Jeremy Lai in 福利

UHC – Permission to Contact

When does Permission to Contact for Medicare Advantage and/or Prescription Drug Plans expire?

9 months (or 90 days if on federal do not call list) from the date the consumer provided permission (e.g., consumer signature date on BRC).

Aside from a stand-alone Medicare Prescription Drug Plan, how else could a Medicare-eligible consumer get Part D prescription drug coverage?

They could enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription drug coverage.

In what order do the four prescription drug coverage stages occur?

Deductible, Initial Coverage, Coverage Gap, Catastrophic Coverage

Which of the following options are drug utilization management (UM) rules? (Select 3)

Quantity Limit
Prior Authorization
Step Therapy

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

How does a consumer who qualifies for Low Income Subsidy receive financial assistance for their part of Medicare Part D costs?

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

When is a Medicare Supplement Insurance consumer subject to underwriting and screened for eligibility?

When the consumer is not in his/her Medicare Supplement Open Enrollment 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 of the following is NOT true of Medicare Supplement Insurance Plans?

To see a specialist, insured members must obtain referrals from a primary care physician.

Next Read: Mr. Carlini has heard that Medicare prescription drug »

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