Uhc Certification 2 Latest Versions Actual Exam 200 Questions and Correct Detailed Answers with Rationales (Verified Answers)
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Uhc Certification
Institution
Uhc Certification
A list of medications covered within the benefit plan, based on CMS guidelines and developed in collaboration with physicians and pharmacists. -Correct Answer Formulary is defined as:
Underwriting is required if the consumer is not in their Medicare Supplement Open Enrollment period or does not ...
Uhc Certification 2 Latest Versions 2024-2025 Actual Exam
Uhc Certification 2 Latest Versions 2024-2025
Actual Exam 200 Questions and Correct Detailed
Answers with Rationales (Verified Answers)
A list of medications covered within the benefit plan, based on CMS guidelines and
developed in collaboration with physicians and pharmacists. -Correct Answer
✔Formulary is defined as:
Underwriting is required if the consumer is not in their Medicare Supplement Open
Enrollment period or does not meet Guaranteed Issue criteria. -Correct Answer ✔Which
of the following is true about Medicare Supplement Insurance underwriting criteria in
states where underwriting applies?
True -Correct Answer ✔The Medicare Access and CHIP Reauthorization Act of 2015
(MACRA), which went into effect January 1, 2020, applies to all carriers offering
Medicare supplement plans.
(INCORRECT) Plan benefit amounts automatically update when Medicare changes cost
sharing amounts, such as deductibles, coinsurance and copayments. -Correct Answer
✔Which of the following is NOT true of Medicare Supplement Insurance Plans?
Consumers age 65 or older, consumers under 65 years of age with certain disabilities
for more than 24 months and consumers of all ages with ESRD or ALS -Correct Answer
✔Which of the following consumers are eligible for Medicare if other eligibility
requirements are met?
An MA Plan is a health plan option approved by Medicare and offered by private
insurance companies.
An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and
Part B) and often includes Medicare prescription drug coverage (Part D).
An MA Plan is part of Medicare and is also called Part C. -Correct Answer ✔Which of
the following defines a Medicare Advantage (MA) Plan? (Select 3)
Does not have any pre-existing conditions, such as diabetes or End Stage Renal
Disease (ESRD) -Correct Answer ✔Janice wants to enroll in a Medicare Advantage
plan. Which of the following is NOT an eligibility requirement?
HMO, POS, PPO -Correct Answer ✔Which of the following are MA Plans that focus on
using network providers to maximize the benefits and reduce out-of-network expenses?
Uhc Certification 2 Latest Versions 2024-2025 Actual Exam
, Uhc Certification 2 Latest Versions 2024-2025 Actual Exam
She would be disenrolled automatically from her MAPD Plan. -Correct Answer
✔Margaret currently has an MAPD Plan. What would happen if you enrolled her into a
stand-alone PDP?
A voluntary program, offered by private insurance companies that are contracted with
the federal government, that provides prescription drug coverage for an additional
monthly plan premium -Correct Answer ✔What is Medicare Part D?
A consumer must be entitled to Medicare Part A and/or enrolled in Medicare Part B -
Correct Answer ✔Which of the following statements is true about eligibility requirements
for stand-alone Medicare Prescription Drug Plans?
They could enroll in a stand-alone Medicare Prescription Drug Plan (PDP). -Correct
Answer ✔Aside from a Medicare Advantage Plan or other health plan that includes
prescription drug coverage, how else could a Medicare-eligible consumer get Part D
prescription drug coverage?
Deductible, Initial Coverage, Coverage Gap, Catastrophic Coverage -Correct Answer
✔In what order do the four prescription drug coverage stages occur?
Utilization Management Rules -Correct Answer ✔Step Therapy, Prior Authorization,
Quantity Limit, 7-day limit, Dispensing Limit and Limited Access are all examples of
what?
63 or more continuous days -Correct Answer ✔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
______________.
Through subsidies such as lower or no monthly plan premiums and lower or no
copayments -Correct Answer ✔Through which means is financial assistance offered to
a consumer who qualifies for Low Income Subsidy for their part of Medicare Part D
costs?
Preferred Generics, Generics, Preferred Brand (and some higher-cost generics), Non-
Preferred Drug (and some higher-cost generics), Specialty -Correct Answer ✔Which of
the following lists drug tiers from least expensive cost share to most expensive cost
share?
Consumers already enrolled in Plans C or F are required to change plans. -Correct
Answer ✔Which of the following is NOT true about the Medicare Access and CHIP
Reauthorization Act of 2015 (MACRA) impact to Plans C and F?
Uhc Certification 2 Latest Versions 2024-2025 Actual Exam
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