AHIP FINAL MEDICARE CERTIFICATION
ACTUAL TEST PAPER CERTIFICATION
EVALUATION RESOURCE LATEST
PRACTICE REVIEW SHEET
⩥ 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?
ACTUAL TEST PAPER CERTIFICATION
EVALUATION RESOURCE LATEST
PRACTICE REVIEW SHEET
⩥ 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?
