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2024 Medicare basics assessment/MA (non-SNP) Exam Questions and Answers 100% Pass

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2024 Medicare basics assessment/MA (non-SNP) Exam Questions and Answers 100% Pass Which statement is true about a member of a Medicare vantage in a plan who wants to enroll in a Medicare supplement insurance plan? - When a consumer enroll in a Medicare supplement insurance plan, they are not automatically disenrolled from their in MA plan Provided other eligibility requirements are met who is eligible for Medicare - 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 - provided Which of the following best describes eligibility to enroll in an MA plan - Entitled to Part A and enrolled in part B reside in Plains Service area may have pre-existing conditions, such as ESRD Which of the following statement is correct about HMO MA plans - Members must receive covert services from contracted network providers with limited exceptions Which of the following are MA plans to focus on using network providers to maximize the benefits and reduce out of network expenses - HMO POS PPO When is Mary's Medicare supplement open enrollment. If she turns 65 on September 23, 2023 and her Medicare part B a fact it is September 1, 2023. - September 2023 through February 2024 Jennifer is enrolling into a Medicare advantage am a plan he wants to know what counts toward the out- of-pocket maximum which of the following is accurate - The out-of-pocket maximum will include her cost toward any Medicare covered part, a or B services, but does not include the cost of any plan premiums Page 2/5 Crafted for Academic Insight by KatelynWhitman. All rights reserved © 2025 Margaret currently has an MAPD plan what would happen if you enrolled her into a standalone PDP - She would be disenrolled automatically from her MAPD What is Medicare Part D? - 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 of the following is a fact about Medicare prescription drug plan? - To enroll, the consumer must reside in the plans service area Aside from a Medicare advantage, plan or other health plan that includes prescription drug coverage house cut a Medicare - eligible consumer, get part D prescription drug coverage - They can enroll in a standalone Medicare prescription drug plan PDP Which of the following statements accurately describes a prescription drug stage - Starting in 2024, the catastrophic coverage stage is when the member will pay nothing for covered drugs for the remainder of the plan year. Which of these statements is not true about the drug utilization management UM rules? - if a medication has a UM rule the member will not be able to get that medication Which of the following best describes the late enrollment penalty LEP - The amount added to the member's monthly plan premium if they did not enroll in a Medicare Advantage plan with Part D benefits or stand-alone prescription drug plan when they were first eligible for Medicare Parts A and/or B or went without creditable prescription drug coverage for 63 or more continuous days. How does a consumer who qualifies for low income subsidy receive financial assistance for their part of Medicare part D cost? - Through subsidies, such as lower or no monthly plan, premiums and lower or no copayments Page 3/5 Crafted for Academic Insight by KatelynWhitman. All rights reserved © 2025 Which of the following is a characteristic of a drug tier - All the drugs in the tier the same copayments or coinsurance In states for Medicare supplement insurance underwriting criteria can apply all of the following underwriting criteria apply except - Most consumers who are The Medicare access in chip reauthorization act of 2015 MACRA which went into affect January 1, 2020 applies to all of the carriers offering Medicare supplement plans - True Which statement is true of Medicare supplement insurance plans - Insured members have the freedom to choose any doctor who accepts Medicare patients. In which two parts of Medicare is enrolled, generally, automatic for eligible consumers, who sings social security benefits, unless they choose to delay their coverage - Parts A and B Which of the following consumers are eligible for Medicare other eligibility requirements are met - Consumers age 65 or older, consumers under 65 years of age with a qualifying d

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2024 Medicare basics assessment
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2024 Medicare basics assessment

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Subido en
3 de diciembre de 2024
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Escrito en
2024/2025
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2024 Medicare basics assessment/MA (non-SNP)
Exam Questions and Answers 100% Pass

Which statement is true about a member of a Medicare vantage in a plan who wants to enroll in a

Medicare supplement insurance plan? - ✔✔When a consumer enroll in a Medicare supplement insurance

plan, they are not automatically disenrolled from their in MA plan


Provided other eligibility requirements are met who is eligible for Medicare - ✔✔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 - ✔✔provided


Which of the following best describes eligibility to enroll in an MA plan - ✔✔Entitled to Part A and

enrolled in part B reside in Plains Service area may have pre-existing conditions, such as ESRD


Which of the following statement is correct about HMO MA plans - ✔✔Members must receive covert

services from contracted network providers with limited exceptions


Which of the following are MA plans to focus on using network providers to maximize the benefits and

reduce out of network expenses - ✔✔HMO POS PPO


When is Mary's Medicare supplement open enrollment. If she turns 65 on September 23, 2023 and her

Medicare part B a fact it is September 1, 2023. - ✔✔September 2023 through February 2024


Jennifer is enrolling into a Medicare advantage am a plan he wants to know what counts toward the out-

of-pocket maximum which of the following is accurate - ✔✔The out-of-pocket maximum will include her

cost toward any Medicare covered part, a or B services, but does not include the cost of any plan

premiums


Page 1/5
Crafted for Academic Insight by KatelynWhitman. All rights reserved © 2025

, Margaret currently has an MAPD plan what would happen if you enrolled her into a standalone PDP -

✔✔She would be disenrolled automatically from her MAPD


What is Medicare Part D? - ✔✔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 of the following is a fact about Medicare prescription drug plan? - ✔✔To enroll, the consumer

must reside in the plans service area


Aside from a Medicare advantage, plan or other health plan that includes prescription drug coverage

house cut a Medicare - eligible consumer, get part D prescription drug coverage - ✔✔They can enroll in a

standalone Medicare prescription drug plan PDP


Which of the following statements accurately describes a prescription drug stage - ✔✔Starting in 2024,

the catastrophic coverage stage is when the member will pay nothing for covered drugs for the remainder

of the plan year.


Which of these statements is not true about the drug utilization management UM rules? - ✔✔if a

medication has a UM rule the member will not be able to get that medication


Which of the following best describes the late enrollment penalty LEP - ✔✔The amount added to the

member's monthly plan premium if they did not enroll in a Medicare Advantage plan with Part D

benefits or stand-alone prescription drug plan when they were first eligible for Medicare Parts A and/or

B or went without creditable prescription drug coverage for 63 or more continuous days.


How does a consumer who qualifies for low income subsidy receive financial assistance for their part of

Medicare part D cost? - ✔✔Through subsidies, such as lower or no monthly plan, premiums and lower or

no copayments




Page 2/5
Crafted for Academic Insight by KatelynWhitman. All rights reserved © 2025

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