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? A deductible is the amount the member must pay for every prescription medication, regardless of what stage they are in.

What are two options for Medicare consumers to get Part D prescription drug coverage (assuming they meet all eligibility requirements)? (Select 2) Enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription drug coverage Enroll in a stand-alone Medicare Prescription Drug Plan (PDP)

Which of the following is a fact about Medicare Prescription Drug Plans? To enroll, the consumer must reside in the plan’s service area

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

Roger wants to know what counts toward the Out-of-Pocket Maximum on the Medicare Advantage Plan he is considering. Which statement is accurate? The Out-of-Pocket Maximum includes costs the member pays for any Medicare-covered Part A or B services.

Which of the following is NOT a correct statement about in-network provider services? HMO-POS Plans only cover in-network services.