Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

UHC BASIC KB22 Test (2024/2025) | Actual Questions and Answers Latest Updated 2024/2025 (G, Exams of Insurance law

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).

Typology: Exams

2023/2024

Available from 08/29/2024

Holygrams
Holygrams 🇺🇸

3.7

(3)

2.2K documents

1 / 4

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
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
pf3
pf4

Partial preview of the text

Download UHC BASIC KB22 Test (2024/2025) | Actual Questions and Answers Latest Updated 2024/2025 (G and more Exams Insurance law in PDF only on Docsity!

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

Which of the following is true about Medicare Supplement Insurance underwriting criteria in states where underwriting applies? - ✔✔Underwriting is required if the consumer is not in their Medicare Supplement Open Enrollment period or does not meet Guaranteed Issue criteria. Which of the following is NOT true about the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) impact to Plans C and F? - ✔✔Consumers already enrolled in Plans C or F are required to change plans. Which statement is true of Medicare Supplement Insurance Plans? - ✔✔Insured members have the freedom to choose any doctor who accepts Medicare patients. Milton is retiring on his 65th birthday. He is eligible for Medicare and already receives Social Security benefits. How does he enroll in Original Medicare? - ✔✔His enrollment in Medicare Parts A and B is generally automatic if he meets all eligibility requirements Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement Insurance Plan? - ✔✔WRONG Which of the following consumers are eligible for Medicare if other eligibility requirements are met? - ✔✔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 Which of the following defines a Medicare Advantage (MA) Plan? (Select 2) - ✔✔-MA Plans provide Medicare hospital and medical insurance and often include Medicare prescription drug coverage.

  • MA Plans must provide benefits equivalent to Original Medicare, and most plans also offer additional benefits. Janice wants to enroll in a Medicare Advantage plan. Which of the following is NOT an eligibility requirement? - ✔✔Does not have any pre-existing conditions, such as diabetes or End Stage Renal Disease (ESRD)

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 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 Which of the following is true about Medicare Supplement Insurance Plans? - ✔✔Plan benefit amounts automatically update when Medicare changes cost sharing amounts, such as deductibles, coinsurance and copayments.