UHC MEDICARE BASICS ASSESSMENT EXAM | COMPLETE
QUESTIONS WITH 100% RATED EXPERT SOLUTIONS |2026 LATEST
UPDATED
In which two parts of Medicare is enrollment generally automatic for eligible consumers who are
receiving Social Security benefits, UNLESS they choose to delay their coverage? - (answer)Parts
A and B
Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll
in a Medicare Supplement Insurance Plan? - (answer)The consumer must be in a valid MA
election or disenrollment period.
Provided other eligibility requirements are met, who is eligible for Medicare? -
(answer)Consumers age 65 or older, consumers under 65 years of age with a qualifying disability
and consumers of all ages with ESRD or ALS who are receiving Social Security Disability
Insurance (SSDI) for ALS.
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) - (answer)-An MA
Plan is a health plan option approved by Medicare and offered by private insurance companies.
-An MA Plan is part of Medicare and is also called Part C.
,-An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part B)
and often includes Medicare prescription drug coverage (Part D).
To be eligible for this plan type, consumers must meet the following requirements: be entitled to
Medicare Part A and enrolled in Part B, and reside in the plan's service area. Which plan is being
described? - (answer)Medicare Advantage
Which of the following statements is correct about HMO MA Plans? - (answer)Members must
receive covered services from contracted network providers with limited exceptions.
Which of the following are MA Plans that focus on using network providers to maximize the
benefits and reduce out-of-network expenses? - (answer)HMO, POS, PPO
When does Medicare Supplement Open Enrollment take place? - (answer)During the first six
months a consumer is 65 or older and enrolled in Medicare Part B.
What costs count toward the out-of-pocket maximum for Medicare Advantage (MA) Plans? -
(answer)The Out-of-Pocket Maximum includes costs the member pays for any Medicare-covered
Part A or B services but does not include the cost of any plan premiums.
, 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? - (answer)The consumer will be automatically disenrolled from their
stand-alone PDP upon enrollment in the MA Plan that has integrated prescription drug coverage
What is Medicare Part D? - (answer)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.
Which consumer is eligible for a stand-alone Medicare Prescription Drug Plan? -
(answer)Joseph, who is enrolled in Medicare Part A and Medicare Part B and resides in the plan's
service area.
A consumer with only Part A residing in the plan's service area can enroll in which plan type to
get Part D coverage? - (answer)A stand-alone Part D Plan.
Which of the following statements accurately describes a prescription drug stage? -
(answer)Starting in 2024, the catastrophic coverage stage is when the member will pay nothing
for covered drugs for the remainder of the plan year.
QUESTIONS WITH 100% RATED EXPERT SOLUTIONS |2026 LATEST
UPDATED
In which two parts of Medicare is enrollment generally automatic for eligible consumers who are
receiving Social Security benefits, UNLESS they choose to delay their coverage? - (answer)Parts
A and B
Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll
in a Medicare Supplement Insurance Plan? - (answer)The consumer must be in a valid MA
election or disenrollment period.
Provided other eligibility requirements are met, who is eligible for Medicare? -
(answer)Consumers age 65 or older, consumers under 65 years of age with a qualifying disability
and consumers of all ages with ESRD or ALS who are receiving Social Security Disability
Insurance (SSDI) for ALS.
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) - (answer)-An MA
Plan is a health plan option approved by Medicare and offered by private insurance companies.
-An MA Plan is part of Medicare and is also called Part C.
,-An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part B)
and often includes Medicare prescription drug coverage (Part D).
To be eligible for this plan type, consumers must meet the following requirements: be entitled to
Medicare Part A and enrolled in Part B, and reside in the plan's service area. Which plan is being
described? - (answer)Medicare Advantage
Which of the following statements is correct about HMO MA Plans? - (answer)Members must
receive covered services from contracted network providers with limited exceptions.
Which of the following are MA Plans that focus on using network providers to maximize the
benefits and reduce out-of-network expenses? - (answer)HMO, POS, PPO
When does Medicare Supplement Open Enrollment take place? - (answer)During the first six
months a consumer is 65 or older and enrolled in Medicare Part B.
What costs count toward the out-of-pocket maximum for Medicare Advantage (MA) Plans? -
(answer)The Out-of-Pocket Maximum includes costs the member pays for any Medicare-covered
Part A or B services but does not include the cost of any plan premiums.
, 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? - (answer)The consumer will be automatically disenrolled from their
stand-alone PDP upon enrollment in the MA Plan that has integrated prescription drug coverage
What is Medicare Part D? - (answer)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.
Which consumer is eligible for a stand-alone Medicare Prescription Drug Plan? -
(answer)Joseph, who is enrolled in Medicare Part A and Medicare Part B and resides in the plan's
service area.
A consumer with only Part A residing in the plan's service area can enroll in which plan type to
get Part D coverage? - (answer)A stand-alone Part D Plan.
Which of the following statements accurately describes a prescription drug stage? -
(answer)Starting in 2024, the catastrophic coverage stage is when the member will pay nothing
for covered drugs for the remainder of the plan year.
