAL) 2024 QUESTIONS AND ANSWERS
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UHC MEDICARE BASICS TEST (ACTUAL) 2024 QUESTIONS AND ANSWERS
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UHC MEDICARE BASICS TEST (ACTUAL)Which consumer is eligible for a stand-alone Medicare Prescription Drug Plan?
Sharon, who is not enrolled in Medicare Part A or Medicare Part B, and resides in
the plan's service area
Alice, who is enrolled only in Medicare Part A, but does not reside in the plan's
service area
Alvin, who is enrolled only in Medicare Part B, but does not reside in the plan's
service area
Joseph, who is enrolled in Medicare Part A and Medicare Part B and resides in the
plan's service area - ANSWERS-Joseph, who is enrolled in Medicare Part A and
Medicare Part B and resides in the plan's service area
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 prescription drug coverage?
They could sign up for a pharmacy savings card through their local pharmacy.
They could enroll in a Medicare Supplement Insurance Plan.
There is no other way a Medicare consumer could get Part D prescription drug
coverage.
They could enroll in a stand-alone Medicare Prescription Drug Plan (PDP). -
ANSWERS-They could enroll in a stand-alone Medicare Prescription Drug Plan
(PDP).
, In what order do the four prescription drug coverage stages occur?
Deductible, Initial Coverage, Catastrophic Coverage, Coverage Gap
Initial Coverage, Deductible, Coverage Gap, Catastrophic Coverage
Deductible, Initial Coverage, Coverage Gap, Catastrophic Coverage
Coverage Gap, Deductible, Initial Coverage, Catastrophic Coverage - ANSWERS-
Deductible, Initial Coverage, Coverage Gap, Catastrophic Coverage
Which of these statements is true about the drug utilization management (UM)
rules?
UM rules do not need to be disclosed to the consumer.
Neither the member nor the prescriber can ask the plan for an exception if they
believe that one of the coverage rules should be waived.
If a medication has a UM rule, the member will not be able to get that
medication.
Prior authorization, quantity limit, and step therapy are some examples of the UM
rules. - ANSWERS-Prior authorization, quantity limit, and step therapy are some
examples of the UM rules.
What is 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 prescription drug coverage for 63 or more continuous
days?
Late Enrollment Penalty (LEP)
Late Enrollment Deductible (LED)
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