MEDICARE BASICS TEST 2025 UPDATED ACTUAL EXAM WITH CORRECT SOLUTIONS.
Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare helps
cover the costs of his inpatient hospital stay? - (ANSWER)Part A
Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a
Medicare Supplement Insurance Plan? - (ANSWER)The consumer must be in a valid MA election or
disenrollment period.
Being 65 or older, being under 65 years of age with certain disabilities for more than 24 months, and
being any age with ESRD or ALS are each eligibility requirements for which program? - (ANSWER)Original
Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 2) - (ANSWER)MA Plans must
provide benefits equivalent to Original Medicare, and most plans also offer additional benefits.
&
MA Plans provide Medicare hospital and medical insurance and often include Medicare prescription
drug coverage.
Larry wants to enroll in a 2021 Medicare Advantage plan. He has End Stage Renal Disease (permanent
kidney failure). What eligibility requirements must he meet? (Select the two answers that apply.) -
(ANSWER)Reside in the plan's service area
&
Entitled to Medicare Part A and enrolled in Part B
Member Doug enrolled in a Health Maintenance Organization (HMO) MA Plan. He saw an out-of-
network doctor and received a bill for the entire cost of the visit. Doug called Medicare to complain and
stated he was never told about these types of costs. What should the agent have explained better to
Doug when he was enrolling in the plan? (Select 3) - (ANSWER)That Doug must receive covered services
from contracted network providers.
&
That exceptions to the provider network requirement are emergency visits, urgent care and renal
dialysis services, which can be obtained from out-of-network providers.
&
Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare helps
cover the costs of his inpatient hospital stay? - (ANSWER)Part A
Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a
Medicare Supplement Insurance Plan? - (ANSWER)The consumer must be in a valid MA election or
disenrollment period.
Being 65 or older, being under 65 years of age with certain disabilities for more than 24 months, and
being any age with ESRD or ALS are each eligibility requirements for which program? - (ANSWER)Original
Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 2) - (ANSWER)MA Plans must
provide benefits equivalent to Original Medicare, and most plans also offer additional benefits.
&
MA Plans provide Medicare hospital and medical insurance and often include Medicare prescription
drug coverage.
Larry wants to enroll in a 2021 Medicare Advantage plan. He has End Stage Renal Disease (permanent
kidney failure). What eligibility requirements must he meet? (Select the two answers that apply.) -
(ANSWER)Reside in the plan's service area
&
Entitled to Medicare Part A and enrolled in Part B
Member Doug enrolled in a Health Maintenance Organization (HMO) MA Plan. He saw an out-of-
network doctor and received a bill for the entire cost of the visit. Doug called Medicare to complain and
stated he was never told about these types of costs. What should the agent have explained better to
Doug when he was enrolling in the plan? (Select 3) - (ANSWER)That Doug must receive covered services
from contracted network providers.
&
That exceptions to the provider network requirement are emergency visits, urgent care and renal
dialysis services, which can be obtained from out-of-network providers.
&
