1|Page
MEDICARE BASICS ASSESSMENT UHC
EXAM 2026 QUESTIONS AND
ANSWERS | A+ GRADED WITH EXPERT
SOLUTIONS
In which two parts of Medicare is enrollment generally automatic
for eligible consumers who are receiving Social Security benefits,
UNLESS they choose to delay their coverage? - correct answer - Part A
and B
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 - When a consumer enrolls in a Medicare
Supplement Insurance Plan, they are not automatically disenrolled from
their MA Plan.
Which of the following defines a Medicare Advantage (MA) Plan?
(Select 2) - correct 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.
To be eligible for a Medicare Advantage Plan, consumers must meet
which of the following requirements? - correct answer - Be entitled to
Medicare Part A and enrolled in Part B, and reside in the plan's service
area.
Which plan type is being described? "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." - correct answer - Medicare Advantage
, 2|Page
Which of the following is a correct statement about in-network
provider services? - correct answer - HMO Plans generally cover only
in-network services. In most cases, members pay the full cost of any out-
of-network services received.
Jennifer is enrolling into a Medicare Advantage (MA) plan and
wants to know what counts towards the Out-of-Pocket Maximum.
Which of the following is accurate? - correct answer - The Out-of-
Pocket Maximum will include her costs toward any Medicare-covered
Part A or B services but does not include the cost of any plan premiums.
Margaret currently has an MAPD Plan. What would happen if you
enrolled her into a stand-alone PDP? - correct answer - She would be
automatically disenrolled from her MAPD Plan.
Provided other eligibility requirements are met, who is eligible for
Medicare? - correct answer - Consumers age 65 or older, consumers
under 65 with a qualifying disability, and consumers of all ages with
ESRD or ALS who are receiving SSDI.
Milton is retiring on his 65th birthday. He is eligible for Medicare
and already receives Social Security benefits. How does he enroll in
Original Medicare? - correct answer - His enrollment in Medicare Parts
A and B is generally automatic if he meets all eligibility requirements.
Which of the following are MA Plans that focus on using network
providers to maximize benefits and reduce out-of-network
expenses? - correct answer - HMO, POS, PPO
When does Medicare Supplement Open Enrollment take place? -
correct answer - During the first six months a consumer is 65 or older
and enrolled in Medicare Part B.
A consumer currently has Original Medicare and is enrolled in a
stand-alone Prescription Drug Plan (PDP). What will happen if the
consumer enrolls in an MA Plan that has integrated prescription
MEDICARE BASICS ASSESSMENT UHC
EXAM 2026 QUESTIONS AND
ANSWERS | A+ GRADED WITH EXPERT
SOLUTIONS
In which two parts of Medicare is enrollment generally automatic
for eligible consumers who are receiving Social Security benefits,
UNLESS they choose to delay their coverage? - correct answer - Part A
and B
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 - When a consumer enrolls in a Medicare
Supplement Insurance Plan, they are not automatically disenrolled from
their MA Plan.
Which of the following defines a Medicare Advantage (MA) Plan?
(Select 2) - correct 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.
To be eligible for a Medicare Advantage Plan, consumers must meet
which of the following requirements? - correct answer - Be entitled to
Medicare Part A and enrolled in Part B, and reside in the plan's service
area.
Which plan type is being described? "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." - correct answer - Medicare Advantage
, 2|Page
Which of the following is a correct statement about in-network
provider services? - correct answer - HMO Plans generally cover only
in-network services. In most cases, members pay the full cost of any out-
of-network services received.
Jennifer is enrolling into a Medicare Advantage (MA) plan and
wants to know what counts towards the Out-of-Pocket Maximum.
Which of the following is accurate? - correct answer - The Out-of-
Pocket Maximum will include her costs toward any Medicare-covered
Part A or B services but does not include the cost of any plan premiums.
Margaret currently has an MAPD Plan. What would happen if you
enrolled her into a stand-alone PDP? - correct answer - She would be
automatically disenrolled from her MAPD Plan.
Provided other eligibility requirements are met, who is eligible for
Medicare? - correct answer - Consumers age 65 or older, consumers
under 65 with a qualifying disability, and consumers of all ages with
ESRD or ALS who are receiving SSDI.
Milton is retiring on his 65th birthday. He is eligible for Medicare
and already receives Social Security benefits. How does he enroll in
Original Medicare? - correct answer - His enrollment in Medicare Parts
A and B is generally automatic if he meets all eligibility requirements.
Which of the following are MA Plans that focus on using network
providers to maximize benefits and reduce out-of-network
expenses? - correct answer - HMO, POS, PPO
When does Medicare Supplement Open Enrollment take place? -
correct answer - During the first six months a consumer is 65 or older
and enrolled in Medicare Part B.
A consumer currently has Original Medicare and is enrolled in a
stand-alone Prescription Drug Plan (PDP). What will happen if the
consumer enrolls in an MA Plan that has integrated prescription
