2023 Events Basics Assessment (19 Questions With Complete Solutions At Once)

Complete a Scope of Appointment form with Beth prior to discussing plans. {Ans: Warren, an agent, is working at the UnitedHealthcare MedicareStore. Beth, a consumer, approaches Warren and asks a question about Medicare Prescription Drug Plans. What is the most appropriate thing Warren should do first? Complete a Scope of Appointment form with Beth prior to discussing plans. Hand Beth an Enrollment Guide and begin covering the Summary of Benefits. Thank her for her questions and explain that she will need to set up an in-home appointment to cover plan specifics.}Members and providers are not able to ask the plan for exceptions to any utilization management rules {Ans: At a formal marketing/sales event, an agent presented information about prescription drug coverage. Which statement is not accurate? Covered drugs are placed in tiers, with Tier 1 generally being the lowest cost and Tier 5 the highest cost The coverage stages include deductible, initial, coverage gap, and catastrophic Members and providers are not able to ask the plan for exceptions to any utilization management rules Drugs covered by the plan are listed in the formulary, which may vary by plan Some medications have utilization management rules, such as step therapy