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UHC 2024 FAST TRACK ASSESSMENT
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UHC 2024 FAST TRACK ASSESSMENT
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UHC 2024 FAST TRACK ASSESSMENTWhich of the following is a correct statement about in-network provider services? -
Answer ✔✔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) - Answer ✔✔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? - Answer ✔✔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? - Answer ✔✔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? - Answer
✔✔All members reach the Coverage Gap
Which of the following is a characteristics of a drug tier? - Answer ✔✔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? - Answer ✔✔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 ______________. -
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
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.
When is a Medicare Supplement Insurance consumer subject to underwriting and
screened for eligibility? - Answer ✔✔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? - Answer
✔✔MA Open Enrollment Period can only be used by a consumer already enrolled
in an MA Plan.
Which statement regarding Star Ratings is true? - Answer ✔✔Medicare uses a 5-
star rating system to illustrate a plan's performance and quality.
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