2025 Kaiser Exam Questions with Detailed
Verified Answers
True or False: Kaiser Permanente Senior Advantage (KPSA) and Medicare Advantage
members agree to seek care at Kaiser Permanente or contracted network facilities
(except for certain urgent care and emergency-related services) Ans: True
Select all that apply: To be eligible for Kaiser Permanente Senior Advantage (KPSA)
and Medicare Advantage, and individual must: Ans: Permanently reside in the KP
service area
Be a U.S. citizen or lawfully present in the United States
Be entitled to Medicare Part A and enrolled in Medicare Part B
True or False: Any KPSA or KPMA member can use the new POS benefit. Ans: False
True or False: A member enrolled in the Medicare Explorer plan can use the new POS
benefit inside the service area. Ans: False
To be eligible for the Senior Advantage Special Needs Plan, and individual must already
have _____________ Ans: Both Medicare and Medicaid
At Kaiser Permanente, ____________ apply to the maximum out-of-pocket (MOOP)
Ans: All Medicare Parts A and B-covered services
Which of the following is not an advantage of this benefit? Ans: Elimination of the
specialty tier
Which of the following is not true of the M3P program? Ans: Eligibility is based on
income
Verified Answers
True or False: Kaiser Permanente Senior Advantage (KPSA) and Medicare Advantage
members agree to seek care at Kaiser Permanente or contracted network facilities
(except for certain urgent care and emergency-related services) Ans: True
Select all that apply: To be eligible for Kaiser Permanente Senior Advantage (KPSA)
and Medicare Advantage, and individual must: Ans: Permanently reside in the KP
service area
Be a U.S. citizen or lawfully present in the United States
Be entitled to Medicare Part A and enrolled in Medicare Part B
True or False: Any KPSA or KPMA member can use the new POS benefit. Ans: False
True or False: A member enrolled in the Medicare Explorer plan can use the new POS
benefit inside the service area. Ans: False
To be eligible for the Senior Advantage Special Needs Plan, and individual must already
have _____________ Ans: Both Medicare and Medicaid
At Kaiser Permanente, ____________ apply to the maximum out-of-pocket (MOOP)
Ans: All Medicare Parts A and B-covered services
Which of the following is not an advantage of this benefit? Ans: Elimination of the
specialty tier
Which of the following is not true of the M3P program? Ans: Eligibility is based on
income
