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

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? Drug tiers

What is 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?   … Read more

Which of these statements is true about the drug utilization management (UM) rules? Prior authorization, quantity limit, and step therapy are some examples of the UM rules.

Which of the following statements does NOT correctly define prescription drug stages? The catastrophic coverage stage is when the member will only pay a small coinsurance or copayment for covered drugs for the remainder of the plan year.

Aside from a stand-alone Medicare Prescription Drug Plan, how else could a Medicare-eligible consumer get Part D prescription drug coverage? They could sign up for a pharmacy savings card through their local pharmacy.

When does Medicare Supplement Open Enrollment take place? During the three months prior to the consumer’s 65th birthday, the month of their birthday, and the three months following the month of their 65th birthday and enrolled in Medicare Part B.