UHC 24 MEDICARE BASICS
COMPREHENSIVE EXAM
QUESTIONS AND COMPLETE
SOLUTIONS
◉ 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.
◉ Provided other eligibility requirements are met, who is eligible for
Medicare? Answer: Consumers age 65 or older, consumers under 65
years of age with a qualifying disability and consumers of all ages
with ESRD or ALS who are receiving Social Security Disability
Insurance (SSDI) for ALS.
◉ Which of the following defines a Medicare Advantage (MA) Plan?
(Select 3) Answer: -An MA Plan is a health plan option approved by
Medicare and offered by private insurance companies.
-An MA Plan is part of Medicare and is also called Part C.
-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 statements is correct about HMO MA
Plans? Answer: Members must receive covered services from
contracted network providers with limited exceptions.
◉ Which of the following are MA Plans that focus on using network
providers to maximize the benefits and reduce out-of-network
expenses? Answer: HMO, POS, PPO
◉ When does Medicare Supplement Open Enrollment take place?
Answer: During the first six months a consumer is 65 or older and
enrolled in Medicare Part B.
◉ What costs count toward the out-of-pocket maximum for
Medicare Advantage (MA) Plans? Answer: The Out-of-Pocket
Maximum includes costs the member pays for any Medicare-covered
Part A or B services but does not include the cost of any plan
premiums.
◉ 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
COMPREHENSIVE EXAM
QUESTIONS AND COMPLETE
SOLUTIONS
◉ 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.
◉ Provided other eligibility requirements are met, who is eligible for
Medicare? Answer: Consumers age 65 or older, consumers under 65
years of age with a qualifying disability and consumers of all ages
with ESRD or ALS who are receiving Social Security Disability
Insurance (SSDI) for ALS.
◉ Which of the following defines a Medicare Advantage (MA) Plan?
(Select 3) Answer: -An MA Plan is a health plan option approved by
Medicare and offered by private insurance companies.
-An MA Plan is part of Medicare and is also called Part C.
-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 statements is correct about HMO MA
Plans? Answer: Members must receive covered services from
contracted network providers with limited exceptions.
◉ Which of the following are MA Plans that focus on using network
providers to maximize the benefits and reduce out-of-network
expenses? Answer: HMO, POS, PPO
◉ When does Medicare Supplement Open Enrollment take place?
Answer: During the first six months a consumer is 65 or older and
enrolled in Medicare Part B.
◉ What costs count toward the out-of-pocket maximum for
Medicare Advantage (MA) Plans? Answer: The Out-of-Pocket
Maximum includes costs the member pays for any Medicare-covered
Part A or B services but does not include the cost of any plan
premiums.
◉ 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
