1. Point-of-Service Which type of MA Plan is an HMO plan that also covers
(POS) Plan certain benefits out-of-network, generally at a higher cost?
-Medicare Supplement Insurance Plan
-Point-of-Service (POS) Plan
-Preferred Provider Organization (PPO)
-Private Fee-for-Service (PFFS)
2. His enrollment in Milton is retiring on his 65th birthday. He is eligible for
Medicare Parts A Medicare and already receives Social Security benefits.
and B is general- How does he enroll in Original Medicare?
ly automatic if he
meets all eligibil- His enrollment in Medicare Parts A and B is generally
ity requirements automatic if he meets all eligibility requirements
He must enroll in Medicare Parts A and B through his
current or former employer.
He can only sign up for Medicare Parts A and/or B at his
local Social Security office.
He can sign up for Medicare Parts A and/or B with any
licensed insurance agent.
3. When a con- Which statement is true about a member of a Medicare
sumer enrolls in Advantage (MA) Plan who wants to enroll in a Medicare
a Medicare Sup- Supplement Insurance Plan?
plement Insur-
ance Plan, they -A member does not need a valid election period to disen-
are not automat- roll from an MA plan.
ically disenrolled
from their MA -When a consumer enrolls in a Medicare Supplement In-
Plan. surance Plan, they are not automatically disenrolled from
their MA Plan.
-A consumer can use a Medicare Supplement Insurance
Plan and an MA Plan at the same time.
-When a consumer enrolls in a Medicare Supplement
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, UHC Medicare Basics Assessment Test with Verified Solutions
Insurance Plan, they are automatically disenrolled from
their MA Plan.
4. Consumers age Which of the following consumers are eligible for Medicare
65 or older, con- if other eligibility requirements are met?
sumers under 65
years of age -Only consumers age 65 or older with a qualifying disabil-
with a quali- ity and consumers of all ages with ESRD or ALS who are
fying disability receiving Social Security Disability Insurance (SSDI) for
and consumers ALS.
of all ages with
ESRD or ALS -Consumers age 65 or older and consumers under 65
who are receiv- years of age with a qualifying disability except for ESRD or
ing Social Se- ALS who are receiving Social Security Disability Insurance
curity Disability (SSDI) for ALS.
Insurance (SSDI)
for ALS. -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.
-Consumers age 62 or older, consumers under 62 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.
5. An MA Plan is Which of the following defines a Medicare Advantage (MA)
part of Medicare Plan? (Select 3)
and is also called
Part C. An MA Plan is part of Medicare and is also called Part C.
An MA Plan is An MA Plan is a health plan option approved by Medicare
a health plan op- and offered by private insurance companies.
tion approved by
Medicare and of- An MA Plan does not have to provide benefits equivalent
fered by private to Original Medicare.
insurance com-
panies. An MA Plan provides Medicare hospital and medical in-
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