UHC 2026 AHIP - Medicare Basics
Assessment (Medicare Advantage [non-SNP],
Prescription Drug and Medicare Supplement
Plans) QUESTIONS AND VERIFIED
ANSWERS
GRADED A+
QUESTIONS & ANSWERS
Lisa turned 65 and is now eligible for Medicare. She already receives Social Security
benefits. How does she enroll in Original Medicare?. ANSWER - Her enrollment in
Medicare Parts A and B is generally automatic if she meets all eligibility requirements.
Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to
enroll in a Medicare Supplement Insurance Plan?. ANSWER - When a consumer enrolls in
a Medicare Supplement Insurance Plan, they are not automatically disenrolled from their
MA Plan.
Being 65 or older, being under 65 years of age with a qualifying disability or 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 3). ANSWER - -
An MA Plan is part of Medicare and is also called Part C.
-An MA Plan is a health plan option approved by Medicare and offered by private insurance
companies.
-An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part
B) and often includes Medicare prescription drug coverage (Part D).
, To be eligible for this plan type, consumers must meet the following requirements: be
entitled to Medicare Part A and enrolled in Part B, and reside in the plan's service area.
Which plan is being described?. ANSWER - Medicare Advantage
Which of the following is a correct statement about in-network provider services?.
ANSWER - HMO Plans cover only in-network services. In most cases, members pay the
full cost of any out-of-network services received, with a few important exceptions.
Which of the following is NOT a correct statement about in-network provider services?.
ANSWER - HMO-POS Plans only cover in-network services.
Which statement is true about Medicare Supplement Open Enrollment?. ANSWER - It is
the six-month period that starts the month the consumer is 65 or older and is enrolled in
Medicare Part B.
Which statement is true about the Medicare Advantage (MA) Out-of-Pocket Maximum?.
ANSWER - All MA plans have an Out-of-Pocket Maximum to help limit the member's out-
of-pocket costs for Medicare-covered medical services.
Margaret currently has an MAPD Plan. What would happen if you enrolled her into a
stand-alone PDP?. ANSWER - She would be disenrolled automatically from her MAPD
Plan.
What is Medicare Part D?. ANSWER - A voluntary program, offered by private insurance
companies that are contracted with the federal government, that provides prescription drug
coverage for an additional monthly plan premium.
Which of the following best describes eligibility to enroll in a stand-alone Prescription
Drug Plan?. ANSWER - Entitled to Part A and/or enrolled in Part B and reside in the
plan service area.
Aside from a stand-alone Medicare Prescription Drug Plan, how else could a Medicare-
eligible consumer get Part D prescription drug coverage?. ANSWER - They could enroll
in a Medicare Advantage Plan or other Medicare health plan that includes prescription drug
coverage.
Assessment (Medicare Advantage [non-SNP],
Prescription Drug and Medicare Supplement
Plans) QUESTIONS AND VERIFIED
ANSWERS
GRADED A+
QUESTIONS & ANSWERS
Lisa turned 65 and is now eligible for Medicare. She already receives Social Security
benefits. How does she enroll in Original Medicare?. ANSWER - Her enrollment in
Medicare Parts A and B is generally automatic if she meets all eligibility requirements.
Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to
enroll in a Medicare Supplement Insurance Plan?. ANSWER - When a consumer enrolls in
a Medicare Supplement Insurance Plan, they are not automatically disenrolled from their
MA Plan.
Being 65 or older, being under 65 years of age with a qualifying disability or 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 3). ANSWER - -
An MA Plan is part of Medicare and is also called Part C.
-An MA Plan is a health plan option approved by Medicare and offered by private insurance
companies.
-An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part
B) and often includes Medicare prescription drug coverage (Part D).
, To be eligible for this plan type, consumers must meet the following requirements: be
entitled to Medicare Part A and enrolled in Part B, and reside in the plan's service area.
Which plan is being described?. ANSWER - Medicare Advantage
Which of the following is a correct statement about in-network provider services?.
ANSWER - HMO Plans cover only in-network services. In most cases, members pay the
full cost of any out-of-network services received, with a few important exceptions.
Which of the following is NOT a correct statement about in-network provider services?.
ANSWER - HMO-POS Plans only cover in-network services.
Which statement is true about Medicare Supplement Open Enrollment?. ANSWER - It is
the six-month period that starts the month the consumer is 65 or older and is enrolled in
Medicare Part B.
Which statement is true about the Medicare Advantage (MA) Out-of-Pocket Maximum?.
ANSWER - All MA plans have an Out-of-Pocket Maximum to help limit the member's out-
of-pocket costs for Medicare-covered medical services.
Margaret currently has an MAPD Plan. What would happen if you enrolled her into a
stand-alone PDP?. ANSWER - She would be disenrolled automatically from her MAPD
Plan.
What is Medicare Part D?. ANSWER - A voluntary program, offered by private insurance
companies that are contracted with the federal government, that provides prescription drug
coverage for an additional monthly plan premium.
Which of the following best describes eligibility to enroll in a stand-alone Prescription
Drug Plan?. ANSWER - Entitled to Part A and/or enrolled in Part B and reside in the
plan service area.
Aside from a stand-alone Medicare Prescription Drug Plan, how else could a Medicare-
eligible consumer get Part D prescription drug coverage?. ANSWER - They could enroll
in a Medicare Advantage Plan or other Medicare health plan that includes prescription drug
coverage.
