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UHC 2024 FAST TRACK ASSESSMENT TEST QUESTIONS FULLY SOLVED ALREADY GRADED
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- Oxford University (OX)
UHC 2024 FAST TRACK ASSESSMENT TEST QUESTIONS FULLY SOLVED ALREADY GRADED
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UHC 2024 FAST TRACK ASSESSMENTTEST QUESTIONS FULLY SOLVED
ALREADY GRADED A+
Which of the following is a correct statement about in-network provider services? - answer
HMO Plans cover only in-network services. In most cases, members pay the full cost of any out-
of-network services received, with a few important exceptions.
Which of the following are eligibility requirements for enrollment in a Medicare Advantage (MA)
Plan? (Select 3) - answer Resides in the plan's service area
Is enrolled in Medicare Part B
Is entitled to Medicare Part A
Which statement is true about the Medicare Advantage (MA) Out-of-Pocket Maximum? -
answer All MA plans have an Out-of-Pocket Maximum to help limit the member's out-of-pocket
costs for Medicare-covered medical services.
Which of the following best describes eligibility to enroll in a stand-alone Prescription Drug
Plan? - answer Entitled to Part A and/or enrolled in Part B and reside in the plan service area.
Which of the following statements is NOT true about the Coverage Gap? - answer All members
reach the Coverage Gap
Which of the following is a characteristics of a drug tier? - answer All of the drugs in the tier
have the same copayment or coinsurance.
Which of these statements is true about the drug utilization management (UM) rules? - answer
Prior authorization, quantity limit, and step therapy are some examples of the UM rules.
, 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 or more continuous days
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
When does Medicare Supplement Open Enrollment take place? - answer During the first six
months a consumer is 65 or older and enrolled in Medicare Part B.
When is a Medicare Supplement Insurance consumer subject to underwriting and screened for
eligibility? - answer When the consumer is not in their Medicare Supplement Open Enrollment
or does not meet Guaranteed Issue criteria.
Which of the following statements is true about election periods? - answer MA Open
Enrollment Period can only be used by a consumer already enrolled in an MA Plan.
Which statement regarding Star Ratings is true? - answer Medicare uses a 5-star rating system
to illustrate a plan's performance and quality.
Which of the following describes Permission to Contact (PTC) guidelines? - answer Contact can
only be made by the method(s) requested by the consumer and the agent can only market the
product(s) indicated by the consumer.
Which of the following are examples of what an agent must review with a consumer prior to
completing an enrollment application? - answer The plan's network characteristics and how
using out-of-network providers may impact coverage and costs, covered benefits and
limitations, and plan related costs such as monthly premium and copayments/coinsurance for
services received.
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