UHC BASIC KB22 Test (2024/2025) | Actual Questions and Answers Latest
Updated 2024/2025 (Graded A+)
Which of the following best defines Medicare Part D? - ✔✔It is a government program, offered only
through a private insurance company or other private company approved by Medicare, which provides
prescription drug coverage.
Which of the following statements is true about eligibility requirements for stand-alone Medicare
Prescription Drug Plans? - ✔✔A consumer must be entitled to Medicare Part A and/or enrolled in
Medicare Part B
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? - ✔✔They could
enroll in a stand-alone Medicare Prescription Drug Plan (PDP).
Which of the following statements is NOT true about the Coverage Gap? - ✔✔ALL MEMBERS REACH THE
COVERAGE GAP
Step Therapy, Prior Authorization, Quantity Limit, 7-day limit, Dispensing Limit and Limited Access are all
examples of what? - ✔✔Utilization Management Rules
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.
Can a consumer who qualifies for Low Income Subsidy receive financial assistance for their part of
Medicare Part D costs? - ✔✔Yes, through subsidies such as lower or no monthly plan premiums and
lower or no copayments
Which of the following lists drug tiers from least expensive cost share to most expensive cost share? -
✔✔Preferred Generics, Generics, Preferred Brand (and some higher-cost generics), Non-Preferred Drug
(and some higher-cost generics), Specialty
