UHC MEDICARE BASICS TEST EXAM
COMPLETE ACCURATE EXAM
COMPLETE QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
Which of the following best defines Medicare Part D?
- ....ANSWER...It is a government program, offered
only through a private insurance company or other
private company approved by Medicare, which
provides prescription drug coverage.
Which of the following statements is true about
eligibility requirements for Medicare Prescription
Drug Plans? - ....ANSWER...A consumer must be
entitled to Medicare Part A and/or enrolled in
Medicare Part B
Aside from a stand-alone Medicare Prescription
Drug Plan, how else could a Medicare-eligible
consumer get Part D prescription drug coverage? -
,....ANSWER...They could enroll in a Medicare
Advantage Plan or other Medicare health plan that
includes prescription drug coverage.
In what order do the four prescription drug coverage
stages occur? - ....ANSWER...Deductible, Initial
Coverage, Coverage Gap, Catastrophic Coverage
Which of the following options are drug utilization
management (UM) rules? (Select 3) -
....ANSWER...Quantity Limit
Prior Authorization
Step Therapy
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 continuous days or
more
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
Which of the following lists drug tiers from least
expensive cost share to most expensive cost share?
- ....ANSWER...Preferred Generics, Generics,
Preferred Brand (and some higher-cost generics),
Non-Preferred Drug (and some higher-cost
generics), Specialty
In which two parts of Medicare is enrollment
generally automatic for eligible consumers who are
receiving Social Security benefits, UNLESS they
choose to delay their coverage? - ....ANSWER...Parts
A and B
Which statement is true about members of a
Medicare Advantage (MA) Plan who want to enroll in
a Medicare Supplement Insurance Plan? -
....ANSWER...The consumer must be in a valid MA
election or disenrollment period.
Provided other eligibility requirements are met, who
is eligible for Medicare? - ....ANSWER...Consumers
, age 65 or older, consumers under 65 years of age
with a qualifying disability and consumers of all ages
with ESRD or ALS who are receiving Social Security
Disability Insurance (SSDI) for ALS.
Which of the following defines a Medicare Advantage
(MA) Plan? (Select 3) - ....ANSWER...-An MA Plan is a
health plan option approved by Medicare and offered
by private insurance companies.
-An MA Plan is part of Medicare and is also called
Part C.
-An MA Plan provides Medicare hospital and medical
insurance (Medicare Part A and Part B) and often
includes Medicare prescription drug coverage (Part
D).
To be eligible for this plan type, consumers must
meet the following requirements: be entitled to
Medicare Part A and enrolled in Part B, and reside in
the plan's service area. Which plan is being
described? - ....ANSWER...Medicare Advantage
Which of the following statements is correct about
HMO MA Plans? - ....ANSWER...Members must
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