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? Late … 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? 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
What is Medicare Part D? A voluntary program, offered by private insurance companies that are contracted with the federal government, that provides prescription drug coverage for an additional monthly plan premium
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
