100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
UHC MEDICARE BASICS EXAM AND PRACTICE EXAM 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|GUARANTEED PASS |LATEST UPDATE$23.49
Add to cart
UHC MEDICARE BASICS EXAM AND PRACTICE EXAM 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|GUARANTEED PASS |LATEST UPDATE
6 views 0 purchase
Course
Uhc Medicare basics
Institution
Uhc Medicare Basics
UHC MEDICARE BASICS EXAM AND
PRACTICE EXAM 2024 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|GUARANTEED PASS |LATEST
UPDATE
UHC MEDICARE BASICS EXAM AND
PRACTICE EXAM 2024 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|GUARANTEED PASS |LATEST
UPDATE
Which of the following best describes the Late Enrollment Penalty (LEP)?
The amount added to the member's monthly plan premium 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 63 or more
continuous days.
Through which means is financial assistance offered to a consumer who qualifies for Low Income
Subsidy for their part of Medicare Part D costs?
Through subsidies such as lower or no monthly plan premiums and lower or no copayments.
Formulary is defined as:
A list of medications covered within the benefit plan, based on CMS guidelines and developed in
collaboration with physicians and pharmacists.
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.
True
What kind of financial assistance does a consumer receive who qualifies for Low Income Subsidy
Lower or no monthly plan premiums and lower or no copayments
What is the Late Enrollment Penalty (LEP) amount for not enrolling in a Medicare Advantage plan with
Part D benefits or a stand-alone prescription drug plan?
1|Page
,The Late Enrollment Penalty is added to the member's monthly plan premium 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 63
or more continuous days.
What is the purpose of Step Therapy in Medicare Advantage Plans?
Step Therapy is a utilization management rule that requires members to try a less expensive drug before
moving on to a more costly one, helping to control costs and ensure appropriate medication use.
What is the Coverage Gap in Medicare Part D?
The Coverage Gap, also known as the 'donut hole,' is a temporary limit on what the drug plan will cover
for prescription drugs, where the member pays a higher cost for their medications until they reach
catastrophic coverage.
What is the significance of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) for
Medicare Supplement Plans?
Consumers eligible for Medicare Part A before January 1, 2020, can enroll in Plan C or F even after 2020
and can keep their plans as long as they choose, while those eligible for Medicare Part A on or after
January 1, 2020, will not be able to purchase Plans C or F.
What is the purpose of Prior Authorization in Medicare Advantage Plans?
Prior Authorization is a utilization management rule that requires approval from the plan before certain
medications or services are covered, ensuring they are medically necessary and cost-effective.
In which two parts of Medicare is enrollment generally automatic for eligible consumers who are
receiving Social Security benefits, UNLESS they choose to delay their coverage?
Parts A and B
Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a
Medicare Supplement Insurance Plan?
The consumer must be in a valid MA election or disenrollment period.
Provided other eligibility requirements are met, who is eligible for Medicare?
Consumers age 65 or older, consumers under 65 years of age with a qualifying disability and consumers
of all ages with ESRD or ALS who are receiving Social Security Disability Insurance (SSDI) for ALS.
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3)
-An MA Plan is a health plan option approved by Medicare and offered by private insurance companies.
-An MA Plan is part of Medicare and is also called Part C.
-An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part B) and often
includes Medicare prescription drug coverage (Part D).
2|Page
, To be eligible for this plan type, consumers must meet the following requirements: be entitled to
Medicare Part A and enrolled in Part B, and reside in the plan's service area. Which plan is being
described?
Medicare Advantage
Which of the following statements is correct about HMO MA Plans?
Members must receive covered services from contracted network providers with limited exceptions.
Which of the following are MA Plans that focus on using network providers to maximize the benefits and
reduce out-of-network expenses?
HMO, POS, PPO
When does Medicare Supplement Open Enrollment take place?
During the first six months a consumer is 65 or older and enrolled in Medicare Part B.
What costs count toward the out-of-pocket maximum for Medicare Advantage (MA) Plans?
The Out-of-Pocket Maximum includes costs the member pays for any Medicare-covered Part A or B
services but does not include the cost of any plan premiums.
A consumer currently has Original Medicare and is enrolled in a stand-alone Prescription Drug Plan
(PDP). What will happen if the consumer enrolls in an MA Plan that has integrated prescription drug
coverage?
The consumer will be automatically disenrolled from their stand-alone PDP upon enrollment in the MA
Plan that has integrated prescription drug coverage
What is Medicare Part D?
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.
Which consumer is eligible for a stand-alone Medicare Prescription Drug Plan?
Joseph, who is enrolled in Medicare Part A and Medicare Part B and resides in the plan's service area.
A consumer with only Part A residing in the plan's service area can enroll in which plan type to get Part D
coverage?
A stand-alone Part D Plan.
Which of the following statements accurately describes a prescription drug stage?
Starting in 2024, the catastrophic coverage stage is when the member will pay nothing for covered drugs
for the remainder of the plan year.
Step Therapy, Prior Authorization, Quantity Limit, 7-day limit, Dispensing Limit and Limited Access are all
examples of what?
Utilization Management Rules
3|Page
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Dredward. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $23.49. You're not tied to anything after your purchase.
