UHC MEDICARE BASICS EXAM AND PRACTICE
EXAM NEWEST 2024 ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
UHC MEDICARE BASICS EXAM
Which of the following statements accurately describes a
prescription drug stage? - CORRECT ANSWER-Starting in
2024, the catastrophic coverage stage is when the member will
pay nothing for covered drugs for the remainder of the plan year.
Step Therapy, Prior Authorization, Quantity Limit, 7-day limit,
Dispensing Limit and Limited Access are all examples of what?
- CORRECT ANSWER-Utilization Management 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 ______________. -
CORRECT ANSWER-63 or more continuous days
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How does a consumer who qualifies for Low Income Subsidy
receive financial assistance for their part of Medicare Part D
costs? - CORRECT ANSWER-Through subsidies such as lower
or no monthly plan premiums and lower or no copayments.
Which of the following is a characteristic of a drug tier? -
CORRECT ANSWER-All of the drugs in the tier have the same
copayment or coinsurance.
Which of the following is true about Medicare Supplement
Insurance underwriting criteria in states where underwriting
applies? - CORRECT ANSWER-Underwriting is required if the
consumer is not in their Medicare Supplement Open Enrollment
period or does not meet Guaranteed Issue criteria.
Which of the following are true about the Medicare Access and
CHIP Reauthorization Act of 2015 (MACRA) Plans and the
impact to Plans C and F? (Select 2) - CORRECT ANSWER--
Consumers eligible for Medicare Part A before January 1, 2020,
can enroll in Plan C or F even after 2020 and can keep their
plans as long as they choose.
-Consumers eligible for Medicare Part A on or after January 1,
2020, will not be able to purchase Medicare Supplement
Insurance Plans C or F.
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Which statement is true of Medicare Supplement Insurance
Plans? - CORRECT ANSWER-Insured members have the
freedom to choose any doctor who accepts Medicare patients.
Select the option that accurately represents Medicare Advantage
(MA) Plan network characteristics (non-emergency care). -
CORRECT ANSWER-Members in a PPO plan can use out-of-
network benefits but generally at a higher cost.
Which statement is true about the Medicare Advantage (MA)
Out-of-Pocket Maximum? - CORRECT 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 is true about Medicare Supplement Open Enrollment? -
CORRECT ANSWER-It is the six-month that starts the month
the consumer is 65 or older and is enrolled in Medicare Part B.
When is a Medicare Supplement Insurance consumer subject to
underwriting and screened for eligibility? - CORRECT
ANSWER-When the consumer is not in their Medicare
Supplement Open Enrollment or does not meet Guaranteed Issue
criteria.
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Which of the following statements is true about using a 5-Star
Special Enrollment Period (SEP)? - CORRECT ANSWER-It
can be used once from December 8 through November 30 to
enroll in a 5-Star plan and coverage will start the first of the
month following receipt of the enrollment application.
Milton is retiring on his 65th birthday. He is eligible for
Medicare and already receives Social Security benefits. How
does he enroll in Original Medicare? - CORRECT ANSWER-
His enrollment in Medicare Parts A and B is generally automatic
if he meets all eligibility requirements
Which statement is true about a member of a Medicare
Advantage (MA) Plan who wants to enroll in a Medicare
Supplement Insurance Plan? - CORRECT ANSWER-When a
consumer enrolls in a Medicare Supplement Insurance Plan,
they are not automatically disenrolled from their MA plan.
Which of the following are eligibility requirements for
enrollment in a Medicare Advantage Plan? (Select 3) -
CORRECT ANSWER--Is entitled to Medicare Part A
-Is enrolled in Medicare Part B
-Resides in the plan's service area
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