Verified Solutions Graded A+
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