2014 - Ba - Readiness Quiz 4 - Ga/Df

11 Questions | Total Attempts: 1440

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2014 - Ba - Readiness Quiz 4 - Ga/Df

Questions and Answers
  • 1. 
    A non-preferred generic drug is identified as which tier level in most plans?
    • A. 

      Tier 1

    • B. 

      Tier 2

    • C. 

      Tier 3

    • D. 

      Tier 4

  • 2. 
    A non-preferred brand drug is identified as which tier level in most plans?
    • A. 

      Tier 1

    • B. 

      Tier 2

    • C. 

      Tier 3

    • D. 

      Tier 4

  • 3. 
    Which of the following descriptions would best describe a drug restriction?
    • A. 

      Cost

    • B. 

      Tier level

    • C. 

      Non-network Pharmacy

    • D. 

      Step therapy

  • 4. 
    What step would you take if a drug is identified as non-covered?
    • A. 

      Re-verify the drug with the customer

    • B. 

      Check for the correct spelling of the drug

    • C. 

      Check drug on Medicare.gov

    • D. 

      All of the above

  • 5. 
    Which of the following would be identified as a deductible for a PDP?
    • A. 

      A standard amount you pay based on a tier level

    • B. 

      A fixed amount that must be paid before the plan pays

    • C. 

      A percentage of the cost that must be paid to the pharmacy

    • D. 

      Deductibles for PDP are not required

  • 6. 
    Prescription drug plans do not require a deductible to be paid for mail orders. 
    • A. 

      True

    • B. 

      False

  • 7. 
    Which pharmacy would you expect to get a lower cost for covered drugs? 
    • A. 

      Network Pharmacy

    • B. 

      Long Term Care Pharmacy

    • C. 

      Preferred Network Pharmacy

    • D. 

      There is no difference in costs on Medicare PDP’s

  • 8. 
    No special consideration is needed on selecting a plan for someone who is in a nursing home.
    • A. 

      True

    • B. 

      False

  • 9. 
    Certain drugs are covered in some plans but not others. A customer demands to know why his drug is not covered. Which of the following would you tell the customer?
    • A. 

      Some carriers cannot afford to cover the drug

    • B. 

      Some carriers do not want the risk of providing the drug

    • C. 

      The drug is not listed in the formulary

    • D. 

      All of the above

  • 10. 
    OTC (over the counter) drugs are important to the health of a customer. It is important to collect this information so the customer will have a fair comparison of their total monthly drug cost.
    • A. 

      True

    • B. 

      False

  • 11. 
    When searching for a PCP number for a Humana MAPD, what resources should you use? (Check all that apply)  
    • A. 

      NPI Registry

    • B. 

      Humana Physician Finder

    • C. 

      Call the doctor’s office

    • D. 

      Type in the doctor’s name and phone number

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