UHC../Medicare../Basics../Assessment
In../which../two../parts../of../Medicare../is../enrollment../generally../automatic../for../
eligible../consumers../who../are../receiving../Social../Security../benefits,../UNLES
S../they../choose../to../delay../their../coverage?../-../correct../answer../Parts../A../and../B
Which../statement../is../true../about../members../of../a../Medicare../Advantage../(M
A)../Plan../who../want../to../enroll../in../a../Medicare../Supplement../Insurance../Plan?
../-
../correct../answer../The../consumer../must../be../in../a../valid../MA../election../or../dise
nrollment../period.
Provided../other../eligibility../requirements../are../met,../who../is../eligible../for../Me
dicare?../-
../correct../answer../Consumers../age../65../or../older,../consumers../under../65../years.
./of../age../with../a../qualifying../disability../and../consumers../of../all../ages../with../ES
RD../or../ALS../who../are../receiving../Social../Security../Disability../Insurance../(S
SDI)../for../ALS.
Which../of../the../following../defines../a../Medicare../Advantage../(MA)../Plan?../(S
elect../3)../-../correct../answer../-
An../MA../Plan../is../a../health../plan../option../approved../by../Medicare../and../offere
d../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../(Medi
, care../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../r
equirements:../be../entitled../to../Medicare../Part../A../and../enrolled../in../Part../B,../an
d../reside../in../the../plan's../service../area.../Which../plan../is../being../described?../-
../correct../answer../Medicare../Advantage
Which../of../the../following../statements../is../correct../about../HMO../MA../Plans?../-
../correct../answer../Members../must../receive../covered../services../from../contract
ed../network../providers../with../limited../exceptions.
Which../of../the../following../are../MA../Plans../that../focus../on../using../network../pro
viders../to../maximize../the../benefits../and../reduce../out-of-network../expenses?../-
../correct../answer../HMO,../POS,../PPO
When../does../Medicare../Supplement../Open../Enrollment../take../place?../-
../correct../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?../-
../correct../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.
In../which../two../parts../of../Medicare../is../enrollment../generally../automatic../for../
eligible../consumers../who../are../receiving../Social../Security../benefits,../UNLES
S../they../choose../to../delay../their../coverage?../-../correct../answer../Parts../A../and../B
Which../statement../is../true../about../members../of../a../Medicare../Advantage../(M
A)../Plan../who../want../to../enroll../in../a../Medicare../Supplement../Insurance../Plan?
../-
../correct../answer../The../consumer../must../be../in../a../valid../MA../election../or../dise
nrollment../period.
Provided../other../eligibility../requirements../are../met,../who../is../eligible../for../Me
dicare?../-
../correct../answer../Consumers../age../65../or../older,../consumers../under../65../years.
./of../age../with../a../qualifying../disability../and../consumers../of../all../ages../with../ES
RD../or../ALS../who../are../receiving../Social../Security../Disability../Insurance../(S
SDI)../for../ALS.
Which../of../the../following../defines../a../Medicare../Advantage../(MA)../Plan?../(S
elect../3)../-../correct../answer../-
An../MA../Plan../is../a../health../plan../option../approved../by../Medicare../and../offere
d../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../(Medi
, care../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../r
equirements:../be../entitled../to../Medicare../Part../A../and../enrolled../in../Part../B,../an
d../reside../in../the../plan's../service../area.../Which../plan../is../being../described?../-
../correct../answer../Medicare../Advantage
Which../of../the../following../statements../is../correct../about../HMO../MA../Plans?../-
../correct../answer../Members../must../receive../covered../services../from../contract
ed../network../providers../with../limited../exceptions.
Which../of../the../following../are../MA../Plans../that../focus../on../using../network../pro
viders../to../maximize../the../benefits../and../reduce../out-of-network../expenses?../-
../correct../answer../HMO,../POS,../PPO
When../does../Medicare../Supplement../Open../Enrollment../take../place?../-
../correct../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?../-
../correct../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.
