Medicare Basics Test Q&A 2023

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 a member of a Medicare Advantage Plan who wants to enroll in a Medicare Supplement Insurance Plan? - Answer- When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically unenrolled from their MA plan Which of the following consumers are eligible for Medicare if other eligibility requirements are met? - Answer- Consumers age 65 or older, consumers under age 65 with certain disabilities for more than 24 months, and consumers of all ages with ESRD or ALS Which of the following defines a Medicare Advantage Plan? - Answer- MA plans must provide benefits equivalent to Original Medicare, and most also offer additional benefits MA plans provide Medicare hospital and medical insurance and often include Medicare prescription drug coverage Janice wants to enroll in a Medicare Advantage plan. Which of the following is NOT an eligibility requirement? - Answer- Does not have any pre existing conditions, such as diabetes or ESRD What must be explained to consumers enrolling in an HMO MA plan? - Answer- The exception to the provider network requirement is emergency visits, urgent care and renal dialysis services, which can be obtained from out of network providers They must see contracted network providers in order to receive coverage under the plan Most benefits are covered out of network but at a higher cost 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