2025 MEDICARE BASICS
ASSESSMENT UHC EXAM GRADED
A+
Milton dis dretiring don dhis d65th dbirthday. dHe dis deligible dfor dMedicare dand dalready
dreceives dSocial dSecurity dbenefits. dHow ddoes dhe denroll din dOriginal dMedicare? d-
dcorrect danswers d-His denrollment din dMedicare dParts dA dand dB dis dgenerally
dautomatic dif dhe dmeets dall deligibility drequirements
Which dstatement dis dtrue dabout dmembers dof da dMedicare dAdvantage d(MA) dPlan
dwho dwant dto denroll din da dMedicare dSupplement dInsurance dPlan? d- dcorrect
danswers d-The dconsumer dmust dbe din da dvalid dMA delection dor ddisenrollment
dperiod.
or
, When da dconsumer denrolls din da dMedicare dSupplement dInsurance dPlan, dthey dare
dnot dautomatically ddisenrolled dfrom dtheir dMA dPlan.
Provided dother deligibility drequirements dare dmet, dwho dis deligible dfor dMedicare? d-
dcorrect danswers d-Consumers dage d65 dor dolder, dconsumers dunder d65 dyears dof
dage dwith da dqualifying ddisability dand dconsumers dof dall dages dwith dESRD dor dALS
dwho dare dreceiving dSocial dSecurity dDisability dInsurance d(SSDI) dfor dALS.
Which dof dthe dfollowing ddefines da dMedicare dAdvantage d(MA) dPlan? d(Select d3) d-
dcorrect danswers d-An dMA dPlan dis da dhealth dplan doption dapproved dby dMedicare
dand doffered dby dprivate dinsurance dcompanies.
An dMA dPlan dprovides dMedicare dhospital dand dmedical dinsurance d(Medicare dPart
dA dand dPart dB) dand doften dincludes dMedicare dprescription ddrug dcoverage d(Part
dD).
An dMA dPlan dis dpart dof dMedicare dand dis dalso dcalled dPart dC.
Next dquestion
To dbe deligible dfor dthis dplan dtype, dconsumers dmust dmeet dthe dfollowing
drequirements: dbe dentitled dto dMedicare dPart dA dand denrolled din dPart dB, dand
dreside din dthe dplan's dservice darea. dWhich dplan dis dbeing ddescribed? d- dcorrect
danswers d-Medicare dAdvantage
Which dof dthe dfollowing dstatements dis dcorrect dabout dHMO dMA dPlans? d- dcorrect
danswers d-Members dmust dreceive dcovered dservices dfrom dcontracted dnetwork
dproviders dwith dlimited dexceptions.
Which dof dthe dfollowing dare dMA dPlans dthat dfocus don dcoordinated dcare dthrough da
dnetwork dof ddoctors dand dhospitals? d- dcorrect danswers d-INCORRECT: d
HMO, dPFFS, dPOS
When dis dMary's dMedicare dSupplement dOpen dEnrollment dperiod dif dshe dturns d65
don dSeptember d23 dand dher dMedicare dPart dB deffective ddate dis dSeptember d1? d-
dcorrect danswers d-INCORRECT:
June dthrough dDecember
What dcosts dcount dtoward dthe dout-of-pocket dmaximum dfor dMedicare dAdvantage
d(MA) dPlans? d- dcorrect danswers d-The dOut-of-Pocket dMaximum dincludes dcosts dthe
dmember dpays dfor dany dMedicare-covered dPart dA dor dB dservices dbut ddoes dnot
dinclude dthe dcost dof dany dplan dpremiums.
Next dquestion
Margaret dcurrently dhas dan dMAPD dPlan. dWhat dwould dhappen dif dyou denrolled dher
dinto da dstand-alone dPDP? d- dcorrect danswers d-Application dwould dbe ddenied
ASSESSMENT UHC EXAM GRADED
A+
Milton dis dretiring don dhis d65th dbirthday. dHe dis deligible dfor dMedicare dand dalready
dreceives dSocial dSecurity dbenefits. dHow ddoes dhe denroll din dOriginal dMedicare? d-
dcorrect danswers d-His denrollment din dMedicare dParts dA dand dB dis dgenerally
dautomatic dif dhe dmeets dall deligibility drequirements
Which dstatement dis dtrue dabout dmembers dof da dMedicare dAdvantage d(MA) dPlan
dwho dwant dto denroll din da dMedicare dSupplement dInsurance dPlan? d- dcorrect
danswers d-The dconsumer dmust dbe din da dvalid dMA delection dor ddisenrollment
dperiod.
or
, When da dconsumer denrolls din da dMedicare dSupplement dInsurance dPlan, dthey dare
dnot dautomatically ddisenrolled dfrom dtheir dMA dPlan.
Provided dother deligibility drequirements dare dmet, dwho dis deligible dfor dMedicare? d-
dcorrect danswers d-Consumers dage d65 dor dolder, dconsumers dunder d65 dyears dof
dage dwith da dqualifying ddisability dand dconsumers dof dall dages dwith dESRD dor dALS
dwho dare dreceiving dSocial dSecurity dDisability dInsurance d(SSDI) dfor dALS.
Which dof dthe dfollowing ddefines da dMedicare dAdvantage d(MA) dPlan? d(Select d3) d-
dcorrect danswers d-An dMA dPlan dis da dhealth dplan doption dapproved dby dMedicare
dand doffered dby dprivate dinsurance dcompanies.
An dMA dPlan dprovides dMedicare dhospital dand dmedical dinsurance d(Medicare dPart
dA dand dPart dB) dand doften dincludes dMedicare dprescription ddrug dcoverage d(Part
dD).
An dMA dPlan dis dpart dof dMedicare dand dis dalso dcalled dPart dC.
Next dquestion
To dbe deligible dfor dthis dplan dtype, dconsumers dmust dmeet dthe dfollowing
drequirements: dbe dentitled dto dMedicare dPart dA dand denrolled din dPart dB, dand
dreside din dthe dplan's dservice darea. dWhich dplan dis dbeing ddescribed? d- dcorrect
danswers d-Medicare dAdvantage
Which dof dthe dfollowing dstatements dis dcorrect dabout dHMO dMA dPlans? d- dcorrect
danswers d-Members dmust dreceive dcovered dservices dfrom dcontracted dnetwork
dproviders dwith dlimited dexceptions.
Which dof dthe dfollowing dare dMA dPlans dthat dfocus don dcoordinated dcare dthrough da
dnetwork dof ddoctors dand dhospitals? d- dcorrect danswers d-INCORRECT: d
HMO, dPFFS, dPOS
When dis dMary's dMedicare dSupplement dOpen dEnrollment dperiod dif dshe dturns d65
don dSeptember d23 dand dher dMedicare dPart dB deffective ddate dis dSeptember d1? d-
dcorrect danswers d-INCORRECT:
June dthrough dDecember
What dcosts dcount dtoward dthe dout-of-pocket dmaximum dfor dMedicare dAdvantage
d(MA) dPlans? d- dcorrect danswers d-The dOut-of-Pocket dMaximum dincludes dcosts dthe
dmember dpays dfor dany dMedicare-covered dPart dA dor dB dservices dbut ddoes dnot
dinclude dthe dcost dof dany dplan dpremiums.
Next dquestion
Margaret dcurrently dhas dan dMAPD dPlan. dWhat dwould dhappen dif dyou denrolled dher
dinto da dstand-alone dPDP? d- dcorrect danswers d-Application dwould dbe ddenied