UHC 2023 Medicare Basics Test/ 58
Question with solved Answers/
Verified.
a consumer currently has original Medicare and is enrolled in a stand alone prescription
drug plan what will happen if the consumer enrolls in an MA plan that has integrated
prescription drug coverage - -the consumer will be automatically disenrolled from the
standalone PDP upon in Roman in the MA plan that has integrated prescription drug
coverage
-aside from a standalone Medicare prescription drug plan how else could a Medicare
eligible consumer get Part D prescription drug coverage - -they can enroll in a Medicare
Advantage plan or other Medicare health plan that includes prescription drug coverage
-which of the following statements is not true about the coverage gap - -all members
reach the coverage gap
-which of these statements is true about the drug utilization management UN rules - -
prior authorization quantity limit and step therapy are some examples of the coverage
rules
-how does a consumer who qualifies for low income subsidy receive financial assistance
through their part of Medicare Part D costs - -through subsidies such as lower or no
monthly plan premiums an lower or no copayments
-which of the following list drug tiers from least expensive cost share to most expensive
cost share - -preferred generics generics preferred brand nonpreferred drug specialty
, -which of the following is true about Medicare supplement insurance plans - -plan
benefit amounts automatically update when Medicare changes cost sharing amounts
such as deductibles coinsurance and copayments
-which definition best describes Medicare Part A - -the part of Medicare that helps with
the cost of inpatient hospital stays it also helps with Hospice care and some skilled care
for homebound
-which statement is true about members of a Medicare Advantage plan who wants to
enroll in a Medicare supplement insurance plan - -the consumer must be in a valid MA
election or disenrollment.
-Who is eligible for Medicare - -consumers age 65 or older consumers under 65 years of
age with certain disabilities and consumers of all ages with ESRD or a LS
-which of the following defines a Medicare Advantage plan select two - -MA plans
provide Medicare hospital and medical insurance and often include Medicare
prescription drug coverage
MA plans must provide benefits equivalent to original Medicare and most plans also
offer additional benefits
-to be eligible for this plan type consumers must meet the following requirements
entitled to Medicare Part A and enrolled in Part B reside in the planned service area
which plan is described - -Medicare Advantage
-Which type of MA plan is an HMO plan that also covers some benefits out of network
generally at a higher cost - -point of service POS plan
-when is Marys Medicare supplement open enrollment period if she turns 65 on
September 23rd 2019 and her Medicare Part B effective date is September 1st 2019 - -
September 2019 through February 2020
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller NurseSallyD. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.