UHC CERTIFICATION WITH EXAM WITH CORRECT ANSWERS | ALREADY GRADED A+ || LATEST VERSION 2024 | GUARANTEED PASS
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Course
UHC CERTIFICATION
Institution
UHC CERTIFICATION
UHC CERTIFICATION WITH EXAM WITH
CORRECT ANSWERS | ALREADY GRADED A+ ||
LATEST VERSION 2024 | GUARANTEED PASS
The stage in Medicare Part D prescription drug coverage in which there is a
temporary limit on what the plan will cover for drugs - ANSWER- coverage gap
A drug may require this type...
UHC CERTIFICATION WITH EXAM WITH
CORRECT ANSWERS | ALREADY GRADED A+ ||
LATEST VERSION 2024 | GUARANTEED PASS
The stage in Medicare Part D prescription drug coverage in which there is a
temporary limit on what the plan will cover for drugs - ANSWER- coverage gap
A drug may require this type of approval by the plan prior to a member receiving
it. - ANSWER- prior authorization
Extra help for customers with limited income and resources from Medicare to
cover their part D premiums and Part D-related OOP costs - ANSWER- low
income subsidy
applying for help for Medicare prescription drug plan expenses does NOT
automatically enroll him in a _______ plan - ANSWER- prescription drug plan
what does MMP stand for? - ANSWER- Medicare-Medicaid plan
What does MMP do? - ANSWER- individuals can receive both Medicare parts A
&B and full Medicaid benefits through one health plan
Generally, qualified individuals are passively enrolled into the state's coordinated
care plan with the ability to opt out and choose other Medicare - ANSWER-
options
,Why would someone want to enroll in an MA-only PFFS plan? - ANSWER- they
want to keep their stand-alone prescription drug plan (PDP)
when a member enrolls in a different MA plan offered by the same MA
organization, his/her year-to-date contribution toward the annual OOP maximum
plan is what? - ANSWER- is counted towards his/her MOOP in the new MA plan
IF:
1) the new plan is the same type as the previous plan ( eg HMO to HMO) and both
plans are on the contract and/or have the same legal entity
2) the new plan is a different type than the previous plan ( eg HMO to PPO) and
both plans have the SAME legal entity
When OOP costs for the coverage gap reach what amount, they will move onto the
catastrophic coverage? - ANSWER- $5,100
Catastrophic coverage is what in the order of Medicare prescription drug plan -
ANSWER- last
In catastrophic coverage, who pays what? - ANSWER- The member pays a little
while the plan pays most
In catastrophic coverage, the member pays what? - ANSWER- a small copay or
coinsurance for drugs
PDP break down for 2019 - ANSWER- Annual deductible= $415
Initial coverage- $3820
Coverage gap- $5,100
, What is the coverage gap for Medicare prescription drug coverage? - ANSWER-
Its a temporary limit on what the Medicare prescription drug plan will cover
When a customer reaches the ____ They will pay 25% for most brand named drugs
and 37% for generic drugs - ANSWER- coverage gapWhat does a MSA do? -
ANSWER- Combines a high deductible medicare advantage plan and a bank
account
How does MSA plans work? - ANSWER- the plan deposits money from emdicare
in the account which can then be used to pay for medical expenses until their
deductible is met
Does UHC currently offer an MSA? - ANSWER- no
MA plans include some key features such as? - ANSWER- Prescription drug
coverage, PCPs, and a OOP maximum
In an MA-Part D plan, A member will be disenrolled from their stand-alone PDP
upon enrollment in a ? - ANSWER- MA-PD
in a MA-part D plan, A member will be disenrolled from their MA-PD upon
enrollment in? - ANSWER- a stand-alone PDP
With MA only, a member will be disenrolled from their stand alone PDP upon
enrolling in a? - ANSWER- Non-PFFS MA-only plan
in MA-only, a member will be disenrolled from their non-PFFS MA-only plan
upon enrolling in a? - ANSWER- Stand alone PDP
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