What are two options for Medicare consumers to get Part D prescription drug coverage? … In what order do the four prescription drug coverage stages occur? Deductible, initial coverage, coverage gap, catastrophic coverage Which of these statements is NOT true about the drug utilization management rules? If the medication has a UM rule, the member … Read more
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 members of a Medicare Advantage (MA) Plan … Read more
What type of events must an agent report to UnitedHealthcare? Formal and informal marketing/sales events What type of events must an agent report to UnitedHealthcare? Only the marketing/sales events, both formal and informal. While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the consumer does not have an email … Read more
Step Therapy, Prior Authorization, Quantity Limit, 7-day limit, Dispensing Limit and Limited Access are all examples of what? Utilization Management Rules 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 … Read more
Which of the following consumers are eligible for Medicare if other eligibility requirements are met? Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) An MA Plan is a health plan option approved by Medicare and offered by private insurance companies. An MA Plan provides Medicare hospital and medical insurance (Medicare … Read more
Whose email address may the agent enter into the LEAN enrollment application? Only the consumer’s email (or leave it blank). Which election period runs from October 15 to December 7 and allows consumers to elect to join a Medicare Advantage Plan or switch to a different plan? A) Special Election Period (SEP) B) Initial … Read more
A consumer may have to pay a Late Enrollment Penalty (LEP) 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 … Read more
