Exam (elaborations)
UHC 2024/2025 AHIP - Medicare Basics Assessment (Medicare Advantage [non-SNP], Prescription Drug and Medicare Supplement Plans) already graded A+
UHC 2024/2025 AHIP - Medicare Basics Assessment (Medicare Advantage [non-SNP], Prescription Drug and Medicare Supplement Plans) already graded A+UHC 2024/2025 AHIP - Medicare Basics Assessment (Medicare Advantage [non-SNP], Prescription Drug and Medicare Supplement Plans) already graded A+UHC 2024/...
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ahip
lisa turned 65 and is now eligible for medicare s
which of the following defines a medicare advantag
to be eligible for this plan type consumers must
to be eligible for this plan type consumers m
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UHC 2024/2025 AHIP - Medicare Basics Assessment
(Medicare Advantage [non-SNP], Prescription Drug and
Medicare Supplement Plans) already graded A+
Lisa Iturned I65 Iand Iis Inow Ieligible Ifor IMedicare. IShe Ialready Ireceives ISocial ISecurity Ibenefits. IHow
Idoes Ishe Ienroll Iin IOriginal IMedicare? I- Icorrect IAnswers I✔✔ I-Her Ienrollment Iin IMedicare IParts IA
Iand IB Iis Igenerally Iautomatic Iif Ishe Imeets Iall Ieligibility Irequirements.
Which Istatement Iis Itrue Iabout Ia Imember Iof Ia IMedicare IAdvantage I(MA) IPlan Iwho Iwants Ito Ienroll
Iin Ia IMedicare ISupplement IInsurance IPlan? I- Icorrect IAnswers I✔✔ I-When Ia Iconsumer Ienrolls Iin Ia
IMedicare ISupplement IInsurance IPlan, Ithey Iare Inot Iautomatically Idisenrolled Ifrom Itheir IMA IPlan.
Being I65 Ior Iolder, Ibeing Iunder I65 Iyears Iof Iage Iwith Ia Iqualifying Idisability Ior Ibeing Iany Iage Iwith
IESRD Ior IALS Iare Ieach Ieligibility Irequirements Ifor Iwhich Iprogram? I- Icorrect IAnswers I✔✔ I-Original
IMedicare
Which Iof Ithe Ifollowing Idefines Ia IMedicare IAdvantage I(MA) IPlan? I(Select I3) I- Icorrect IAnswers I✔✔ I-
-An IMA IPlan Iis Ipart Iof IMedicare Iand Iis Ialso Icalled IPart IC.
-An IMA IPlan Iis Ia Ihealth Iplan Ioption Iapproved Iby IMedicare Iand Ioffered Iby Iprivate Iinsurance
Icompanies.
-An IMA IPlan Iprovides IMedicare Ihospital Iand Imedical Iinsurance I(Medicare IPart IA Iand IPart IB) Iand
Ioften Iincludes IMedicare Iprescription Idrug Icoverage I(Part ID).
To Ibe Ieligible Ifor Ithis Iplan Itype, Iconsumers Imust Imeet Ithe Ifollowing Irequirements: Ibe Ientitled Ito
IMedicare IPart IA Iand Ienrolled Iin IPart IB, Iand Ireside Iin Ithe Iplan's Iservice Iarea. IWhich Iplan Iis Ibeing
Idescribed? I- Icorrect IAnswers I✔✔ I-Medicare IAdvantage
Which Iof Ithe Ifollowing Iis Ia Icorrect Istatement Iabout Iin-network Iprovider Iservices? I- Icorrect IAnswers
I✔✔ I-HMO IPlans Icover Ionly Iin-network Iservices. IIn Imost Icases, Imembers Ipay Ithe Ifull Icost Iof Iany
Iout-of-network Iservices Ireceived, Iwith Ia Ifew Iimportant Iexceptions.
, Which Iof Ithe Ifollowing Iis INOT Ia Icorrect Istatement Iabout Iin-network Iprovider Iservices? I- Icorrect
IAnswers I✔✔ I-HMO-POS IPlans Ionly Icover Iin-network Iservices.
Which Istatement Iis Itrue Iabout IMedicare ISupplement IOpen IEnrollment? I- Icorrect IAnswers I✔✔ I-It Iis
Ithe Isix-month Iperiod Ithat Istarts Ithe Imonth Ithe Iconsumer Iis I65 Ior Iolder Iand Iis Ienrolled Iin IMedicare
IPart IB.
