UHC Certification 2023/2024 Exam| Actual Questions and Verified Answers| A Grade

UHC Certification 2023/2024 Exam| Actual Questions and Verified Answers| A Grade

UHC Certification 2023/2024 Exam| Actual
Questions and Verified Answers| A Grade
Q: A government program, offered only through a private insurance company or other private
company approved by Medicare, that provides prescription drug coverage describes which of the
following:
Answer:
Medicare Parts A and B
Q: Which of the following statements is true about eligibility requirements for Medicare
Prescription Drug Plans?
Answer:
A consumer must be entitled to Medicare Part A and/or enrolled in Medicare Part B
Q: What are two options for Medicare consumers to get Part D prescription drug coverage
(assuming they meet all eligibility requirements)? (Select 2)
Answer:
Q: Which of the following statements is not true about the Coverage Gap?
Answer:
All members reach the Coverage Gap
Q: Which of the following options are drug utilization management (UM) rules? (Select 3)

Answer:
Q: Which of the following best describes the Late Enrollment Penalty (LEP)?
Answer:
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 continuous days or more.
Q: Through which means is financial assistance offered to a consumer who qualifies for Low
Income Subsidy for their part of Medicare Part D costs?
Answer:
Through subsidies such as lower or no monthly plan premiums and lower or no copayments
Q: Medications that are covered in a Plan’s formulary have various levels of associated member
cost-sharing (copayments or coinsurance). What are these drug levels called?
Answer:
Drug tiers
Q: In states where Medicare Supplement Insurance underwriting criteria can apply, all of the
following underwriting criteria apply EXCEPT:
Answer:
Consumers may be underwritten to determine their acceptance and, if applicable, their rate.
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