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Step Therapy, Prior Authorization, Quantity Limit, 7-day limit, Dispensing Limit and Limited Access are all examples of what

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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 or no copayments

 

Formulary is defined as

A list of medications covered within the benefit plan, based on CMS guidelines and developed in collaboration with physicians and pharmacists.

 

Which of the following is true about Medicare Supplement Insurance underwriting criteria in states where underwriting applies?

 

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which went into effect January 1, 2020, applies to all carriers offering Medicare supplement plans.

TRUE

 

Which of the following is NOT true of Medicare Supplement Insurance Plans?

Plan benefit amounts automatically update when Medicare changes cost sharing amounts, such as deductibles, coinsurance and copayments.