Terminology
A member notifies us that his plan terminated multiple provider networks. Would this qualify as
an SEP?
1. No
2. Yes - correct answer Yes
What does Medicare Part A cover?
1. Outpatient Service
2. Inpatient Hospital
3. Lab Service
4. Ambulance - correct answer Inpatient Hospital
What does Medicare part B cover?
1. Outpatient Hospital
2. Inpatient Hospital
3. Cosmetic Producers
4. Hospice - correct answer Outpatient Hospital
Who is eligible for Original Medicare?
1. People 65 and over
2. People with ESRD
3. People with certain disabilities
4. All are correct - correct answer All are correct
Fred qualifies for Medicare based on attaining age 65. When can he enroll?
1. One year before turning 65
2. only the month of his 65 birthday
3. only before his 65th birthday
4. 3 months before, month of, & 3 months after his 65th birthday - correct answer 3 months
before, month of, & 3 months after his 65th birthday
Medicare Advantage Part C Plans may include:
,1. Lower out of pocket costs
2. A Maximum out of pocket (Moop)
3. Benefits like dental, vision, hearing, transportation & gym
4. All of those - correct answer All of those
People are automatically enrolled into Medicare Part D.
1. True
2. False - correct answer False
The late enrollment penalty applied to which part of Medicare?
1. Part A
2. Part B
3. Part C
4. Part D - correct answer Part D
There is an additional premium for Part D
1. True
2. False - correct answer True
CMS stands for
1. Center for Medicare Standards
2. Content Management
3. Centers for Medicare and Medicaid Services
4. Call management system - correct answer Centers for Medicare and Medicaid Services
______________ determines eligibility for and enrolls people into Medicare
1. CMS
2. SSA
3. Centene
4. The health plan - correct answer SSA
Individuals who qualify for Original Medicare are:
1. Age 65 years or older
, 2. Under age 65 with certain disabilities
3. Those at any age who have been diagnosed with ESRD
4. All of these - correct answer All of these
The handbook CMS mails to beneficiaries every year is called:
1. Medicare & You
2. Healthcare Choice
3. Staying Healthy
4. Coverage and payment - correct answer Medicare & You
Medicare Advantage plan premiums are paid directly to CMS
1. Yes
2. No - correct answer
Medicare Advantage plan premiums are paid directly to CMS
1. True
2. False - correct answer False
Original Medicare is a _________ plan
1. FFS
2. HMO
3. PPO
4. MAPD - correct answer FFS
I can use a Medigap police to help pay for the out of pocket cost on an MAPD
1. True
2. False - correct answer False
I can use a Medigap policy to help pay for the out of pocket costs on an MAPD
1. True
2. False - correct answer False
Original Medicare does not cover
1. Hearing aids and dentures