quiz 1

1. Marie’s yearly deductible is $1,400. She paid $350 towards that in June when she went to pick up some medication. In July, she purchases some medication again. She was again charged $350 for the prescription. How much does she have left in her deductible?

• $350

• $400

• $0

• $700

What amount of a $210 bill would Alexandra be required to pay if her Part D plan stipulates 20% co-insurance and she has already met her deductible?

• $34

• $42

• $66

• $40

A “premium” is

• The amount a member must pay for their health insurance plan

• The amount paid to a doctor/facility for services

• The amount the insurance company reimburses a member for out-of-pocket expenses

• The amount a pharmacy charges for their services

What is a co-payment?

• The periodic payment required to keep a policy in force

• A flat-dollar amount that a member must pay for a prescription

• A percentage of a healthcare professional 's charge for which the member is financially responsible under the terms of the policy

• None of the above

Emily has a deductible of $100 and has paid $50 toward it. She must have a Tier 3 medication that will cost $150. Her coinsurance is 20 percent. How much does she need to pay?

• $60

• $50

• $65

• $70

What are the 4-part D stages?

• Deductible, Initial period, benefit period and out of pocket maximum.

• Deductible, initial period, co-insurance and catastrophic

• Deductible, benefit period, Donut hole and catastrophic.

• Deductible, benefit period, Co-pay and out of pocket maximum.

Does a deductible apply in all our UHC plans?

• True

• False

Do all the payments, including the insured contribution in the Donut hole will help the member reach this stage?

• True

• False

After the member pays the full Coverage GAP amount. Does the member need to pay just a co-pay or a low percentage?

• True

• False

How much is the new percentage on the 2020 for the donut hole stage?

• 30% Generic and 35% Brand

• 20% Generic and 25% Brand

• 20% Generic and 35% Brand

• 25% Generic and 25% Brand