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MEDICARE BASICS TEST 2025 UPDATED
ACTUAL EXAM WITH CORRECT
SOLUTIONS.
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? -
correct 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? - correct 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? - correct 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? -
correct answer- MA plans must provide benefits equivalent to
Original Medicare, and most also offer additional benefits
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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? - correct
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? - correct 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? - correct answer- HMO, POS, PPO
When is Mary's Medicare Supplement Open Enrollment period
if she turns 65 on September 23, 2021, and her Medicare Part
B effective date is September 1, 2021? - correct answer- Sept
2021 - Feb 2022
MEDICARE BASICS TEST 2025 UPDATED
ACTUAL EXAM WITH CORRECT
SOLUTIONS.
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? -
correct 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? - correct 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? - correct 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? -
correct answer- MA plans must provide benefits equivalent to
Original Medicare, and most also offer additional benefits
, 2 | Page
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? - correct
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? - correct 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? - correct answer- HMO, POS, PPO
When is Mary's Medicare Supplement Open Enrollment period
if she turns 65 on September 23, 2021, and her Medicare Part
B effective date is September 1, 2021? - correct answer- Sept
2021 - Feb 2022
