UHC 2024 Fast Track Assessment || A Verified A+ Pass.

Which of the following is a correct statement about in-network provider services? correct answers 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) correct answers 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? correct answers 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? correct answers 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? correct answers All members reach the Coverage Gap Which of the following is a characteristics of a drug tier? correct answers 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? correct answers 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 ______________. correct answers 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? correct answers Through subsidies such as lower or no monthly plan premiums and lower or no copayments When does Medicare Supplement Open Enrollment take place? correct answers 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? correct answers When the consumer is not in their Medicare Supplement Open Enrollment or does not meet Guaranteed Issue criteria.