UHC 2021 Medicare Basics Questions and Answers 2025/2026 – Verified A+ Grade Study Guide

UHC 2021 Medicare Basics questions and
answers 2025\2026 A+ Grade

Which part of Medicare helps with inpatient hospital stays, hospice care, and provides limited home
health benefits?
- correct answer Part B

Part D

Part A(Right)

Part C



Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a
Medicare Supplement Insurance Plan?
- correct answer -A consumer can use a Medicare Supplement Insurance Plan and an MA Plan at the
same time.

-When a consumer enrolls in a Medicare Supplement Insurance Plan, he/she is not automatically
disenrolled from his/her MA Plan.

-A member does not need a valid election period to disenroll from an MA plan.

-When a consumer enrolls in a Medicare Supplement Insurance Plan, he/she is automatically disenrolled
from his/her MA Plan.(wrong)



Which of the following consumers would be eligible for Medicare?
- correct answer -Consumers age 65 or older and consumers under 65 years of age with certain
disabilities except for ESRD or ALS

-Consumers age 65 or older, consumers under 65 years of age with certain disabilities for more than 24
months and consumers of all ages with ESRD or ALS(right)

-Only consumers age 65 or older with certain disabilities and consumers of all ages with ESRD or ALS

-Consumers age 62 or older, consumers under 62 years of age with certain disabilities and consumers of
all ages with ESRD or ALS



Which of the following defines a Medicare Advantage (MA) Plan? (Select 3)
- correct answer An MA Plan does not have to provide benefits equivalent to Original Medicare.(wrong)

, -An MA Plans is part of Medicare and is also called Part C.(right)

-An MA Plan is a health plan option approved by Medicare and offered by private insurance
companies.(right)

-An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part B) and often
include Medicare prescription drug coverage (Part D).(right



Janice wants to enroll in a 2021 Medicare Advantage plan. What eligibility requirements must she meet?
(Select the two answers that apply.)
- correct answer -Not have End Stage Renal Disease (permanent kidney failure)

-Reside in the plan's service area(right)

-Entitled to Medicare Part A and enrolled in Part B(right)

-Entitled to Medicare Part A and/or is enrolled in Part B



Which of the following statements is correct about HMO MA Plans?
- correct answer -Members that use out-of-network providers for routine office visits must pay a penalty
in addition to any copayment.(wrong)

-Most benefits are covered out-of-network but at a higher cost.

-Members must receive covered services from contracted network providers.

-There are no exceptions to the provider network requirement for obtaining certain services from out-
of-network providers.



Which type of MA Plan is an HMO plan that also covers some benefits out-of-network, generally at a
higher cost?
- correct answer -Private Fee-for-Service (PFFS)

-Medicare Supplement Insurance Plan

-Preferred Provider Organization (PPO)

-Point-of-Service (POS) Plan(right)



When does Medicare Supplement Open Enrollment take place?
- correct answer -During the first three months a consumer is 65 or older and enrolled in Medicare Part
B.

-During the first six months a consumer is 65 or older and enrolled in Medicare Part B.(right)

-Annually from October 15 to December 7.