UHC AHIP MEDICARE BASICS
ASSESSMENT TEST BANK
UPDATED QUESTIONS AND
SOLUTIONS GRADED A PLUS
◉ 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.
or
When a consumer enrolls in a Medicare Supplement Insurance Plan,
they are not automatically disenrolled from their MA Plan.
◉ 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 provides Medicare hospital and medical insurance
(Medicare Part A and Part B) and often includes Medicare prescription
drug coverage (Part D).
An MA Plan is part of Medicare and is also called Part C.
Next question
◉ 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 coordinated care
through a network of doctors and hospitals? Answer: INCORRECT:
HMO, PFFS, POS
◉ When is Mary's Medicare Supplement Open Enrollment period if she
turns 65 on September 23 and her Medicare Part B effective date is
September 1? Answer: INCORRECT:
June through December
ASSESSMENT TEST BANK
UPDATED QUESTIONS AND
SOLUTIONS GRADED A PLUS
◉ 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.
or
When a consumer enrolls in a Medicare Supplement Insurance Plan,
they are not automatically disenrolled from their MA Plan.
◉ 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 provides Medicare hospital and medical insurance
(Medicare Part A and Part B) and often includes Medicare prescription
drug coverage (Part D).
An MA Plan is part of Medicare and is also called Part C.
Next question
◉ 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 coordinated care
through a network of doctors and hospitals? Answer: INCORRECT:
HMO, PFFS, POS
◉ When is Mary's Medicare Supplement Open Enrollment period if she
turns 65 on September 23 and her Medicare Part B effective date is
September 1? Answer: INCORRECT:
June through December
