UHC Medicare Basics Exam Test with Verified Answers
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UHC Medicare Basics
Institution
UHC Medicare Basics
UHC Medicare Basics Exam Test with Verified Answers
1. Which of the following best
describes the Late Enroll-
ment Penalty (LEP)?
2. Which of the following state-
ments is NOT TRUE about the
Coverage Gap?
3. Step Therapy, Prior Autho-
rization, Quantity Limit, 7-day
limit, Dispensing Limit...
UHC Medicare Basics Exam Test with Verified Answers
1. Which of the following best The amount added to the member's month-
describes the Late Enroll- ly plan premium if they did not enroll in a
ment Penalty (LEP)? 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 prescrip-
tion drug coverage for 63 or more continuous
days.
2. Which of the following state- All members reach the Coverage Gap
ments is NOT TRUE about the
Coverage Gap?
3. Step Therapy, Prior Autho- Utilization Management Rules
rization, Quantity Limit, 7-day
limit, Dispensing Limit and
Limited Access are all exam-
ples of what?
4. What is the amount added to WRONG ANSWER Late Enrollment Premi-
the member's monthly plan um (LEP) WRONG
premium if they did NOT en-
roll in a Medicare Advan-
tage 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 prescrip-
tion drug coverage for 63 or
more continuous days?
5. Can a consumer who quali- Yes, through subsidies such as lower or no
fies for Low Income Subsidy monthly plan premiums and lower or no co-
receive financial assistance payments
for their part of Medicare Part
D costs?
6. Formulary is defined as
1/5
, A list of medications covered within the ben-
efit plan, based on CMS guidelines and de-
veloped in collaboration with physicians and
pharmacists.
7. When is a Medicare Supple- When the consumer is not in their Medicare
ment Insurance consumer Supplement Open Enrollment or does not
subject to underwriting and meet Guaranteed Issue criteria.
screened for eligibility?
8. Which of the following is NOT Consumers already enrolled in Plans C or F
true about the Medicare Ac- are required to change plans.
cess and CHIP Reauthoriza-
tion Act of 2015 (MACRA) im-
pact to Plans C and F?
9. Which of the following is true Plan benefit amounts automatically up-
about Medicare Supplement date when Medicare changes cost sharing
Insurance Plans? amounts, such as deductibles, coinsurance
and copayments.
10. Milton is retiring on his 65th His enrollment in Medicare Parts A and B is
birthday. He is eligible for generally automatic if he meets all eligibility
Medicare and already re- requirements
ceives Social Security ben-
efits. How does he enroll in
Original Medicare?
11. Which statement is true When a consumer enrolls in a Medicare Sup-
about a member of a plement Insurance Plan, they are not auto-
Medicare Advantage (MA) matically disenrolled from their MA plan.
Plan who wants to enroll in a
Medicare Supplement Insur-
ance Plan?
12. Provided other eligibility re- Consumers age 65 or older, consumers un-
quirements are met, who is der 65 years of age with certain disabilities
eligible for Medicare? for more than 24 months and consumers of
all ages with ESRD or ALS
2/5
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