UHC Medicare Basics Assessment Exam.

UHC Medicare Basics Assessment Exam. 1. In which two parts of Medicare is en- rollment generally automatic for eligi- ble consumers who are receiving Social Security benefits, UNLESS they choose to delay their coverage? 2. Which statement is true about mem- bers of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? 3. Provided other eligibility requirements are met, who is eligible for Medicare? 4. Which of the following defines a Parts A and B The consumer must be in a valid MA election or disenrollment period. Consumers age 65 or older, consumers under 65 years of age with a qualifying disability and con- sumers of all ages with ESRD or ALS who are re- ceiving Social Security Disability Insurance (SSDI) for ALS. -An MA Plan is a health plan option approved by Medicare Advantage (MA) Plan? (Select Medicare and ottered by private insurance com- 3) 5. To be eligible for this plan type, con- sumers must meet the following re- quirements: be entitled to Medicare Part A and enrolled in Part B, and reside panies. -An MA Plan is part of Medicare and is also called Part C. -An MA Plan provides Medicare hospital and med- ical insurance (Medicare Part A and Part B) and of- ten includes Medicare prescription drug coverage (Part D). Medicare Advantage in the plan's service area. Which plan is being described? 6. Which of the following statements is correct about HMO MA Plans? 7. Which of the following are MA Plans that focus on using network providers to maximize the benefits and reduce out-of-network expenses? 8. When does Medicare Supplement Open Enrollment take place? 9. What costs count toward the out-of-pocket maximum for Medicare Advantage (MA) Plans? 10. A consumer currently has Origi- nal Medicare and is enrolled in a stand-alone Prescription Drug Plan (PDP). What will happen if the con- sumer enrolls in an MA Plan that has integrated prescription drug coverage? Members must receive covered services from con- tracted network providers with limited exceptions. HMO, POS, PPO During the first six months a consumer is 65 or older and enrolled in Medicare Part B. 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. The consumer will be automatically disenrolled