Which Istatement Iis Itrue Iabout Ithe IMedicare IAdvantage I(MA) IOut-of-Pocket IMaximum? I- Icorrect
IAnswers I✔✔ I-All IMA Iplans Ihave Ian IOut-of-Pocket IMaximum Ito Ihelp Ilimit Ithe Imember's Iout-of-
pocket Icosts Ifor IMedicare-covered Imedical Iservices.
Margaret Icurrently Ihas Ian IMAPD IPlan. IWhat Iwould Ihappen Iif Iyou Ienrolled Iher Iinto Ia Istand-alone
IPDP? I- Icorrect IAnswers I✔✔ I-She Iwould Ibe Idisenrolled Iautomatically Ifrom Iher IMAPD IPlan.
What Iis IMedicare IPart ID? I- Icorrect IAnswers I✔✔ I-A Ivoluntary Iprogram, Ioffered Iby Iprivate
Iinsurance Icompanies Ithat Iare Icontracted Iwith Ithe Ifederal Igovernment, Ithat Iprovides Iprescription
Idrug Icoverage Ifor Ian Iadditional Imonthly Iplan Ipremium.
Which Iof Ithe Ifollowing Ibest Idescribes Ieligibility Ito Ienroll Iin Ia Istand-alone IPrescription IDrug IPlan? I-
Icorrect IAnswers I✔✔ I-Entitled Ito IPart IA Iand/or Ienrolled Iin IPart IB Iand Ireside Iin Ithe Iplan Iservice
Iarea.
Aside Ifrom Ia Istand-alone IMedicare IPrescription IDrug IPlan, Ihow Ielse Icould Ia IMedicare-eligible
Iconsumer Iget IPart ID Iprescription Idrug Icoverage? I- Icorrect IAnswers I✔✔ I-They Icould Ienroll Iin Ia
IMedicare IAdvantage IPlan Ior Iother IMedicare Ihealth Iplan Ithat Iincludes Iprescription Idrug Icoverage.
Which Iof Ithe Ifollowing Istatements Iaccurately Idescribes Ia Iprescription Idrug Istage? I- Icorrect IAnswers
I✔✔ I-Starting Iin I2024, Ithe Icatastrophic Icoverage Istage Iis Iwhen Ithe Imember Iwill Ipay Inothing Ifor
Icovered Idrugs Ifor Ithe Iremainder Iof Ithe Iplan Iyear.
Which Iof Ithese Istatements Iis INOT Itrue Iabout Ithe Idrug Iutilization Imanagement I(UM) Irules? I- Icorrect
IAnswers I✔✔ I-If Ia Imedication Ihas Ia IUM Irule, Ithe Imember Iwill Inot Ibe Iable Ito Iget Ithat Imedication.
What Iis Ithe Iamount Iadded Ito Ithe Imember's Imonthly Iplan Ipremium Iif Ithey Idid INOT Ienroll Iin Ia
IMedicare IAdvantage Iplan Iwith IPart ID Ibenefits Ior Istand-alone Iprescription Idrug Iplan Iwhen Ithey
Iwere Ifirst Ieligible Ifor IMedicare IParts IA Iand/or IB Ior Iwent Iwithout Icreditable Iprescription Idrug
Icoverage Ifor I63 Ior Imore Icontinuous Idays? I- Icorrect IAnswers I✔✔ I-Late IEnrollment IPenalty I(LEP)
What Ikind Iof Ifinancial Iassistance Idoes Ia Iconsumer Ireceive Iwho Iqualifies Ifor ILow IIncome ISubsidy? I-
Icorrect IAnswers I✔✔ I-Lower Ior Ino Imonthly Iplan Ipremiums Iand Ilower Ior Ino Icopayments
Which Iof Ithe Ifollowing Ilists Idrug Itiers Ifrom Ileast Iexpensive Icost Ishare Ito Imost Iexpensive Icost
Ishare? I- Icorrect IAnswers I✔✔ I-Preferred IGenerics, IGenerics, IPreferred IBrand I(and Isome Ihigher-cost
Igenerics), INon-Preferred IDrug I(and Isome Ihigher-cost Igenerics), ISpecialty